Renal Flashcards
RAAS
- decreased bp
2.
normal BUN
abnormal BUN
normal specific gravity
abnormal specific gravity
normal creatinine
abnormal creatinine
normal uric acid
abnormal uric acid
normal creatinine clearance
renal biopsy RN care
intravenous urography RN care
renal ultrasound RN care
Acute Kidney Injury
Patho:
Cause:
Diagnose: caught in oliguric phase typically (oliguria, specific gravity is 1.007-1.01, creatine and BUN elevated)
CM:
Manage: with dehydration=IVF, with overload=diuretics. Strict I&Os
Comp: CKD
Phases of AKI
Initiating phase- asymptomatic
Oliguric phase- decreased UOP
Diuretic phase- body compensates, increased UOP, electrolytes will decrease
Recovery phase- labs normalize
Chronic Kidney Disease
Patho:
Cause: untreated AKI, HTN, DM
Diagnose:
CM: increased K, increased phosph and decreased Ca, decreased Na. elevated BUN and creatinine.
Treat:
Comp: elevated K leading to vfib.
stages of CKD
Polycystic Kidney Disease
Patho: cysts destroying renal tissue, childhood vs adult
Cause: genetic, autoimmune
Diagnose: CT scan
CM: no early signs. first sign= HTN. hematuria, flank pain, abdominal pain.
Treat: renal transplant is only cure. dialysis as bridge.
Comp: high risk for a
Pyelonephritis
Patho:
Cause:
Diagnose:
CM:
Treat:
Comp:
Acute Glomerulonephritis
Patho:
Cause:
Diagnose:
CM:
Treat:
Comp: