Chapter 48: Management of Patients with Kidney Disorders

What happens to kidney function with age?

Slower filtering and reabsorption, and less efficient acid-base balance.

How does aging affect the bladder?

Less capacity, weaker muscle control, and more night-time urination

What is BPH and who gets it?

Enlarged prostate in males, causing trouble with urination

What changes affect aging females?

Weaker pelvic muscles and more incontinence (urge and stress)

Is incontinence a normal part of aging?

No, it should always be assessed

Why might older adults not report incontinence?

It's embarrassing or they think it’s normal

Why is incontinence a big deal?

It can cause skin issues, infections, and limit daily life

What do kidneys help control in the body?

Fluids and electrolytes (like sodium, potassium)

Why are kidney patients at risk?

They can get too much or too little fluid or electrolytes

What are “I’s and O’s”?

Tracking what the patient takes in and puts out

What are “strict I’s and O’s”?

Very close tracking for kidney or fluid overload patients

Why is weight important for kidney patients?

Daily weight shows if they’re gaining or losing fluid

What is fluid overload?

Too much fluid in the body

What is fluid volume deficit?

Not enough fluid in the body