Normally the kidneys can handle phosphorous, but in setting of renal failure they cannot and it can lead to build-up of phosphorous that can lead to a variety of deleterious effects, such as metastatic calcification (which can increase risk of stroke, heart attack, etc.) and weak bones (because phosphorous pulls calcium out of bones); these complications are particularly important for kids because they progress chronically over time
kingfridaynvm, someone whose kidneys dont work means they not able to get rid of fluids anyway so giving them fluids can make things worse+4
letsdothisYeah, I feel like increasing fluid in any chronic renal conditions is always correct, but I like the steppreps explanation. +1
link981@kingfriday Vignette states that patient has edema of lower extremities. Patient's with chronic kidney disease easily get fluid overload which this patient most likely has so you would 'restrict intake of fluids' not give fluids.+
submitted by โstep_prep2(66)
https://step-prep.org/tutoring/