Chronic Renal Failure (Kidney Disease) Nursing | End Stage Renal Disease Pathophysiology NCLEX

Chronic renal failure, also called chronic kidney disease, nursing NCLEX review lecture on the pathophysiology, symptoms, stages, and causes.
Chronic kidney disease is a significant decline in kidney function that happens over a long period of time that leads to the buildup of waste, water, and electrolyte imbalances in the body. CKD is irreversible.
There are various stages of chronic kidney disease and each stage is based on the patient's glomerular filtration rate (GFR). Stage 1 is kidney disease with normal renal function (GFR greater than 90 mL/min) and proteinuria for 3 months or more. Each stage progresses with a declining glomerular filtration rate until the GFR is 15 mL/min or less and this is known as end-stage renal disease, which is Stage 5.
In the severe stages of chronic renal failure, the GFR is dramatically decreased and this leads to the following signs and symptoms of chronic kidney disease: increased BUN and creatinine levels, hypervolemia, electrolyte imbalances (hyperkalemia, hyperphosphatemia, hypocalcemia, hypermagnesemia, oliguira or anuria, metabolic acidosis, and proteinuria/hematuria).
In addition, the kidneys are no longer producing hormones, such as EPO (erythopoietin) or renin. This leads to anemia and more hypertension. Furthermore, the kidneys are failing to activate vitamin, which leads to more hypocalcemia.
Treatment for chronic renal failure includes dialysis, medications, and kidney transplant.
Nursing interventions for chronic renal failure include diet implementation, monitoring fluid status, vital signs, administering medications per physician order, monitoring electrolyte levels etc.
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Hello Tracy, I just wanted to say thank you for the super kind comment you left. It means so much to me to hear these videos are helping nursing students. I'm so happy you like how I present the material. I'm devoted to you all because I know how tough the journey is and we nurses need you all to graduate and come help us take care of patients. Thank you for sharing my videos with your friends. I'm honored to be your personal tutor ;-) Also, it's great to have a viewer from RI!!!

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I second this reply. I stumbled onto these videos by chance and am so grateful to have these as a reference. I completely understand these conditions in a way that I never considered before and have also shared with my nursing classmates. Thank you Sarah!

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Yay!! That was perfect timing! I hope your exam goes well today. Prayers said for you all who are having to take HESI. I know exactly what you are going through. My school required the same thing but it was an 850. Thank you for watching my videos and for this comment :)

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CONGRATS to you! I wish you the best in your new career as a nurse. THANK YOU for using my videos to help you prep. I appreciate that so much!

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I’ve been a nurse for many years now but it’s good to watch your videos as a pathophysiology refresher. Thank you

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This is easily the best channel if you're struggling with Nursing School. Thank you, Sara, for breaking down these concepts!!!

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Hi Sarah, I failed my first trial in NCLEX exam. But now i am watching your videos and it really helping me out with basics & it’s easy way to study! I found that I am a video learner.Thank you so much for these amazing videos, God bless you. And I really hope that i will pass test on my next attempt.

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I graduated woth my BSN in 2020. I'm now an acute dialysis nurse! I missed you Sarah! 😂

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Yay! Congrats to you, Breana! I'm so very happy to help! Thank you for the comment.

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[@thelaceyperry395]

Great video! Very informative I have CKD and I love the fact the we are educating people on this disease. Keep up the good work 😊

[@ChanceTaylor13]

Just had a pt in clinical with ESRD on peritoneal dialysis and this really helped me understand what was going on. Thank you 🙏

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Have an exam in 2 days and my books is so complicated that after watching this it explains everything so well that I understand a whole chapter in 30 minutes as opposed to like 2 hours of writing!

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I'm not a nursing student. I am a nutrition student but these videos have been an invaluable kind of guidance in my course. Thank you so much Sarah. Much appreciation all the way from Uganda.

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Sarah, i really don't know how to say thank you. It's like this, I'm in my final year and was struggling with the breakdown of kidney diseases until i saw this vid. Straight up my streets. I shared it to so many people, i loss count😂. You're doing an amazing job for us pre-reg and reg-nurses. You god girl! THANK YOU MISS🙏

[@RegisteredNurseRN]

Hello Everyone :) Thank you so much for watching this video! I hope it helps with your renal studies. Don't forget to watch the video on Acute Kidney Injury (kzbin.info/www/bejne/fXnWmY2JeMenhc0) as well! Quiz: www.registerednursern.com/chronic-kidney-disease-nclex-practice-questions/ Notes: www.registerednursern.com/chronic-kidney-disease-nclex-review/ More Renal Lectures: kzbin.info/aero/PLQrdx7rRsKfXkfh1nWrtxLcRTrohj41su

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RegisteredNurseRN Just want to say thank you! I passed my boards after a friend referred me to your website!

