Renal Flashcards
Nephrotic Syndrome s/s
MASSIVE PROTEINURIA
DARK FOAMY URINE
Dependent Edema (scrotal swelling, arms, legs)
Elevated triglycerides
Nephrotic Syndrome
Idiopathic most likely autoimmune
Nephrotic Syndrome labs
Proteinuria
Hypoalbuminemia
^ Bun/Creatinine
Hyperlipidemia
Nephrotic Syndrome Tx
Steroid
Renal diet no Na, K, Fat and protein
IV albumin 25%
diuretics
monitor for blood clots
Acute Glomerulonephritis
Strep antibodies alter the permeability of the glomerulus. Recent strep infection. glomerulus becomes clogged with RBC’s and protein
Acute Glomerulonephritis s/s
Periorbital edema
Positive ASO titer
minimal protein loss
Gross hematuria
HTN due to increased blood volume
TEA OR COLA COLORED URINE
decreased gfr and increased bun/cr
Acute Glomerulonephritis Tx
Diuretics, steroids, anti htn (ACE), renal diet low na, low k, low protein, low fluid.. monitor i&o
Hemolytic uremic syndrome
Caused by shistocytes/shigatoxin e. coli. most common AKI in children…
Hemolytic uremic syndrome s/s
Abdominal cramping
bloody diarrhea
n/v
anemia
pallor
renal failure
shistocytes in blood
HUS tx
dialysis if renal failure BUN>80
supportive care
blood transfusion if hgb <8
Which lab is the best indicator of renal function?
Creatinine
Creatinine is not absorbed unlike BUN
BUN
Blood urea nitrogen
Urea is the byproduct of ammonia. Ammonia is produced by protein waste and sent to the liver where it is turned into urea.
Decreased BUN
Liver is not working properly. Could be hypervolemia, malnutrition. liver failure
Increased BUN
AKI or kidney failure, dehydration, shock, obstruction
Creatinine
creatinine is a waste product of muscle breakdown. It is excreted by the kidneys.
