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Chronic Increase in heart

exertion

















Predisposing Factors
History of CKD stage 5
Hemodialysis treatment
Risk for Infection
48 years old
Age Diet
Decreased ability of the
liver to produce bile
HPN
IJ access
Atherosclerosis
Excessive intake of salty
and fatty foods
8-9 TBSP intake of
food being served
Precipitating Factors
Alcohol drinker and
smoker of 15-18 sticks
per day
Risk for Imbalance
Nutrition
Lifestyle
Decreased Cardiac
Output
Precipitate for worsening
of the condition
Poor compliance to
hemodialysis treatment
Vasoconstriction
Behavior
RAAS
Mild Cardiomegaly
Directly affects liver
function
CKD 5 Secondary HPN II-C
Renal HPN
Increased BP
>Pulmonary Congestion
>Bilateral Edema
>UO 150-300cc
>BP 210/100
>Increased BUN
>Increased Creatinine

Altered Renal Perfusion