exam 2 pt. 2

Question 1

to see how creatinine clearance is what do you do

Answer 1

24 hour urine collection, then blood

Question 2

normal specific gravity

Answer 2

1.016- 1.022

Question 3

increased specific gravity

Answer 3

dehydrated- increase adh

Question 4

decreased specific gravity

Answer 4

DI, high fluid intake

Question 5

first s/s of BPH

Answer 5

nocturia

Question 6

finasteride

Answer 6

decrease size of prostate

s/e decreased libido, orthostatic hypotension

Question 7

alpha 1 blockers

Answer 7

flomax, cardura, rapaflo

Question 8

flomax, cardura, rapaflo

Answer 8

promotes smooth muscle relaxation- urinary flow

s/e orthostatic hypotension!!!!

Question 9

cialis / tadalifil

Answer 9

effectively reduces s/s of BPH and ED

Question 10

resectoscope inserted through urethra, surgically remove parts of prostate

Answer 10

transurethral resection TURP

Question 11

complications of turp

Answer 11

post op bleeding, clot retention, hyponatremia

Question 12

urethra located on the ventral side of the penis

Answer 12

hydrospadias

Question 13

priapism

Answer 13

painful erection lasting more than 6 hours; MEDICAL EMERGENCY

Question 14

UNDESCENDED testes; congenital- bilateral or unilateral

Answer 14

cryptorchidism

Question 15

tx hydrocele

Answer 15

none unless its painful then we can drain

Question 16

to prevent spermatocele

Answer 16

teach performing self checks for test

Question 17

dilation of veins that drain testes; scrotum feels wormlike with palpitations

Answer 17

varicocele

Question 18

testicular torsion

Answer 18

MEDICAL EMEREGENCY; twisting of spermatic cord that supplies blood to testes and epididymis

Question 19

vasectomy

Answer 19

total of 10 ejaculations or 6 weeks to evacuate sperm; advise contraception

Question 20

most common cause of infertility

Answer 20

varicocele

Question 21

first test for infertility

Answer 21

semen analysis

Question 22

AKI labs

Answer 22

bun, creatinine, k = elevated

Question 23

increase in k

Answer 23

peaked t waves, widening qrs, st depression

Question 24

most effective way to remove K with hyperkalemia

Answer 24

hemodialysis

Question 25

most common cause of AKI

Answer 25

acute tubular necrosis

Question 26

primary cause of death in aki

Answer 26

infection

Question 27

most common cause of CKD

Answer 27

diabetic nephropathy

Question 28

primary cause of death for CKD

Answer 28

cardiovascular disease

Question 29

normal gfr

Answer 29

125

Question 30

stage 4 ckd

Answer 30

15-29 DIALYSIS; KIDNEY TRANSPLANT

Question 31

stage 5 ckd

Answer 31

less than 15; DIALYSIS

Question 32

ckd labs

Answer 32

dipstick urinalysis to detect for excessively protein in urine- microalbuminuria

Question 33

peritoneal dialysis steps

Answer 33

drain, flush, fill, dwell

Question 34

what do we want to watch for with peritoneal dialysis

Answer 34

fibrin/cloudy outflow= BAD

Question 35

biggest risks for hemodialysis

Answer 35

hypotension and hypovolemia

Question 36

what do you need to do for someone getting hemodialysis

Answer 36

palpate thrill and auscultate for bruit

Question 37

nephrotoxic drugs

Answer 37

aminoglycosides, amphotericin B, nsaids, ace in, arb, iv contrast dye

Question 38

phosphate binders

Answer 38

ca carbonate (tums), sevelamer (renvela), fosrenol, phoslo

Question 39

diet teaching for someone with CKD

Answer 39

decrease foods with na and phosphorus

Question 40

dissolve in acidic environment; drink juices

Answer 40

struvite

Question 41

what does turp stand for

Answer 41

transurethral resection of the prostate