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Question 1: Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process.
Renal failure can be acute or chronic and is usually secondary to hypercalcemia. (McCance, 2019) In this case study the patient has had impaired kidney function since the age of 8 years old, which is now in a chronic stage. Chronic renal failure is caused by a progressive decline in all kidney function, ending with terminal kidney damage. While this is happening adapting and modulating going on in the still-functioning GFR, they are trying to keep the kidneys functioning as normal as possible. There are four phases of chronic renal failure: Reduction in excretory function, reduction in incretory renal function, over hydration and disruption of electrolyte balance, and toxic organ damage because of urinary excreted metabolites. (www.lecturio.com) Labs that are checked are urine sample that will show blood in albumin and the kidney function test that look for waste products and measures that glomeruli filtration rate.
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