AGN & Nephrotic Syndrome Flashcards

1
Q

increased BP: nephritis or nephrotic

A

nephritis

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2
Q

decreased BP: nephritis or nephrotic

A

nephrotic

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3
Q

what illness can lead to AGN

A

strep

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4
Q

signs of post strep AGN

A

edema
hypertension
hematuria
albuminuria

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5
Q

signs of general AGN

A

hematuria
edema
HTN
azotemia/uremia

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6
Q

azotemia/uremia

A

an increased BUN & creatinine: leads to slowed nerve transmission (disoriented, lethargic, confused)

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7
Q

role of calcium channel blockers in AGN pt

A

increase GFR and decrease BP

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8
Q

diet for AGN pt

A

increase carbs
decrease proteins
decrease sodium

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9
Q

what is HTN encephalopathy

A

BP so high blood is going to other organs and not the brain

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10
Q

cause of heart failure in AGN pt

A

kidneys not getting rid of fluid–more for heart to pump

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11
Q
high dose corticosteroids
plasmapheresis
cytotoxic agents
hemodialysis
all tx for what?
A

end stage renal disease

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12
Q

GFR of what to be dx with ESRD

A

less than 15

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13
Q

what is an indicator that something is wrong in AGN pts

A

hypotension

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14
Q

normal GFR

A

greater than 60

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15
Q
what can lead to: 
hyperkalemia
metabolic acidosis
anemia
hypoalbuminemia
decreased Ca and increased P
A

GFR of less than 50 in pts with chronic GN

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16
Q

why should ACE inhibitors be avoided in chronic GN pts

A

nephrotoxic

17
Q

anti-HTN meds that can be used in chronic GN pts to decrease the workload of the heart

A

metoprolol, lopressor, Ca channel blockers

18
Q

diet for chronic GN pts

A

decreased Na and fluids, increased protein

19
Q

clinical manifestations for chronic GN

A

edema, pallor, anorexia, hematuria/foamy urine, malaise, brittle hair/skin

20
Q

infection, thromboembolism of renal vein, PE, ARF, and atherosclerosis all complications of what

A

nephrotic syndrome

21
Q

tx of nephrotic syndrome (4)

A

albumin, diuretics, ace inhibitors, lipid lowering agents

22
Q

role of albumin

A

strengthens vessel and brings fluid inside of vessel