Renal

Question 1

Recent streptococcal infection (ASO titer) causes inflammation of glomerulus

Answer 1

Acute glomerulonephritis

Question 2

Characteristics of both acute glomerulonephritis and nephrotic syndrome

Answer 2

Periorbital/facial edema, protein in urine

Question 3

AG or NS: oliguria

Answer 3

AG

Question 4

AG or NS: ascites

Answer 4

NS

Question 5

increased BUN/creatnine/RBC : Neph Syn or Acut Glom?

Answer 5

Acute glom

Question 6

Normal to low b/p - acute glom or neph syn?

Answer 6

neph syndrome

Question 7

which has the most protein in urine- acute glom or neph syn?

Answer 7

neph syndrome

–> will have decreased serum protein/albumin

Question 8

Acute glomerulo sxs

Answer 8

• Oliguria, edema of face, hypertension, hematuria, cloudy tea colored urine from RBC, some protein in urine, encephalopathy
• Increased BUN (greater than 20 mg/dL) and creatinine
• Increased RBC in urine
• Low GFR

Question 9

neph syndrome sxs

Answer 9

• Weight gain, Facial and periorbital edema, ascites, decreased frothy urine, lines on fingernails, more protein in urine
• Normal to low b/p
• Labs – proteinuria (greater than 2+); Reduced serum protein and albumin

Question 10

lines on fingernails- neph syn or acute glom?

Answer 10

neph syndrome

Question 11

interventions for acute glom

Answer 11

• Check daily weight
• Monitor I&O, B/P
• Low sodium, Fluid restricted diet
• watch for high potassium

Question 12

will potassium be high or low with acute glomerulonephritis?

Answer 12

risk of HYPERkalemia

Question 13

interventions for nephrotic syndrome

Answer 13

• Limit sodium and fluid restriction, Daily weights, Testing urine for protein, Monitor for signs of an infection, and prevent infection

Question 14

AG or NS - treat with albumin?

Answer 14

neph syn

Question 15

meds for acute glom

Answer 15

diuretics and antihypertensives

Question 16

meds for neph syndrome

Answer 16

Corticosteroids (helps slow protein loss), Diuretic, 25% albumin