Medsurg 3 part 99 Flashcards

1
Q

best formula for determining appropriate urine output

A

.5 ml/kg per hour

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2
Q

How do you know an AV fistula is patent

A

there should be a thrill and bruit

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3
Q

biggest safety issue of peritoneal dialysis

A

infection

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4
Q

the biggest issue with CKD is

A

F/E imbalance

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5
Q

Normal finding for an AV fistula that’s maturing

A

swelling up

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6
Q

incontinence: jumping, coughing

A

stress

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7
Q

incontinence: not able to get to the bathroom and pull down pants in time

A

functional

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8
Q

incontinence: suddenly pee

A

urge

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9
Q

incontinence: retaining urine and then little amounts dribble out

A

overflow

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10
Q

H/O gout, think

A

uric acid stones

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11
Q

CVA pain =

A

renal calculi/pyelonephritis

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12
Q

ketones in urine, think

A

dehydration/starvation

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13
Q

Nitrates in urine, think

A

UTI

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14
Q

Crystals in urine, think

A

calculi

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15
Q

Creatinine in blood, think

A

kidney problem

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16
Q

BUN elevated, think

A

dehydration

17
Q

IVP

A

Intravenous Pylogram, injection of dye to find abnormalities

18
Q

Normal and abnormal findings after Urinary endoscopy

A

Normal:
small amount of blood, pain

Abnormal:
Temperature

19
Q

Drug that’s very tough on the kidneys, can cause ototoxity

A

Gentamycin

20
Q

UTI hygiene teaching

A

take showers not baths

21
Q

after you correct a Hydronephrosis, there’s a risk for

A

hypOvolemia because the urine output is going to increase

22
Q

In general with kidney problems, the diet should be

A

low protein

23
Q

A couple other signs of calculi

A

tachycardia

Fever

24
Q

Uric acid kidney stone diet

A

low animal protein (alkaline)

25
Q

Calcium kidney stone diet

A

Vit C
No green leafy
(acid)

26
Q

flank pain, think

A

pyelonephritis

27
Q

Dysuria (painful urine), think

A

UTI

28
Q

Before an x ray on a woman

A

pregnancy test

29
Q

Major cause of pre-renal AKI

A

dehydration

30
Q

Major cause of intra-renal AKI

A

contrast dye

diabetes

31
Q

At a low dose, how does dopamine affect the kidney

A

causes renal artery dilation, which increases perfusion to to the kidney

32
Q

General tx of AKI

A

increase fluids

33
Q

CKD skin issue

A

itchy skin because they’re sweating out urea

34
Q

small pellets or shredded, think

A

obstruction

35
Q

With a suspected cholelithiasis, test for

A

elevated Bili