Chronic Kidney Disease (Nursing)

00:01 Now, this is chronic kidney disease And the reason you want to recognize acute kidney injury as you want to catch it.

00:08 We want to intervene just like nurses did for me.

00:12 They caught that.

00:13 They notified the healthcare provider.

00:15 We got IV fluids going and I resolved just fine.

00:19 I don't have chronic kidney disease.

00:21 But if that had progressed to chronic kidney disease, this is what my life would have been like.

00:27 It happens over a period of time for a lot of people.

00:30 So we're going to talk about the types of people that are extremely at risk for this.

00:34 But remember that it happens gradually over a period of time.

00:38 Now, we come up with definitions of everything.

00:40 Remember we defined acute kidney injury as an increase in serum creatinine and a decrease in urine.

00:47 Now we're going to talk about the stages of chronic kidney disease and the measurement we're going to use for that are glomerular filtration rate.

00:56 Now, it will be the estimated glomerular filtration rate, you know, we get that from the creatinine.

01:00 Because it's just too complicated to get the actual one.

01:04 So take a look at that kidney.

01:05 Now you see this is an introduction back to the one we talked about the beginning of this video series, See how gnarly and knobby and shriveled That is, that's a kidney that is struggling just to get anything through it, right? So it's not able to function.

01:20 So I want to talk to you about eight causes of chronic kidney disease.

01:25 I'm going to start with just two though, because these two are the most common in causes of chronic kidney disease and they're actually the two that we can make the biggest difference in if we can educate our patients in a positive and supportive way because the better control we have of these two diseases the better chance, we have of preserving kidney function.

01:47 So the main two causes are diabetes and high blood pressure.

01:52 Okay, diabetes causes micro vascular changes, and that's why the kidneys can really suffer, high blood pressure is just pounding those nephrons and those glomerulus and that damages the kidney.

02:05 So what we're looking for here is in diabetic patients write yourself a note tight glucose control.

02:12 That means the lower we can keep a patient's blood sugar over a consistent period of time we can minimize the risk of kidney disease chronic kidney disease.

02:23 High blood pressure, We can help them with lifestyle changes and medications so that you can help control that blood pressure and minimize the risk of chronic kidney disease.

02:34 Okay, before we go on and do the other six, make sure that you've got laid down in your mind that diabetes and high blood pressure are the top two most common causes of chronic kidney disease.

02:48 Now if you haven't been in the hospital yet this may not make sense to you.

02:51 But if you spent a day in clinicals, you already know how many of the patients did you see that he had either diabetes or high blood pressure or both.

03:02 Right, the majority of patients that we end up taking care of in the hospital have both of these.

03:08 So we can always help these patients become healthier and avoid that chronic kidney damage when that chronic kidney disease gets an advanced stage you end up with really life threatening in dangerous levels of waste, fluid and electrolytes building up in the body.

03:25 So this is what you want to have on the back of your mind when you're having those difficult conversations with your patients.

03:31 To encourage them to make the tough choices sometimes to follow a strict diabetic food plan, right? It's not as fun to follow a diabetic food plan around the holidays or when everyone else is celebrating.

03:44 So we need to help them find ways to incorporate exercise in their life and a healthy diet and that applies to both diabetes and high blood pressure.