GU pt2

Question 1

hemolytic uremic syndrome

Answer 1

Hemolytic anemia
Thrombocytopenia
Acute renal failure

Question 2

sx HUS

Answer 2

watery diarrhea to bloody diarrhea
increased blood pressure
Vomiting
Edema
Oliguria

Question 3

what is HUS commonly misdiagnosed as

Answer 3

Stomach bug
7 to 10 days

Question 4

What is the most common cause of HUS?

Answer 4

E. coli – diarrhea
Bacterial toxin

Question 5

what are common sources of bacterial toxins?

Answer 5

Under cooked meats
Unpasteurized, dairy, vegetables, fruits
unwashed lettuce, and spinach
Well water

Question 6

labs for HUS

Answer 6

Positive blood, mild protein, pus
Increased BUN, CR
Anemia
Decreased platelets
Leukocytes
Hyponatremia
Hyperkalemia
Hyperphosphatemia

Question 7

Nursing care for HUS

Answer 7

contact precautions
Antihypertensives, diuretics
Monitor for bleeding
dietary restrictions
Wash everything well

Question 8

nephrotic syndrome

Answer 8

Massive protein urea
Hypoproteinemia
Hyper lipidemia

Abnormal loss of protein in urine from membrane permeability

Question 9

sx nephrotic syndrome

Answer 9

Decreased albumin
pleural effusion
Increased weight
muehrcke lines on nails

Question 10

tx nephrotic syndrome

Answer 10

Steroids
Bedrest during edema
No salt, increased protein
Albumin to Lasix

Question 11

Acute glomerulonephritis

Answer 11

antibodies lodged in kidneys
APSG – post strep
leaky kidney

Question 12

which symptom of acute glomerulonephritis is in need of immediate intervention

Answer 12

Hypertension

Question 13

sx glomerulonephritis

Answer 13

Positive ASO titer
Puffy face, Peri orbital edema
Fever
Pallor
Headache

Question 14

are electrolytes normal in acute glomerulonephritis

Answer 14

Yes

Question 15

treatment for acute glomerulonephritis

Answer 15

Isolation until infection resolved
Antibiotics
Manual blood pressure Q4 hours
bedrest for Edema
No added salt, low protein

Question 16

What is the sign of improvement for acute glomerulonephritis?

Answer 16

Increase urine output

Question 17

acute renal failure

Answer 17

Sudden reversible decline in renal function
accumulation of metabolic toxics

Question 18

Prerenal causes

Answer 18

Poor perfusion
Dehydration
Hemorrhage
Burns

Question 19

intrinsic causes

Answer 19

Toxic drugs – Vanco myosin

Question 20

treatment for acute renal failure

Answer 20

Fluids
Meds- albumin, Furosemide
nutrition
Vital signs, I/O
Check blood pressure Q4 hours

Question 21

chronic renal failure

Answer 21

Irreversible damage to nephrons
Slow gradual process
Retention of waste

Question 22

how does growth disturbances occur in chronic renal failure?

Answer 22

increased phosphorus
Decreased calcium

Question 23

what is a specific physical symptom of chronic renal failure?

Answer 23

Sallow skin – muddy look

Question 24

treatment for chronic renal failure

Answer 24

Dialysis
Transplant
Restrict fluids

Meds – sodium bicarb, erythropoietin, GF injections

Question 25

diet for renal failure

Answer 25

Supplemental calcium
Increased calories
Vitamin D
Low potassium
Low phosphorus

Question 26

meds to prevent osteodystrophy

Answer 26

Calcium carbonate
aluminum hydroxide gel

Question 27

What is the preferred form of dialysis for children?

Answer 27

Peritoneal

Question 28

what type of enemas are avoided with a renal transplant?

Answer 28

Fleet enemas