Pharmacology for Nurses

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Kidney Function

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Pharmacology for Nurses

Definition

Kidney function refers to the vital role the kidneys play in maintaining homeostasis within the body. The kidneys filter blood, remove waste and excess water, regulate fluid balance, and help control blood pressure, red blood cell production, and calcium absorption.

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5 Must Know Facts For Your Next Test

  1. The kidneys filter around 180 liters of blood per day, removing waste and excess water to produce urine.
  2. Impaired kidney function can lead to the buildup of waste products in the body, which can be life-threatening if left untreated.
  3. The kidneys produce the hormone erythropoietin, which stimulates the production of red blood cells in the bone marrow.
  4. The kidneys play a crucial role in regulating blood pressure by producing the enzyme renin, which is part of the renin-angiotensin-aldosterone system.
  5. Decreased kidney function can result in the development of anemia, bone disease, and other complications due to the kidneys' role in maintaining mineral and hormone balance.

Review Questions

  • Explain the importance of the glomerular filtration rate (GFR) in assessing kidney function.
    • The glomerular filtration rate (GFR) is a key indicator of kidney function, as it measures the rate at which the kidneys filter blood through the glomeruli. A decreased GFR is a sign of impaired kidney function and can indicate the presence of kidney disease. GFR is used to stage the progression of kidney disease and guide treatment decisions, making it a crucial metric for healthcare providers to monitor.
  • Describe how the kidneys regulate blood pressure and the implications of impaired kidney function on this process.
    • The kidneys play a central role in regulating blood pressure through the renin-angiotensin-aldosterone system. Renin, an enzyme produced by the kidneys, initiates a cascade that leads to the production of angiotensin II, a potent vasoconstrictor that increases blood pressure. Aldosterone, another hormone regulated by the kidneys, also helps maintain blood pressure by promoting sodium and water retention. Impaired kidney function can disrupt this delicate balance, leading to the development of hypertension and increasing the risk of cardiovascular complications.
  • Evaluate the multifaceted role of the kidneys in maintaining overall homeostasis within the body.
    • The kidneys are essential for maintaining homeostasis, as they perform a wide range of vital functions. Beyond their role in filtering waste and regulating fluid balance, the kidneys also contribute to the production of red blood cells, the regulation of blood pressure, and the absorption of calcium. Disruptions to any of these kidney functions can have far-reaching consequences, leading to the development of anemia, hypertension, and metabolic disturbances. The kidneys' ability to integrate these diverse processes highlights their central importance in preserving overall health and physiological balance within the body.

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