Medsurg 3 part 99 Flashcards
best formula for determining appropriate urine output
.5 ml/kg per hour
How do you know an AV fistula is patent
there should be a thrill and bruit
biggest safety issue of peritoneal dialysis
infection
the biggest issue with CKD is
F/E imbalance
Normal finding for an AV fistula that’s maturing
swelling up
incontinence: jumping, coughing
stress
incontinence: not able to get to the bathroom and pull down pants in time
functional
incontinence: suddenly pee
urge
incontinence: retaining urine and then little amounts dribble out
overflow
H/O gout, think
uric acid stones
CVA pain =
renal calculi/pyelonephritis
ketones in urine, think
dehydration/starvation
Nitrates in urine, think
UTI
Crystals in urine, think
calculi
Creatinine in blood, think
kidney problem
BUN elevated, think
dehydration
IVP
Intravenous Pylogram, injection of dye to find abnormalities
Normal and abnormal findings after Urinary endoscopy
Normal:
small amount of blood, pain
Abnormal:
Temperature
Drug that’s very tough on the kidneys, can cause ototoxity
Gentamycin
UTI hygiene teaching
take showers not baths
after you correct a Hydronephrosis, there’s a risk for
hypOvolemia because the urine output is going to increase
In general with kidney problems, the diet should be
low protein
A couple other signs of calculi
tachycardia
Fever
Uric acid kidney stone diet
low animal protein (alkaline)
Calcium kidney stone diet
Vit C
No green leafy
(acid)
flank pain, think
pyelonephritis
Dysuria (painful urine), think
UTI
Before an x ray on a woman
pregnancy test
Major cause of pre-renal AKI
dehydration
Major cause of intra-renal AKI
contrast dye
diabetes
At a low dose, how does dopamine affect the kidney
causes renal artery dilation, which increases perfusion to to the kidney
General tx of AKI
increase fluids
CKD skin issue
itchy skin because they’re sweating out urea
small pellets or shredded, think
obstruction
With a suspected cholelithiasis, test for
elevated Bili
