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What is the pathophysiology for acute kidney injury most likely related to diarrhea, nausea/vomiting post op...

What is the pathophysiology for acute kidney injury most likely related to diarrhea, nausea/vomiting post op sleeve gastrectomy and priority nursing diagnosis?
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PATHOPHYSIOLOGY OF ACUTE KIDNEY INJURY DUE TO DIARRHEA AND VOMITING

Due to vomiting and diarrhoea, the body gets dehydrated and results in decreased blood flow, also affects blood flow to vital organs.

  • Depressed renal blood leads to ischemia and cell death. tubular cell damage allows the backflow of glomerular filtrate and depresses glomerular filtration rate. in addition, these dying cells deposited into the tubules, forming obstructing casts, results in reduced glomerular filtration rate and followed by oliguria.

NURSING DIAGNOSIS

  • Fluid volume deficit related to diarrhoea and vomiting as evidenced by oliguria
  • impaired skin integrity related to dehydration as evidenced by reduced skin integrity.
  • imbalanced nutrition less than body requirements related to change in digestive process
  • risk for injury related to weakness and confusion related to dehydration
  • knowledge deficit related to dietary modifications and medications
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