Question

In: Anatomy and Physiology

Patients with chronic hypertension are at risk for suffering kidney damage in our total to reduce...

Patients with chronic hypertension are at risk for suffering kidney damage in our total to reduce their intake of sodium first define hypertension and explain the connection between hypertension and sodium intake nicks describe the damage to the nephron that can result from hypertension and explain how I present you could influence your urine volume

Solutions

Expert Solution

Hypertension: Also known as high blood pressure is, by definition, a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 or a diastolic pressure above 90. Chronic hypertension is a "silent" condition that does not have symptoms.

Eating salt raises the amount of sodium in your bloodstream and wrecks the delicate balance, reducing the ability of your kidneys to remove the water. The result is a higher blood pressure due to the extra fluid and extra strain on the delicate blood vessels leading to the kidneys.

When salt intake is increased, a rise in plasma sodium is immediately buffered by the movement of fluid from the intracellular to the extracellular compartment because of the increase in osmolality in the extracellular space. At the same time, the associated small increase in osmolality stimulates the thirst center, more fluid is consumed, and the increased osmolality also stimulates arginine vasopressin secretion, and thereby more water is retained. All of these tend to reduce plasma sodium toward the previous level. Furthermore, there is an increase in sodium excretion that also helps reduce the level of plasma sodium. Some of these changes are responsible for a tendency of an increase in extracellular fluid volume, which it has been suggested as a mechanism underlying the rise in blood pressure that occurs with increasing salt intake. Some studies have shown that an increase in extracellular fluid volume causes a rise in blood pressure even when plasma sodium is falling.

Over time, high blood pressure harms renal blood vessels. The nephrons in the kidneys are supplied with a dense network of blood vessels, and high volumes of blood flow through them. Over time, uncontrolled high blood pressure can cause damage to blood vessels in the kidneys, reducing their ability to work properly. When the force of blood flow is high, blood vessels stretch so blood flows more easily. If the kidneys' blood vessels are damaged, they may stop removing wastes and extra fluid from the body.


Related Solutions

The conventional treatment for patients suffering from hypertension was found to be effective in 80% of...
The conventional treatment for patients suffering from hypertension was found to be effective in 80% of all cases. A new treatment was tested on a sample of 400 patients suffering from hypertension and it was found to be effective in 340 of them. Undertake an appropriate hypothesis test to determine if the new treatment is more effective than the conventional treatment (Note: You are expected to undertake perform tests at two levels.) In the context of the above test, explain...
A 55-year-old banker has developed chronic kidney disease as a result of hypertension. His condition was...
A 55-year-old banker has developed chronic kidney disease as a result of hypertension. His condition was discovered several years ago, when routine laboratory tests revealed elevated serum creatinine and BUN levels. Since then, he has been taking antihypertensive medications and restricting dietary sodium; he reported difficulty following the low-protein diet that was also prescribed. The patient recently visited his doctor with complaints of low urine output and reduced sensation in his hands and feet. He also reported feeling drowsy at...
As a FNP, you will discover, treat and maintain many patients with chronic kidney disease. What...
As a FNP, you will discover, treat and maintain many patients with chronic kidney disease. What are the categories of CKD (GFR)? Document what causes chronic kidney failure (CKF) and the guideline for diagnostics. What are the risk factors and how would you address cardiac, dietary, metabolic, and hematologic management? Also note which medications should not be used, or used with caution.
In patients with chronic kidney disease the alterations of the endocrine system may arise from several...
In patients with chronic kidney disease the alterations of the endocrine system may arise from several causes. The kidney is the site of degradation as well as synthesis of many different hormones. Moreover, a number of pathological conditions can occur. Using what you have learned and read so far along with a little research name one condition or issue that could arise in a CKD patient involving the Endocrine System. (400 words).
A study was performed among patients with progressive chronic kidney disease to assess the optimal time...
A study was performed among patients with progressive chronic kidney disease to assess the optimal time for the initiation of dialysis (Cooper et al. [22]). Patients were randomized to either an early start group, where dialysis was initiated when their estimated glomerular filtration rate (GFR) was between 10.0 and 15.0 mL per minute per 1.73 m2 of body surface area or a late start group, where dialysis was initiated when their GFR was 5.0 to 7.0 mL per minute per...
Diabetes come with many chronic complications, such as heart, eyes, and kidney complications. If patients manage...
Diabetes come with many chronic complications, such as heart, eyes, and kidney complications. If patients manage their diabetes properly can they prevent those complications? Is it that simple? WHY?
Patients with chronic kidney failure may be treated by dialysis, in which a machine removes toxic...
Patients with chronic kidney failure may be treated by dialysis, in which a machine removes toxic wastes from the blood, a function normally performed by the kidneys. Kidney failure and dialysis can cause other changes, such as retention of phosphorus, that must be corrected by changes in diet. A study of the nutrition of dialysis patients measured the level of phosphorus in the blood of several patients on six occasions. Here are the data for one patient (in milligrams of...
Refer to the article “Control of Cardiovascular Risk Factors in Patients With Diabetes and Hypertension at...
Refer to the article “Control of Cardiovascular Risk Factors in Patients With Diabetes and Hypertension at Urban Academic Medical Centers” (http://care.diabetesjournals.org/content/25/4/718.long) a) Construct a 4x2 contingency table that illustrates the relationship between the following two variables: Hospital at which the patient was seen, and whether or not the patient had LDL £ 100 mg/dl. Use the Hospital names as the row headings and whether or not the patient had LDL £ 100 mg/dl as the column headings. Include the overall...
Individuals with diabetes mellitus have an increased risk for developing kidney disease due to accumulated damage...
Individuals with diabetes mellitus have an increased risk for developing kidney disease due to accumulated damage to the nephrons. Based on our discussion of filtration, explain how an ACE inhibitor may prevent damage to the kidney individuals with diabetes. Explain how an ACE inhibitor works, what blood vessel(s) and any other structures that would be directly impacted by an ACE inhibitor, and how treatment with an ACE inhibitor could prevent damage to the nephrons.
Education for Respiratory Patients Many chronic respiratory conditions are exacerbated by risk factors that may or...
Education for Respiratory Patients Many chronic respiratory conditions are exacerbated by risk factors that may or may not be within the patient’s control (e.g., smoking versus pollution). As a nurse you have the unique ability to be both proactive and reactive within health care. Pick a risk factor and discuss educational strategies from both a proactive and a reactive standpoint. Cite all sources in APA format. Your reply posts should be substantive in content and add to the Discussion. See...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT