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CMPA411 RENAL > Chronic Renal Failure > Flashcards

Chronic Renal Failure Flashcards

1
Q

Irreversible condition of progressive damage to the nephrons & glomerulus

A

Chronic Renal Failure

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2
Q

Retention of waste product (uremia)

A

Chronic Renal Failure

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3
Q

Leading cause

A

DM Nephropathy

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4
Q

Most common cause (4)

A

DM nephropathy
Hypertension
Glomerulonephritis
SLE

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5
Q

The normal GFR

A

125 ml/min
1.73 m2

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6
Q

Stages of CKF: GFR:90 mL/min/1.73 m2

A

Stage 1

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7
Q

Stages of CKF: Kidney damage with normal or increased GFR

A

Stage 1

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8
Q

Stages of CKF: GFR:60-89 mL/min/1.73 m2

A

Stage 2

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9
Q

Stages of CKF: Mild increased in GFR

A

Stage 2

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10
Q

Stages of CKF: GFR:30-59 mL/min/1.73 m2

A

Stage 3

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11
Q

Stages of CKF: Moderate increased in GFR

A

Stage 3

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12
Q

Stages of CKF: GFR:15-29 mL/min/1.73 m2

A

Stage 4

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13
Q

Stages of CKF: Severe increased in GFR

A

Stage 4

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14
Q

Stages of CKF: Severe increased in GFR

A

Stage 4

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15
Q

Stages of CKF: GFR:15 mL/min/1.73 m2

A

Stage 5

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16
Q

Stages of CKF: Kidney failure (end-stage renal disease {ESRD})

A

Stage 5

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17
Q

Stages of CKF:
Asymptomatic
No accumulation of waste products
Healthier kidney compensation

A

Diminished Renal Reserve Volume

18
Q

Stages of CKF:
Metabolic waste accumulation
Decrease GFR
Symptoms of renal failure

A

Renal Insufficiency

19
Q

Stages of CKF:
Excessive amounts of metabolic waste
Uremia
Life-threatening condition

A

End-stage Renal Disease

20
Q

Clinical Manifestation: Gastrointestinal System (4)

A

N&V
Stomatitis
Uremic breath/Uremic Factor
Diarrhea/Constipation

21
Q

Clinical Manifestation: Respiratory system (3)

A

Kussmaul’s Respiration
Deep, Rapid Respiration
Decrease Cough Reflex

22
Q

Clinical Manifestation: Fluid & Electrolytes (4)

A

Hyperkalemia
Dilutional Hyponatremia
Hypermagnesemia
Hyperphospatemia

23
Q

Clinical Manifestation: Integumentary System (4)

A

Pruritus
Dry Skin
Uremic Frost
Edema

24
Q

Clinical Manifestation: Cardiovascular System (2)

A

Hypertension due to activation of RAAS
Pericarditis due to irritation by uremic toxins

25
Q

Clinical Manifestation: Hematologic System (2)

A

Anemia
Thrombocytopenia

26
Q

Clinical Manifestation: Musculoskeletal System (5)

A

Muscles Cramps
Loss of Muscle Strength
Renal Osteodystrophy
Bone Pain
Bone Fractures

27
Q

Clinical Manifestation: Reproductive System (4)

A

Amenorrhea
Testicular Atrophy
Infertility
Decreased Libido

28
Q

Clinical Manifestation: Neurologic System (5)

A

Confusion
Disorientation
Seizures
Burning of soles of feet
Behavior Changes

29
Q

Pharmacologic management: (5)

A

Calcium and phosphorus binders
Antihypertensive
Cardiovascular Agents
Antiseizure agents
Erythropoietin

30
Q

Nutrition Therapy: Regulate ? intake

A

Protein

31
Q

Nutrition Therapy: Allow only protein with high biologic value

A

Dairy Products
Eggs
Meat

32
Q

Nutrition Therapy: Fluid allowance ? more than the previous days 24 hour urine output

A

500 - 600 ml

33
Q

Nutrition Therapy: Some restriction of ?

A

Potassium

34
Q

Nutrition Therapy: Adequate ? intake and ?

A

Caloric
Vitamin Supplement

35
Q

Maintain fluid & electrolyte balance: Administer ?

A

Phospate-binding agent (Amphojel)

36
Q

Prevent infection & injury: Meticulous ?

A

Skin Care

37
Q

Prevent infection & injury: Encourage activity but avoid ?

A

Fatigue

38
Q

Prevent infection & injury: Protect from exposure to ?

A

Infectious Agents

39
Q

Prevent infection & injury: Avoid ?

A

Aspirin

40
Q

Prevent infection & injury: Soft ?

A

toothbrush

41
Q

Promote comfort (2)

A

Analgesic as ordered
Antipruritic

CMPA411 RENAL (9 decks)

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