Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med/Surg 2 > GU/Reproductive > Flashcards

GU/Reproductive Flashcards

ARF patho

1
Q

ARF patho

A

Reversible syndrome caused by an abrupt deterioration of function.
Kidneys unable to remove waste products or Perform regulatory functions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ARF labs

A

rising BUN (10 - 20) and creatinine (0.5 - 1.2)
Specific gravity 1.030 (concentrated)
decreased Hgb annd Hct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ARF S/S

A 
Decreased urine output
Increased BUN/Creatinine
Metabolic acidosis
Fluid retention
Hyperkalemia
Hyponatremia
Hypotension
Tachycardia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ARF onset phase

A

initial insult/ injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ARF oliguric phase

A

8-14 days

Urine output greatly reduced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ARF diuretic phase

A

Lasts about 10 days
Nephrons recovering & regaining ability to excrete urine.
10L/day dilute urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ARF recovery phase

A

lasts up to 6 months

the pt begins to return to normal activity level.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cause of Pre-renal ARF

A

Any condition decreasing blood flow to the kidneys amd leading to ischemia in nephrons.
heart failure, shock, pulm embolism, anaphylaxia, sepsis, pericardial tamponade.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cause of Intra-renal ARF

A

Interstitial, glomerular or tubular damage
Major cause is prolonged prerenal disease
Others: infection, dye, nephrotoxic drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cause of Post-renal ARF

A

obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

treatment of hyperkalemia

A

Sodium polystyrene sulfonate

Diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what would trigger or inhibit release of ADH

A

Hypothylmus and p.pit

Renin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

benign prostatic hypertrophy (BPH) S/S

A

Altered urinary elimination/ bladder outlet obstruction
Reduced force of stream, hesitancy, post-void dribbling
Frequency, urgency, nocturne
May have problems with UTI’s, stones or hematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

benign prostatic hypertrophy (BPH) Complications

A

urinary retention
UTI
Stones
renal failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

determining residual volume

A

Ultra sound

bladder scanner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

risk factors of bacterial cystitis

A

Sexual active, birth control, pregnant, obstruction, long term cath, Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

s/s of acute glomerular nephritis

A

Edema, Hematuria, Oliguria, Headache, Dyspnea, Possible flank pain secondary to stretching of the renal capsule.

18
Q

Complications of acute glomerular nephritis

A

Kidney failure, HTN, Nephrotic syndrome.

19
Q

Cause of acute glomerular nephritis

A

strep infections, HTN

20
Q

pylonephritis s/s

A 
flank pain
Fever (usually present) and/or chills
malaise
Nausea and vomiting
Confusion
hematuria
Cloudy or foul-smelling urine
Pain when urinating
Increased frequency or urgency of urination
21
Q

Cause of pylonephritis

A

E.coli
urine flow slows or stops

BHP
masses
stones

22
Q

pylonephritis diagnosis

A

Urinalysis (white blood cells)

23
Q

High Specific gravity

A

concentrated / dehyrated

24
Q

Low specific gavity

A

Dialute

25
Q

renal calculi risk factors

A 
Family history
Man
Dehydration
high protien, sodium and sugar diet
fat
digestive disorders
26
Q

renal calculi complications

A

Kidney damage
Kidney infection
UTI

27
Q

Renal Calculi s/s

A 
Pain may be felt in the belly area or side of the back
Pain may move to groin area (groin pain) or testicles (testicle pain)
Abnormal urine color
Blood in the urine
Chills
Fever
Nausea
Vomiting
28
Q

Renal Calculi prevention

A

Drink lots of water

diet change

29
Q

Renal calculi priority

A

pain

30
Q

CRF S/S

A 
Nausea
Vomiting
Loss of appetite
Fatigue and weakness
Sleep problems
Changes in urine output
Decreased mental sharpness
Muscle twitches and cramps
Edema
Persistent itching
Chest pain, if fluid accumulates around the lining of the heart
Shortness of breath, if fluid accumulates in the lungs
High blood pressure (hypertension) that's difficult to control
31
Q

CRF assessment findings

A

vvmj

32
Q

CRF patho

A

Progressive, irreversible damage to nephrons & glomeruli
Sodium & water retention
Gradual progression towards uremia

33
Q

CRF complications

A 
Neurologic
-Uremic encephalopathy
-Peripheral neuropathy
CV
-Pericarditis, tamponade
-Accelerated atherosclerosis (microemboli)
-Cause of 50-65% of the deaths in CRF
Skin
-Pruiritis, calcium deposits, uremic frost (looks like zits)
-Excoriation with a bleeding tendency
-Anemic pallor (yellow)
-Brittle nails, thin hair (falls out)
Hormonal
-Amenorrhea/ impotence, infertility - hormone replacement 
-Decreased libido
34
Q

CRF nursing interventions

A 
Managing fluid volume
Preventing pulmonary edema
Increasing cardiac output
Enhancing nutrition
Preventing infection
Preventing injury
Minimizing fatigue
Reducing anxiety
35
Q

Polyuria

A

increased urine output, greater than 2000 ml in 24 hrs

36
Q

Complications of prostate cancer

A

Incontinence

Erectile dysfunction

37
Q

Prostate Cancer S/S

A 
Trouble urinating
Decreased force in the stream of urine
Blood in the urine
Blood in the semen
General pain in the lower back, hips or thighs
Discomfort in the pelvic area
Bone pain
Erectile dysfunction
38
Q

complications after mastectomy

A

lym

39
Q

AV Fistula care/teaching

A 
mature (4 months after surgey)
do not take bp on arm
do not put IV on arm
Thrill and bruit q 4 hrs
assess pulse
elevate post op
dont carry heavey things
dont sleep on that side
40
Q

IV pyelogram (IVP) teaching

A

not while prego
radiation dye
and colonic cleaning = clearer image`

41
Q

Kidney biopsy s/s of complications

A

bleeding (HTN)

42
Q

complications after mastectomy and how to prevent them

A

Lymphedema

Avoid bp in that arm

Med/Surg 2 (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions