Renal Flashcards

1
Q

HHNS

A

Hyperosmolar hyperglycemic nonketotic syndrome

-dangerous condition where glucose levels are too high

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2
Q

Diabetes Mellitus

A

Pancrease can no longer make insulin or the body can’t use the insulin it produces

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3
Q

Insulin

A

-hormone produced in the pancreas
-lets glucose from food be absorbed into cells to produce energy
-deficiency results in hyperglycemia
-long term increase associated with organ failure

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4
Q

Diabetic Ketoacidosis

A

-complication where the body produces excess blood acids (ketones)
-occurs when there is insufficient insulin for body to use as energy so it uses fat instead
-relative or absoltue deficiency of insulin

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5
Q

Ketosis

A

Metabolic state when body burns fat instead on glucose - producing ketones as a by-product (lowering blood pH)

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6
Q

T1DM

A

pancreas does not make insulin, immune system attacks the cells i that make insulin
-autoimmune disease

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7
Q

T2DM

A

pancreas makes less insulin than used to, and your body becomes resistant to insulin

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8
Q

What is DKA characterised by

A
  • hyperglycaemia
    -kyperketonemia
    -metabolic acidosic
    -dehydration
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9
Q

Metabolic Acidosis

A

build up of acid in the blood

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10
Q

Acute Kidney Injury (AKI)

A

abrupt decrease or cessation of GFR or kidneys stop working
-rapid onset and loss
-accumulation of nitrogenous waste products in the blood

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11
Q

Glomerular Filtration Rate

A

rate blood is filtered at each minure

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12
Q

Prerenal AKI

A

-factors external to kidneys
E.G.
- hypovolaemia
-decreased cardiac output (MI, arrythmias,)
-decreased renovascular blood flow (DVT, embolism)

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13
Q

Hypovolaemia

A

a condition that occurs when your body loses fluid, like blood or water

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14
Q

Intrarenal AKI

A

-conditions that cause direct damage to kidneys
E.G.
-nephrotoxic injury (drugs, severe trauma)
-interstitial nephritis (allergies, infection)
-result of ischaemia

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15
Q

interstitial nephritis

A

tubules in the kidney become inflamed reducing kidney function

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16
Q

Postrenal AKI

A

-mechanical obstructions in the outflow of urine
E.G.
-bladder cancer
-trauma
-kidney stones
-trauma

17
Q

Renal Failure

A

one or both of your kidneys no longer function well on their own

18
Q

Nephrotoxic Injury

A

-meds
-heavy metals
-insecticides
-fungicides

19
Q

Nursing Cares

A

-treat precipitating cause
-fluid restrictions
-measures to lower potassium
-sod bicard
-salbutamol
-dietary restrictions
-insulin IV
-dialysis

20
Q

AKI diagnostic

A

-history
-physical examination
-serum creatine, urea, elects
-urinalysis

21
Q

AKI signs and symps

A

-increased serum creatine
-decreased GFR
-decreased urine output
-hypovalaemia
-metabolic acidosis

22
Q

DKA nursing interventions

A

1) correcting hehydration
2) treat hypergyceamia
3) correcting electrolyte loss
4) correcting acidosis

23
Q

How do you correct dehydration

A

IVF
fluid balance monitoring
IDC
FBC
fluid resusitation

24
Q

Treating Hyperglycaemia

A

Q2H BGL
reg ABG
IV insulin

25
Q

DKA confirming factors

A

Ketones: above 3MMol/L
Metabolic Acidosis: pH lower than 7.3
Known or new DM
BSL: higher than 11mmol/L