Better renal Flashcards
What are the risks for pylenoephritis
UTI, men over 65, spinal cord injury, bladder tummors, chronic illness
what is pylenoephritis
infection/inflammation of the kidney
what is the infectious cause of pylenonephritis
e.coli
where does pylenoephritis begin and what can it cause
lower urinary tract
can cause scaring which alters blood flow
what is glomernephritis
inflammation of the golmeruli
what is the cause of glomernephritis
autoimmune
what are some diruretics used for glomernephritits
lasix, spriolactone, or HCTZ
what are the ss of polycystic kidney disease
none in the beginning, increase BP is 1st, then hematuria, back pain, UTIs, headaches, enlarged kidneys
what are you assessing for glomernephritis
VS (increased BP), weight, I/O, abdominal girth
what diet modifications are made for glomernephritis
low-moderated potassium diet
fluid and sodium restriction
what antihypertensives are used for polycyctic
lisinopril, capopril, valasartan, olmesartan
what is acute kidney injury
acute, rapid loss of renal function
what are the 3 cause of acute renal failure
prerenal, intrarenal, postrenal
what do you need to correct or monitor for AKI
fluid overload, monitor BP, HR, I/O
eliminate cause and prevent complications
what is intrarenal AKI
direct damage to renal tissue which will cause decrease
what are some complications of peritoneal dialysis
increase BG, increase triglycerides, outflow problems, respiratory compromise, cath infection, peritonitis
what are the ss of pylenoephritis
ss of infection, back pain, CVA tenderness, hematuria, suprapubic pain
what are some antibiotics used for pylenoephritis
bactrium BS, ciprofloaxcin
what are some ss of glomernephritis
protien in the urine, edema, decreased urine output, increase BP, increase BUN/creatine
what are the risks for glomernephritis
recent infection, travel, systemic disease, recent surgrey or illness
what is polycystic disease
genetic, progressive, fluid-filled cyst can move to lungs, liver and renal failure
what diet interventions do you want to do for polycystic
decrease potassium, fluid/sodium restriction
what corticosteriods are used for glomernephritis
perdisone, methylpredisone, dexamethasone
what are the ss of renal trauma
decrease urine outpout, hematuria, back pain, decreased BP (because of bleeding)
what are the complications of polycystic kidney disease
severe high BP, renal calculi, recurrent UTIs, heart valve abnormalities, renal failure
what is prerenal AKI
decreased blood flow = decreased prefusion and filtration, decreased urine output and increase bun and creatine
what are the ss of acute kidney injury
decreased urine output, edema, pulmomary edema, heart failure, shortness of breath, chest pain, electrolyte imbalances, coma
what labs would you expect for acute renal injury
increase BUN, creatine, potassium
decrease sodium, calcium
anemia, metabolic acidosis
what is peritoneal dialysis
home treatment, hypertonic solution into peritoneal cavity and then dwell out
who cant have peritoneal dialysis
someone who has had multiple abdominal surgries
what diruetics are used or AKI
lasix, bumetanide
what are the ss of chronic kidney disease
increase BP, heart failure, pulmonary edema, anorexia, seizures, bone breakdown, arrhythmias, anemia
what labs help diagnosis chronic kidney injury
increase serum creatine, decrease creatine clerance, protein in the urine
what images can be used to diagnose chronic kidney injury
CT or biopsy
what is normal creatine
0.5-1.2
what does increase creatine mean
renal failure