Kidneys Flashcards

1
Q

normal range- 1.010- 1.025

A

Urine Specific Gravity

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

Regulation of blood pressure

A

Renin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
recent malignancy
•active or chronic infection
•cardiac failure
•chronic respiratory failure
•extensive vascular disease
•active autoimmune disease
•morbid obesity
A

Contraindications to Kidney transplant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • Diuretics
  • ETOH
  • Diabetes insipidus
  • Glycosuria
  • Excess fluid intake
  • Renal disease
A

Colorless to pale urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • Pyuria
  • Infection
  • Vaginal cream
A

Yellow to milky white urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
o Hemoglobin breakdown
o RBC, gross blood, menses
o Bladder or prostate surgery
o Beets, blackberries
o Medication: phenytoin, rifampin, phenothiazine, cascara, senna,
A

Pink to red urine

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

o Dyes, methylene blue

o Medication: amitriptyline, triamterene, phenylsalicylatie

A

Blue, blue green urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
o Concentrated urine due to dehydration
o Fever
o Bile
o Excess billirubin
o Carotene medication
A

Orange to amber urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
o Old RBC
o Urobilinogen
o Bilirubinin
o Melanin
o Extremely concentrated urine
o Medication: cascare, iron preparation, quinine
A

Brown to black urine

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

Normal – 0.7 – 1.4 mg/dl

A

Creatinine

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

10-20 mg/dl

A

BUN

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

280-300 mOsm/kg

A

Serum osmolality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
gold standard test
o X – ray of kidney bladder and ureter
o Excellent tool to ID stones
o Stones are radio opaque = glow in the dark
o Stones will be seen clearly in X-ray
A

KUB

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

o Done through a cystoscopy
o Up the bladder and through the ureter
o the dye is shot up into the kidney
o it is a safer test b/c we don’t depend on the kidney to clear out the dye. The dye

A

Retrograde Pyelography

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

: obstruction to the upper part of the ureter

o Something has allowed the urine to back up and drown the kidney

A

Hydronephrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • Will make Ph of urine more acidic (urea, sulfuric acid, phosphoric acid)
  • Good diet for patients with calcium stones
  • Also good for stones related to UTI (struvites)
  • Foods which metabolize in the body as acid
  • The kidneys will secrete them in the urine as acid
A

Acid ash diets

17
Q
• Meat
• Eggs
• Fish
• Chicken
• Cheese – high in phosphorus
• Whole grain & legumes
• Fruits
▪ Prunes
▪ Cranberry
▪ Plums
▪ Corn
A

Acid ash diet

18
Q

▪ Avoid any acid in the body
▪ Avoid meat, cheese
▪ Stick with things that are high in calcium
▪ Calcium in an ingredient to all antacid
▪ Calcium binds with hydrochloric acid to alkaline the GI content
▪ Give pt. food high in calcium
o Milk
o Cream
o Buttermilk
o All fruits except acid list
o Green leafy vegetables

A

Alkaline Ash

19
Q
  • Is an alkaline stone
  • Most likely produced in a urinary alkaline system
  • The goal is to acidify the system so stones cant form
  • Avoid oxalate foods:
A

Calcium oxalate stones

20
Q
o Spinach
o Rhubarb
o Beets
o Peanuts
o Chocolate
o Tea
o Wheat bran
o Strawberries
A

Oxalate foods

21
Q

o For us to know: pt. should be on acid ash diet with limited protein
o Latest research suggests it is salt combined with protein which creats the environment for calcium phosphate stones to form
• Causes:
o Excessive calcium
o Excessive salt
o Immobilization
o High protein

A

Calcium phosphate

22
Q
• UTI stones
• Seen in patients with chronic systitis
• Proteus is believed to be  the organism that causes stone making  environment particularly combined with antibiotic that come out in urine in crystallized form
• Treatment: Acid ash diet / same as UTI
o Lots of cranberry juice
A

Struvite stones

23
Q
▪ Organ meat
▪ Fermented beverages
▪ Shrimp
▪ Gravy
▪ Lobster
▪ Salmon
▪ Cauliflower
▪ Mushrooms
A

Low purine diet/uric stones

24
Q
• Metabolic defect
• Pt cant metabolize amino acid/cystine
• Runs in families
• Pt will experience stones throughout their life time
• Treatment:
o Low protein diet
o Alkaline ash
o Penicillamine to reduce instances of stones
A

Cystine stone

25
Q

Fever
Chills
Flank pain
Dysuria

A

Acute pyelonephritis

26
Q
Fatigue 
Headache 
Weight loss 
Anorexia 
Polyuria
Excessive thirst
A

Chronic pyelonephritis