GU pt2 Flashcards

1
Q

hemolytic uremic syndrome

A

Hemolytic anemia
Thrombocytopenia
Acute renal failure

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2
Q

sx HUS

A

watery diarrhea to bloody diarrhea
increased blood pressure
Vomiting
Edema
Oliguria

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3
Q

what is HUS commonly misdiagnosed as

A

Stomach bug
7 to 10 days

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4
Q

What is the most common cause of HUS?

A

E. coli – diarrhea
Bacterial toxin

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5
Q

what are common sources of bacterial toxins?

A

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

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6
Q

labs for HUS

A

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

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7
Q

Nursing care for HUS

A

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

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8
Q

nephrotic syndrome

A

Massive protein urea
Hypoproteinemia
Hyper lipidemia

Abnormal loss of protein in urine from membrane permeability

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9
Q

sx nephrotic syndrome

A

Decreased albumin
pleural effusion
Increased weight
muehrcke lines on nails

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10
Q

tx nephrotic syndrome

A

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

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11
Q

Acute glomerulonephritis

A

antibodies lodged in kidneys
APSG – post strep
leaky kidney

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12
Q

which symptom of acute glomerulonephritis is in need of immediate intervention

A

Hypertension

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13
Q

sx glomerulonephritis

A

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

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14
Q

are electrolytes normal in acute glomerulonephritis

A

Yes

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15
Q

treatment for acute glomerulonephritis

A

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

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16
Q

What is the sign of improvement for acute glomerulonephritis?

A

Increase urine output

17
Q

acute renal failure

A

Sudden reversible decline in renal function
accumulation of metabolic toxics

18
Q

Prerenal causes

A

Poor perfusion
Dehydration
Hemorrhage
Burns

19
Q

intrinsic causes

A

Toxic drugs – Vanco myosin

20
Q

treatment for acute renal failure

A

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

21
Q

chronic renal failure

A

Irreversible damage to nephrons
Slow gradual process
Retention of waste

22
Q

how does growth disturbances occur in chronic renal failure?

A

increased phosphorus
Decreased calcium

23
Q

what is a specific physical symptom of chronic renal failure?

A

Sallow skin – muddy look

24
Q

treatment for chronic renal failure

A

Dialysis
Transplant
Restrict fluids

Meds – sodium bicarb, erythropoietin, GF injections

25
diet for renal failure
Supplemental calcium Increased calories Vitamin D Low potassium Low phosphorus
26
meds to prevent osteodystrophy
Calcium carbonate aluminum hydroxide gel
27
What is the preferred form of dialysis for children?
Peritoneal
28
what type of enemas are avoided with a renal transplant?
Fleet enemas