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Review for NUR 427 Entry Exam > Chronic Kidney Disease (all but dialysis) > Flashcards

Chronic Kidney Disease (all but dialysis) Flashcards

1
Q

What is GFR of Stage 1 CKD?

A

> or equal to 90

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2
Q

What is GFR of Stage 2 CKD?

A

60-89

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3
Q

What is GFR of Stage 3A CKD?

A

45-59

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4
Q

What is GFR of Stage 3B CKD?

A

30-44

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5
Q

What is GFR of Stage 4 CKD?

A

15-29

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6
Q

What is GFR of Stage 5 CKD?

A

<15 (or dialysis)

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7
Q

Manifestations of Stage 1 CKD?

A

Asymptomatic

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8
Q

Manifestations of Stage 2 CKD?

A

Asymptomatic, possible HTN

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9
Q

Manifestations of Stage 3A & 3B CKD?

A

HTN, otherwise asymptomatic

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10
Q

Manifestations of Stage 4 CKD?

A

Manifestations becoming apparent- dx often occurs here

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11
Q

Manifestations of Stage 5 CKD?

A

“Uremic”

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12
Q

Description of Stage 1 CKD

A

Kidney damage with normal or increased GFR

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13
Q

Description of Stage 2 CKD

A

Kidney damage with mild decreased GFR

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14
Q

Description of Stage 3A & 3B CKD

A

Moderate decreased GFR

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15
Q

Description of Stage 4 CKD

A

Severe decreased GFR

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16
Q

Description of Stage 5 CKD

A

Kidney failure

17
Q

Action plan for Stage 1 CKD?

A

Diagnose and treat
CVD risk reduction
Slow progression

18
Q

Action plan for Stage 2 CKD?

A

Estimation of progression

19
Q

Action plan for Stage 3A CKD?

A

Evaluation and treatment of complications

20
Q

Action plan for Stage 3B CKD?

A

More aggressive treatment of complications

21
Q

Action plan for Stage 4 CKD?

A

Prep for renal replacement therapy ( dialysis, kidney transplant)

22
Q

Action plan for Stage 5 CKD?

A

Renal replacement therapy (if uremia present and patient desires treatment)

23
Q

No longer maintaining F & E homeostasis =

A 
Edema
Hyperkalemia
Hyperphosphatemia
Hypermagnesemia
Metabolic Acidosis
24
Q

No longer rids the body of wastes via urine =

A

Anorexia
Malnutrition
Itching
CNS changes

25
Q

Decreased production of erythropoietin =

A

Anemia

26
Q

Decreased activation of Vitamin D =

A

Renal osteodystrophy

27
Q

How to prevent CKD?

A

Diagnose and control underlying problems like: HTN & DM

Early detection and treatment of CKD

28
Q

Nursing Problems r/t CKD

A 
Excess Fluid Volume
Malnourishment
Risk for Injury
Grieving
Risk for Infection
Activity Intolerance
29
Q

Collaborative Care for CKD (NOT Dialysis)

A

Prevention: control HTN, DM
If needing contrast dye: Acetylcysteine, Force Fluids
Monitor nephrotoxic drugs: NSAIDS, aminoglycosides
Monitor F & E levels
I&Os, daily weight
Treat the symptoms

30
Q

Symptoms of CKD

A 
Volume Overload
Hyperkalemia
Metabolic acidosis
Mineral and Bone disorders (PO4 and Ca)
HTN
Anemia
Dyslipidemia
Malnutrition
31
Q

CKD Drug Therapy

Want to treat:

A 
Overload
Hyperkalemia
HTN
Mineral and bone disorders
Anemia
Dyslipidemia
Acidosis
32
Q

What is the renal diet?

A

Decreased protein, decreased potassium, decreased sodium (possibly decreased magnesium, decreased phosphorus) and fluid restriction

33
Q

Goals with CKD?

A

Meet nutritional needs

Meet F & E needs

34
Q

CKD: Teach patient to report:

A 
Weight gain > 4lbs
Increasing BP
SOA
Edema
Increasing fatigue/weakness
Confusion/lethargy
35
Q

CKD: Teach alternate ways to reduce thirst:

A

suck on ice cubes, lemon, hard candy

36
Q

Teach:

A

medications and common side effects

37
Q

CKD: Teach:

A

dietary restrictions, dietary modifications, fluid restrictions and fluid intake

38
Q

CKD: Teach importance of :

A

support and encouragement

r/t lifestyle changes, living with chronic illness, decisions about type of dialysis, etc

39
Q

Important for CKD patients to comply with these 3 things:

A

Nutritional consult and follow up
Good written resources
Good support system

Review for NUR 427 Entry Exam (27 decks)

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