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The kidney is the primary organ of the renal system

   

Added on  2022-09-16

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Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
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The kidney is the primary organ of the renal system_1

NURSING ASSIGNMENT1
Table of Contents
Part 1................................................................................................................................................2
Part 2................................................................................................................................................6
Part 3................................................................................................................................................8
References........................................................................................................................................9
The kidney is the primary organ of the renal system_2

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Part 1
1.1. The human excretory system is comprised of two kidneys, two ureters, one urethra and one
bladder. The kidney is the primary organ of the renal system. The internal region of kidney has
three regions renal cortex, renal medulla and pelvis. The outermost region of kidney is the cortex
and the innermost region is the medulla. The function of the renal pelvis is to connect the kidney
to the circulatory system. The nephron, the basic unit of kidney, filters the blood to regulate the
concentrations of chemicals and also it is responsible for the production of urine (Ramanathan et
al., 2016).
The renal physiology means study of the kidney physiology including its functions. The
function of kidney involves regulating the concentration of potassium, sodium and other
electrolytes. The other important functions of kidney are clearing of toxins, absorption of
glucose, amino acids and other small molecules, regulation of the blood pressure, making of
different hormones and also in the activation of vitamin D. The renal physiology are studied on
the nephron level (Sharma, Ramesh & Gupta, 2015).
1.2. The chronic failure of kidney, also known as the finale stage renal disease is the irreversible
and rapid decrease in the functions of kidneys. During this condition, the capacity of the human
body in maintaining the metabolic activity and the balance of fluids and electrolyte fails which
result in the development of uraemia. The disease uraemia is the increment in the concentration
of urea and nitrogenous wastes in the blood. Uraemia occurs as the result of systematic effect of
several diseases like type II diabetes, hypertension, obstruction in the urinary tract, from
medications or different infections. Uraemia also occurs because of the living environment of a
person and the occupations of patient. The patient of this case study was not suffering from
The kidney is the primary organ of the renal system_3

NURSING ASSIGNMENT3
hypertension but the medical history of the patient showed that he had been suffering from
severe headaches, palpitations since the last five years as she used to worry about the drought. At
the time of admission in the hospital, the patient showed an increased level of blood pressure
(190/110 mm Hg). The pathophysiology behind this is, as the functions of the renal organs
decreases, the end products of the metabolism (proteins) gets accumulated in the body which are
normally excreted out from the body through urine. Uraemia develops and because of this the
other body systems are also affected. The severity of the symptoms are dependent on the
concentration of the accumulated waste products (Levey, Inker & Coresh, 2015). The conditions
become more severe when the amount of protein increases and also if the hypertension get
increased. In the given case study, the blood report showed that the amount of creatinine is very
high. The patient also showed an increased level of hypertension.
There are several risk factors associated with chronic kidney failure. The genetics of any
person is another important risk factor of the disease and it is very essential to find whether any
the family members had suffered from kidney diseases or not. Another important risk factor is
the age as people who have crossed 45 years of age have tendencies to suffer from failures of
kidney. The next important risk factor is the type II diabetes, especially if the onset of the disease
happens within 20 years of age. During the later stages of their life, the disease may get
transformed into severe form. Increased blood pressure is another important risk factor, the
condition worsen at the later stages of their life if the blood pressure is uncontrollable for a long
period of time. Poor control of blood glucose, smoking and obesity are the other reasons of
kidney failure. The patient is 55 years of age, showed symptoms of palpitation and the blood
pressure was also very high (Tsai et al., 2016).
The kidney is the primary organ of the renal system_4

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