Exam 3 Renal Flashcards
What 3 things influence renal arteriole tone?
Angiotensin
Norepinephrine
Epinephrine
What is the best VAA for renal impaired Pt’s?
Isoflurane (Forane)
What is the primary source of Urea?
The Liver
What is the normal BUN?
10 - 20 mg/dL
What are normal creatinine levels for men & women?
Men: 0.8 - 1.3 mg/dL
Women: 0.6 - 1.0 mg/dL
What is the normal creatinine clearance?
110 -150 mg/dL
What is the creatinine clearance for mild renal impairment?
What about moderate impairment?
Mild: 40 - 60 mL/min
Moderate: 25 - 40 mL/min
Does Pavulon undergo hepatic metabolism & renal excretion?
Yes
What are the 3 layers of the kidney?
Renal capsule
Renal fascia
Adipose capsule
Where in the kidney is Renin secreted?
Juxtaglomerular apparatus
Why (3) are stents placed in GYN cases?
- Easier to locate ureters
- GYN touching kidneys
- Reduced risk of UTI’s
What is the BUN/Cre ratio in pre-renal failure?
What about intrarenal?
- Prerenal: >20:1
- Intrarenal: <20:1
What can be given for uremic bleeding?
- Cryo
- Factor 8
- vWF
What is the best anesthesia for a TURP & why?
- Spinal anesthesia to T-10.
- To check for confusion d/t large volume of irrigation fluid infusion during case
What decreases the risk of TURP syndrome?
Glycine & Sorbitol
