Renal

Question 1

Protein metabolism will do what to BUN

Answer 1

Increase it

Question 2

Effect of inadequate carb intake

Answer 2

Catabolism (protein metabolism)

Question 3

Myoglobinuria

Answer 3

Presence of myoglobin in urine caused by muscle breakdown…very harmful to kidneys

Question 4

Adverse effects of ACE inhibitors

Answer 4

Proteinuria and hyperkalemia

Question 5

Normal urine specific gravity

Answer 5

1.005-1.030 or 1.010-1.020 depending on source

Question 6

Hyperphosphatemia results in which other electrolyte abnormality

Answer 6

Hypocalcemia.

Most commonly an issue in CKD d/t Inverse relationship. When one is up the other is down.

Question 7

Effect of acidosis on serum K

Answer 7

Hyperkalemia because K follows the H ions out of the cells and into the serum

Question 8

Tetany

Answer 8

Involuntary muscle spasms/contractions caused by low serum Ca or Mg

Question 9

Erythropoietin

Answer 9

• Hormone secreted by kidneys to tell bone marrow to produce RBCs
• Low in pts with CKD causing anemia
• Should be repleted before RBCs if HGB is low d/t CKD and only that

Question 10

Often associated with hyperkalemia

Answer 10

Hypocalcemia

Question 11

Complication of hypophosphatemia

Answer 11

Hypoventilation(r/t muscle weakness)
Seizures
Encephalopathy
AMS
Appetite loss
Bone fracture

Question 12

Ransons Criteria

Answer 12

Acute pancreatitis prognosis factors

WBC > 16k
BG>200
LDH> 350
Age >60