[@RegisteredNurseRN]

That is so AWESOME! Congratulations, Kasandra! I'm so happy your friend referred you and the content helped you prep.Thank you so much for this comment. I wish you the best in your new career as a nurse :)

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Hello :) Thank you so much for the kind comment and for taking the time to watch my videos! I really appreciate it!

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RegisteredNurseRN you are amazing. I'm surviving Nursing school and your videos help so much. thank you! !!!!!!!

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you are definitely getting me through med surg 2! thank you!! I am utilizing all of your videos, you are amazing!

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I've been sharing this video like crazy with my work colleagues. I absolutely love how she breaks down things

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Best Nursing lecturer ever :')

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Hi Nurse Sarah! I just want to say thank you so much for your videos. Your videos are one of the reasons I passed the NCLEX-RN. Please don’t get tired of teaching and using your talent. Again thank you❤️☺️and may God bless you and your family always🙏🙏🙏

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I've been watching your videos from Kenya. And as a nursing student I am more than grateful. You've been more than a blessing to me❤

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Thank you so much for breaking this down to my understanding. As a second year nursing student, this has helped me to understand CKD CKD pathophysiology and nursing interventions. Thank you and God bless you.

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Am too grateful to say thank you Sr Sarah for all your unreserved and tireless contribution to promote nursing profession..I am always looking your work .

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Hi, Sarah! I really wanna say thank you for devoting your time and effort into making these videos for future RNs. Your videos, quizzes and notes are the best! Will definitely share your channel to others here. Although I'm not taking the NCLEX, this will definitely help for the Philippine Nursing Licensure Examination. Thank you so so much! Sending love from the Philippines! :)

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You're most welcome! Thank you for watching my videos. That is so awesome you're entering your 3rd semester. My videos will be right here to help you through your journey! Thank you again for this kind comment.

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Hi! Sarah, we're much proud of your magical and excellent break down of complex concept...frm Kenya

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I’m just an Aunt looking for info. For my End Stage 44yo Nephew. Thank you It’s was very informative & clear to understand.

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I honestly look up to you and I wish I get the chance to become like you! I am current doing my masters degree and your videos have been helping me a lot! Thank you!

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I just discovered your channel and I cannot be more grateful 💕 I’m currently in school and you made everything so clear and easy to understand! I LOVE YOU! Thank you so much 💕

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Hello, I want start by saying May God Almighty bless you and your family for these videos. Thank you so much. I actually understand what I am studying because of your videos. The way you break it down and make it easy to understand and remember I believe no text book or teacher that I know of has been able to do. So THANK YOU very much. One request, could you please make a video on Polycystic Kidney Disease and also videos on eyes and ears disorders? Thank you!

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My brother is in end stage. Im trying to understand the medical side of it. This information is priceless. Thank you for taking your time to explain it to anyone desperate to learn and help their loved ones. Amazing.

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Same. My father is on end stage too😭

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Thank you so much!!! My final is tomorrow and my professor added this section to the test. I hope this helps!

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I used to watch all of your videos before taking my NCLEX exam..and thanks I passed my exam

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I am a patient, not a student, but I found this video to be extremely informative. Thank you so very much for all the effort you put into this presentation!

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Thank you! I know this video was intended to help students study, but I found it very helpful to understand my husband’s condition. Doctors have encouraged us to understand what is going on, and your video helped me to learn some terms I need to be familiar with and to understand what the doctors say, what the nurses are doing, and what the labs mean.

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Thank you Sarah.. I got better grades after I started watching your videos. You are a blessing! 🤩

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I learned alot from this and appreciate your teaching style. Thank you!!

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Thank You so much for this information! I’m having a test on Thursday for Renal Failure and I’m confident that I got it because of this video and the one on Acute Kidney Injury! ❤️

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I love how you connect all of the complications and issues together to the main disorder. It really helps to deepen critical thinking. Super helpful!!! :)

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Good

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You are simply AMAZING Sarah. Thank you for these wonderful and easy to understand videos.

