X Presentation: Long Term Immobility and Renal Failure Flashcards
Kidneys are the organs that
1) help filter waste products
2) help in regulating BP
3) electrolyte balance
4) prodction of RBC
Symptoms of kidney faulure are due to build up of waste products
Most commonly caused by long term bedrest
Gravity plays major role in draining urine from kidney
Supine position prevent complete drainage of renal cavity
urine collects in low portion of renal calices
forming small STATIC POOLS
in Supine position
urge to urinate is greatly reduced.
not only position can cause the issues but
emotionally, a person on long term bedrest embarrassed to use pan and
muscles in bladder wall weaken
and stretch receptors lose sensitivity reducing urge to urinate
Over distention of bladder causes
small cuts in epithelial lining, good site for infection
prolonged bed rest increases encourages
gradual demineralisation of bone tissue
Minerals lost are
Ionic calcium
Phosphate
Accumulate in blood
And excreted into urine and feces
Excess calcium in glomerular filtrate
Increases chances of calculi forming in the static urine pools
Urine retention encourages bacteria
Bacteria work way up urinary tract
UTI
As bacteria work way up
Increase pH of urine
Make it more alkaline encouraging
Further precipitation of calcium contributing to more kidney stones
Effects of bed rest 2, nursing times.net
Kidney failure, medicinenet.com
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