Better renal Flashcards

1
Q

What are the risks for pylenoephritis

A

UTI, men over 65, spinal cord injury, bladder tummors, chronic illness

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2
Q

what is pylenoephritis

A

infection/inflammation of the kidney

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3
Q

what is the infectious cause of pylenonephritis

A

e.coli

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4
Q

where does pylenoephritis begin and what can it cause

A

lower urinary tract

can cause scaring which alters blood flow

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5
Q

what is glomernephritis

A

inflammation of the golmeruli

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6
Q

what is the cause of glomernephritis

A

autoimmune

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7
Q

what are some diruretics used for glomernephritits

A

lasix, spriolactone, or HCTZ

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8
Q

what are the ss of polycystic kidney disease

A

none in the beginning, increase BP is 1st, then hematuria, back pain, UTIs, headaches, enlarged kidneys

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9
Q

what are you assessing for glomernephritis

A

VS (increased BP), weight, I/O, abdominal girth

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10
Q

what diet modifications are made for glomernephritis

A

low-moderated potassium diet

fluid and sodium restriction

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11
Q

what antihypertensives are used for polycyctic

A

lisinopril, capopril, valasartan, olmesartan

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12
Q

what is acute kidney injury

A

acute, rapid loss of renal function

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13
Q

what are the 3 cause of acute renal failure

A

prerenal, intrarenal, postrenal

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14
Q

what do you need to correct or monitor for AKI

A

fluid overload, monitor BP, HR, I/O

eliminate cause and prevent complications

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15
Q

what is intrarenal AKI

A

direct damage to renal tissue which will cause decrease

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16
Q

what are some complications of peritoneal dialysis

A

increase BG, increase triglycerides, outflow problems, respiratory compromise, cath infection, peritonitis

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17
Q

what are the ss of pylenoephritis

A

ss of infection, back pain, CVA tenderness, hematuria, suprapubic pain

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18
Q

what are some antibiotics used for pylenoephritis

A

bactrium BS, ciprofloaxcin

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19
Q

what are some ss of glomernephritis

A

protien in the urine, edema, decreased urine output, increase BP, increase BUN/creatine

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20
Q

what are the risks for glomernephritis

A

recent infection, travel, systemic disease, recent surgrey or illness

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21
Q

what is polycystic disease

A

genetic, progressive, fluid-filled cyst can move to lungs, liver and renal failure

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22
Q

what diet interventions do you want to do for polycystic

A

decrease potassium, fluid/sodium restriction

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23
Q

what corticosteriods are used for glomernephritis

A

perdisone, methylpredisone, dexamethasone

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24
Q

what are the ss of renal trauma

A

decrease urine outpout, hematuria, back pain, decreased BP (because of bleeding)

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25
Q

what are the complications of polycystic kidney disease

A

severe high BP, renal calculi, recurrent UTIs, heart valve abnormalities, renal failure

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26
Q

what is prerenal AKI

A

decreased blood flow = decreased prefusion and filtration, decreased urine output and increase bun and creatine

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27
Q

what are the ss of acute kidney injury

A

decreased urine output, edema, pulmomary edema, heart failure, shortness of breath, chest pain, electrolyte imbalances, coma

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28
Q

what labs would you expect for acute renal injury

A

increase BUN, creatine, potassium
decrease sodium, calcium
anemia, metabolic acidosis

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29
Q

what is peritoneal dialysis

A

home treatment, hypertonic solution into peritoneal cavity and then dwell out

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30
Q

who cant have peritoneal dialysis

A

someone who has had multiple abdominal surgries

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31
Q

what diruetics are used or AKI

A

lasix, bumetanide

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32
Q

what are the ss of chronic kidney disease

A

increase BP, heart failure, pulmonary edema, anorexia, seizures, bone breakdown, arrhythmias, anemia

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33
Q

what labs help diagnosis chronic kidney injury

A

increase serum creatine, decrease creatine clerance, protein in the urine

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34
Q

what images can be used to diagnose chronic kidney injury

A

CT or biopsy

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35
Q

what is normal creatine

A

0.5-1.2

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36
Q

what does increase creatine mean

A

renal failure

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37
Q

what is the function of the kidney

A

hormonal, urine formation, and regulatory

38
Q

what are the ss of benign prostate hyperplasia

A

difficulty starting stream of urine, weak stream of urine, dribbling, possible incontinence, bed wetting