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Its the day before my patho exam and I have this unit to complete and I was so confused until you explained it. I'm studying off this video now!! thanks so much

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Informative topic thank you more health vlog....

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Hi Nurse Sarah, thank you so much for sharing this great video, so helpful and very informative. Good lecture!

[@lyndiswebb8913]

Good lecture for a old RN with chronic kidney disease late stage. Thanks!

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amazing videos, you are a true blessing for all nursing students..

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Am so thrilled with the video, well broken down to understand the complexity of renal function. It has really helped me. Thank you so much SARAH

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thank you so much for these videos.. you are a god sent. whenever i'm having difficulty understanding a topic, all i need is a view of your videos.. the detailed presentation on how thing are communicated, i could go on and on... my neice recently ask me if you were my teacher and i said "definitely Yes"!!!! keep doing what you doing. i love you for choosing to help us, accessing of notes and quizzes that are absolutely free and accessibly to all. thank you! Thank You! Thank You! Thanks a million!!!

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You make it more simpler than my teachers wish you were one of them....enjoyed the session.!

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I love the simplicity of your explanation madam and you have really added meaning to my understanding as always and this is why I love watching your videos before reading complicated stuff as a medical student. Thank you 🙏🏻 😊

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It's a blessing to find you... God bless you!!!

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This video is amazing, I'm so happy to have found this video.

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M Indian Sarah I love u and ur vedios U are doing lots for the us.... God bless you nd ur kids.

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These videoes are truly great. Thank you Sarah fordevoting your time to explaining these conditionsclearly and making it so easy to understand. thank you

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My prof is always posting your videos in class! Amazing, thorough content! My whole Med-surg in a singe individual, amazing.

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❤❤❤❤Godbless your knowledge ms.sarah thanks for sharing 😮😮😮.

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You’re a blessings to nursing education. Thanks for all your videos.

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Thank you so much for making these videos, they are life savers!!!

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Thank you Sarah for breaking down these concepts in a way that is easier to understand. God bless. Hugs,,,

[@beginnerscircle6410]

This is Amazing! You literally broke down the whole concept explaining each individual concepts in clear detail! Thank you so so much. You have earned yourself an extra subscriber 💙

[@stemcelltreatment]

Thank you Sarah for this excellent video. Also did want to mention that Type 2 Diabetes is usually associated with adverse outcomes in all stages of kidney disease. Lower fasting plasma glucose and /or glycated hemoglobin levels are also associated with lower risk of mortality and also reduced cardiovascular death in patients with severe to moderate renal impairment.

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thank you very much nurse sarah! you helped me a lot. everday i watch your videos and everyday i learn a lot from you. God bless you always!

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I wanted to say thank you for all your amazing videos. Your vidoes are great with great rationales. I am so blessed with these videos. They are helping me understand the concept to the core. Thanks a lot and please keep making more videos and hope these videos can help many more in need during this time of distance learning due to COVID-19.

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Thank you for these lectures. This is what I'm looking for, since I'm a working RN in my country.

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greetings from Middle East Saudi Arabia kingdom thanks for your efforts

[@RegisteredNurseRN]

Greetings to you! Thank you for watching my video. I appreciate it! Best wishes in your studies!

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Thank you so much Sarah!! You are such an amazing, gifted person in teaching to all of us!!! Thank you for all that you do.

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Hi. Dr.. You are so a very. Competent teacher. Thank. You million for the fascinating lessons about different topics. You are so fast,that sometimes I can not follow the whole lesson. However there is No matter. I am really pleased with all your Lesons . Thank you again and again. Dr rebbah from Algeria.

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I wish all my instructors explained things like you do!!! Thank you so much

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This was REALLY good video! Very informative and easy to understand! Thank you so much!!!

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Hi Sarah!!! I absolutely love your channel. Because of these videos you've done i have seen a major improvement on my grades, I've moved up a whole letter grade!!! I was hoping for one of your videos you could do it on dialysis. I think it would be a great topic to cover and its content we cover in lectures. Okay thanks for helping :))))))

[@archowdhurygulesh8702]

Excellent information and all the best yourself,God bless you always

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Thank you very much, just rotating in renal unit and this has just made everything clear. God bless you 😇

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amazing video ...the simplest video ..good concept on ckd..

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Thank you. You made me understand why I'm experiencing these symptoms.

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