Exam 3 Flashcards

1
Q

which symptoms indicate distal ischemia after and arteriovenous graft?

A

pain and coldness in the fingers

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2
Q

why is calcium gluconate given to patients with hyperkalemia?

A

to prevent dysrhythmias

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3
Q

Why should NSAID be avoided in patient’s with kidney disease?

A

it can further damage the kidneys

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4
Q

what is an intravenous pyelogram (IVP)

A

used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder.
an IVP uses contrast to highlight the urinary tract.

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5
Q

which medication can be used for hyperkalemia?

A

kayexalate

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6
Q

how can the effectiveness of calcium carbonate be determined?

A

by check the phosphorus value for a reduction

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7
Q

which value is the preferred measurement for kidney function?

A

GFR - glomerular filtration rate

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8
Q

which is more likely to clot, a fistula or a graft?

A

a fistula

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9
Q

which sounds indicate adequate blood flow through a fistula?

A

thrill and bruit

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10
Q

why can patient experience knee and hip joint pain while taking corticosteroids?

A

because they can cause aseptic necrosis of the joints

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11
Q

ACE - inhibitors cause the retention of which electrolyte?

A

potassium

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12
Q

Why is it important to evaluate a patient’s creatine levels if they are taking gentamicin?

A

because it is potentially nephrotoxic

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13
Q

what lab value should be monitored in a patient taking epoetin alfa?

A

hemoglobin- this medications is associated with a higher rate of thromboembolic events

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14
Q

what is the purpose for restricting a patient to bed rest if they have a temporary vascular access catheter in their left femoral vein?

A

to prevent trauma to the vein

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15
Q

an increased QRS interval suggests an increase in which lab value?

A

potassium

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16
Q

why should iron and oral phosphate binders not be given together?

A

because it will prevent the iron from being absorbed

17
Q

what is cloud peritoneal effluent a sign of?

A

peritonitis

18
Q

the most important parameter after a kidney transplant?

A

urine output

19
Q

what causes muscle cramps during dialysis?

A

the rapid removal of sodium and water

20
Q

what is the rule for calculating a fluid restriction?

A

add all the fluid lost in the past 24hrs and add 66mL

21
Q

why are high potency vitamins not good for a patient with interstitial cystitis?

A

because they can irritate the bladder and increase symptoms

22
Q

what is it important to ask a patient with acute glomerulonephritis about recent fever and sore throat?

A

because this condition frequently occurs after an infection

23
Q

what does flank pain in a patient with nephrotic syndrome suggest?

A

a renal vein thrombosis

24
Q

foods with high levels of purine and uric acide

A

sardines and liver

25
Q

recommended fluid intake

A

2000-3000ml