F/E Flashcards

1
Q
Acute weight gain > 5% 
Edema 
Crackles 
SOB
Decreased BUN, hct
JVD
*** NI: fluid/NA RESTRICTION, diuretics, dialysis ***
A

Fluid volume excess

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2
Q
Nausea 
Malaise 
Lethargy 
Headache 
Abdm cramps 
Apprehension 
Seizures 
**** NI: diet N/S or hypertonic saline solution***
A

Hyponatremia

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3
Q
Dry sticky mucous membranes
Thirst 
Rough dry tongue 
Fever 
Restlessness 
Weakness 
Disorientation 
**** NI: fluids, diuretics, dietary restriction***
A

Hypernatremia

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4
Q
Anorexia 
Abdm distention
Paralytic ileus 
Muscle weakness 
ECG CHANGES,
Dysthymia 
**** NI: duet, oral or Parental potassium replacement therapy ****
A

Hypokalemia

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5
Q
Diarrhea 
Colic 
Nausea 
Irritability 
Muscle weakness 
ECG CHANGES, Bradycardia 
*** dietary restrictions, diuretics, IV Glucose,Sodium bicarbonate, cation-resin, calcium gluconate, dialysis ****
A

Hyperkalemia

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6
Q
Abdominal/muscle cramps 
Stridor 
Carpopedal spasms 
\+ Chovisteks/Trouseau sign 
Tingling of fingers and around mouth 
ECG CHANGES 
**** NI: diet, oral or parental calcium salt replacement ***
A

Hypocalcemia

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7
Q
Deep bone pain 
flank pain
muscle weakness
depressed deep tendons reflexes 
Constipation 
Nausea/Vomiting 
Confusion 
Impaired memory 
Polyuria/polydypsia
ECG changes 
**** NI: fluid replacement, etidronate, pamidronate, mithramycin, calcitonin, glucocorticoid, phosphate salts
A

Hypercalcemia

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8
Q

Describes kidney damage or a decrease in GFR for mor than 3 months
- decrease quality of life

A

CKD

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9
Q

Cardiovascular disease
**Diabetes
Hypertension
Obesity

A

Risk factors of CKD

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10
Q

Where kidneys cannot remove body’s metabolic waste or perform their regulatory functions
GFR

A

Stage 5 CKD

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11
Q
Deep bone pain 
Flank pain 
Muscle weakness/pain 
Parenthesia 
Apprehension 
Confusion 
Seizures
A

Hypophosphatemia

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12
Q
Tetany 
Tingling of fingers and around mouth
Muscle spasms 
Soft tissue calcifications 
**** NI: diet restriction, phosphate binders, n/s solution, dextrose solution, insulin ****
A

Hyperphosoheptemia

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13
Q

Amount of plasma filtered through the glomeruli per unit time

A

GFR

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14
Q

Measure of the amount of creatinine the kidneys are able to to clear in a 24 hour period

A

Creatinine clearance

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15
Q

100-125 CC/min

A

Normal GFR

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16
Q

135-145 mEq/mL

A

Sodium

17
Q
◦uremia
 metabolic acidosis
•Kussmauls
 ◦hypervolemia (“A”)
 ◦hyperlipidemia
 ◦electrolyte imbalance    
•Na/H2O
•Ca/Ph
•hyperkalemia
A

Chem regs ESRD

18
Q
◦HTN
◦CHF/ edema/pericarditis
◦pleuritic pain/SOB
◦thick secretions
◦Kussmaul’s Respiration
◦lung crackles
A

Gaseous transfers ESRD

19
Q
◦anemia
 ◦bleeding tendencies
 ◦severe itching –pruritis
 ◦pallor
 ◦brittle nails
 ◦coarse thinning hair
A

Body defense ESRD

20
Q
  • lethargy, apathy, confusion, coma
  • tremors
  • peripheral neuropathy, muscle weakness
  • restless leg
  • seizures
A

Neurological depression of ESRD

21
Q

HTN encephalopathy
HF
APE

A

Complications of glumerulonephritis

22
Q

HCT less than 30%

A

Anemia

23
Q

Less than 500 ml/day

A

Oliguria

24
Q

↑ carbohydrates – unlimited sugars to prevent wasting

◦reduction of:
•proteins- 40 - 80 g/d
•K – 40 mEq
•Na - 2000 mg/d
•phosphorus/Ca - 500 - 600 mg/d
A

Management of ESRD

25
Q
  • Chocolate
  • Dried fruit, nuts and seeds
  • Oranges, bananas, apricots and cantaloupe
  • Meat
  • Beans, potatoes
  • Tomatoes
  • Celery
  • Mushrooms
A

Potassium sources

26
Q
Acute weight loss
Decreased skin turgor 
Dry mucous membranes 
Oligura/Anuria
Increased HCT, BUN, 
Increased creatinine 
Hypothermia
A

Fluid volume deficit