39
Q

what does angiotensin 1 and ace make

A

angiotensin 2

40
Q

what does angiotensin 2 do

A

constricts blood vessels to increase BP

41
Q

what is normal protein

A

2-8

42
Q

what do kegel excersise do

A

strengthen external spincter

43
Q

what does erythropoietin do

A

stimulates production of RBCs

44
Q

what happens to erythropoietin to renal impairment

A

can cause anemia

45
Q

what are the ss of urolithiasis

A

severe pain, N/V, location of pain depends on location of stone, gross hematuria

46
Q

what is a med example of alpha adrenergic blockers

A

flowmax

47
Q

what does alpha adrenergic blockers (flowmax) do

A

vasodialation which decreases BP, decrease of muscle tone which can decrease prostate size

48
Q

who cant take alpha adrenergic blockers (flomax)

A

vascular/ hepatic/ renal disease

49
Q

what is normal BUN

A

10-20

50
Q

what is bladder prolapse

A

wall between bladder and vagina weaken allowing bladder to descend into vagina

51
Q

what is chronic kidney disease

A

progressive, irreversible loss of kidney function, slow long onset

52
Q

what is the treatment for hyperkalemia

A

IV calcium, IV glucose/insulin, albuterol to move potassium

53
Q

what are the complications for hemodialysis

A

decreased BP, systemic infection, AV fistula

54
Q

what are the ss of renal cancer

A

mostly none, flank pain, weight loss, increase BP, fever, anemia

55
Q

what is normal bicarbonate

A

22-26

56
Q

what does renin do

A

regulates BP

57
Q

when is renin released

A

when decrease blood flow/volume/ sodium

58
Q

what is transurethral resection of prostate (TURP)

A

removing inner part of prostate

59
Q

what are the risks for transurethral resection of prostate (TURP)

A

infection, bleeding

60
Q

what are the ss of internal bleeding (from renal biopsy)

A

flank pain, decreased urine output, decrease BP, hypovolemia

61
Q

what are some nephrotoxic meds

A

gentamicin, acyclovir, sulfonamide

62
Q

what are some age related changes seen in kidney

A

decrease in size, decreased GFR, increased BUN/creatine, decreased muscle tone, decreased bladder capacity, increase prostate gland

63
Q

what is normal glomerular filtration rate

A

125ml/min

64
Q

what does vit D do

A

formed into cacitrol which is required for calcium to be absorbed

65
Q

how do you diagnosis urothiasis

A

non-contrast CT, KUB, ultrasound

66
Q

what cant be seen on a KUB

A

uric acid stones

67
Q

what is normal bun/ceratine ratio

A

6-25

68
Q

what is normal uric acid

A

3.5-8

69
Q

what is critical uric acid

A

over 12

70
Q

what is a arteriography

A

catheter in femoral artery then advanced into renal arteries, IV contrast is injected to look for strictures, bleeding

71
Q

what is urothiasis

A

kidney stones

72
Q

who does urothiasis effect more

A

white dudes

73
Q

what is a ureteroscopy

A

for mild/distal urethral stones, general anthesia used, my place stent for dialation

74
Q

what is normal Ph

A

4.5-8

75
Q

what is overflow incontinence

A

enlarged bladder, from obstruction (spinal cord injury/ stroke) = frequent urination

76
Q

what is intravenous urography

A

contrast IV then X-rays at different times then again after voiding to check for retention

77
Q

what is reflex incontience

A

disorders that effect nervous impulse for voiding which means bladder muscle contracts on its own and spincter has varying control

78
Q

what is the defentive diagnosis for polycystic

A

abdominal ultrasound

79
Q

what is normal calcium

A

8-10

80
Q

what med do you have to stop before procedures

A

metformin

81
Q

what baseline do you need to get before intravenous urography

A

creatine

82
Q

what is an example of 5-alpha reductase inhibitors

A

proscar

83
Q

what is normal specific gravity

A

1.005- 1.030

84
Q

what is stress incontinence

A

urine leaks with increased abdominal pressure

85
Q

how can you prevent UTIs

A

3L fluid/daily, good hygiene, empty bladder every 3-4 hours

86
Q

what is percutaneous ureterolithotomy/ nephrolithotomy

A

used for large stones (2cm), general anthesia used

87
Q

what is the care after renal biopsy

A

pressure till bleeding stops, check hct,hgb, bed rest for 24 hours, will have blood in the urine for 24-48 hours

88
Q

what is urge incontience

A

bladder irritants (alcohol/caffiene), strong urge plus leakage

89
Q

what is normal RBC/WBC

A

0-5

90
Q

what is functional incontience

A

inability to get to or communicate to go to eh bathroom

91
Q

what is normal osmolarity

A

250-900