A. Arteriosclerotic changes in renal arteries are most common form of vascular renal disease (BP)
increase in BP. These changes occur as part of aging process & degree of change depends on
specific arteries
affected & degree affected.
B. Aging is known to cause predictable increases in both sys. & dist. BP
1. this slow increase in BP begins early in life & continues through adulthood
2. untreated hypertension accelerates development of athlerosclerosis which can lead to kidney
failure
C. prostatic hypertrophy common physiologic change associated with age. untreated PH results in
urinary tract obstruction that can lead to kidney failure
D. aging women frequently develop problems with stress incontinence as muscles weakn & pelvic
organs put pressure on bladder & urethra (T pg 1489- 1490)
V. Health History
A. Nutrition / metabolic pattern
1. what is your typical daily food intake? describe days meals, snacks, vitamins, changes in diet
2 how much salt in food, salt substitute
3. how is your appetite?
4. fluid intake / day
5. what types of fluids do you drink?
6. how much fluid / day specific for yesterday?
7. Have you had any recent changes in weight?
8. changes in tightness in ring?
9. note any excessive intake or omissions of certain food
10.a high protein diet can result in temporary renal problems
11. clients at risk for calculi formation, avoid Ca (milk-containing foods), drink more water
12. ask about any changes in appetite or in the ability to discriminate tastes
13. symptoms can occur with accumulation of N waste products from renal failure (changes in
thirst can change urinary output
B. Elimination pattern (diabetes excessive thirst / urination)
1. what is your usual elimination pattern?
2. frequency, amount, color, odor, loss of control, nocturia
3. any previous renal or urologic problems? kidney stones?
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