Exam 3 Flashcards
which symptoms indicate distal ischemia after and arteriovenous graft?
pain and coldness in the fingers
why is calcium gluconate given to patients with hyperkalemia?
to prevent dysrhythmias
Why should NSAID be avoided in patient’s with kidney disease?
it can further damage the kidneys
what is an intravenous pyelogram (IVP)
used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder.
an IVP uses contrast to highlight the urinary tract.
which medication can be used for hyperkalemia?
kayexalate
how can the effectiveness of calcium carbonate be determined?
by check the phosphorus value for a reduction
which value is the preferred measurement for kidney function?
GFR - glomerular filtration rate
which is more likely to clot, a fistula or a graft?
a fistula
which sounds indicate adequate blood flow through a fistula?
thrill and bruit
why can patient experience knee and hip joint pain while taking corticosteroids?
because they can cause aseptic necrosis of the joints
ACE - inhibitors cause the retention of which electrolyte?
potassium
Why is it important to evaluate a patient’s creatine levels if they are taking gentamicin?
because it is potentially nephrotoxic
what lab value should be monitored in a patient taking epoetin alfa?
hemoglobin- this medications is associated with a higher rate of thromboembolic events
what is the purpose for restricting a patient to bed rest if they have a temporary vascular access catheter in their left femoral vein?
to prevent trauma to the vein
an increased QRS interval suggests an increase in which lab value?
potassium
why should iron and oral phosphate binders not be given together?
because it will prevent the iron from being absorbed
what is cloud peritoneal effluent a sign of?
peritonitis
the most important parameter after a kidney transplant?
urine output
what causes muscle cramps during dialysis?
the rapid removal of sodium and water
what is the rule for calculating a fluid restriction?
add all the fluid lost in the past 24hrs and add 66mL
why are high potency vitamins not good for a patient with interstitial cystitis?
because they can irritate the bladder and increase symptoms
what is it important to ask a patient with acute glomerulonephritis about recent fever and sore throat?
because this condition frequently occurs after an infection
what does flank pain in a patient with nephrotic syndrome suggest?
a renal vein thrombosis
foods with high levels of purine and uric acide
sardines and liver
recommended fluid intake
2000-3000ml
