Renal Flashcards
prerenal
prior to kidney
intrinsic
in kidney
postrenal
after kidney
most common cause of kidney issue
55-60
renal failure GFR
decrease
renal failure BUN
rapid increase
renal fialure creatine
increase
renal fialure urine output
may or may not decline
normal GFR
> 90
normal BUN
10-20
normal creatine
.7-1.3 men
.6-1.1 women
how do we do contrast with AKI
fluid bolus
NSAID renal issue
prerenal
big things to assess for AKI
grey turns sign (brushing on 11-12th rib)
weight/I&O
normal BUN to creatine
10;1
does a high BUN translate to renal failure
no
muscle mass decreases creatine
yes which is why females have low
pre renal bUN to cre
(CHF/GIB)
15:1
contrast rise
24-48
contrast peak
3-5days
constrast resolution
5-7 days
what serves as a measure for nephron injury and repair
proteinuria
green pee
propofol
oliguria
<400ml/24 hr
pre renal causes
NSAID
sepsis
hypovolemia
shock
HF
is pre renal reverisble
yes
intrinsic renal causes
late stage sepsis
tubulars
acute tubular necrosis
acute tubular necrosis leads to
tubular obstruction, edema, cell injury
why does acute tubular necrosis cause intrtubular obstruction
epithelial break off and cause obstruction
crysaloids
isotonic
hypotonic
hypertonic
colloids
albumin/PRBC
- pul fluid into intravascular
post renal cause
BPH
hyperkalemia causes
peaked T waves
widening of QRS
VT/VF
how to treat hyperkaalemia
calcium, insulin, glucose
kayexalate (can lead to dehydration
nutrition for renal
high carb
restrict K/NA/Phospahte/protein/fluids
what other foods are high in K
chocolate and potatoes
complications of ARF
hyperkalemia
M acid
ameinai and prolonged bleeding
infections
cardiac
malnutiron
who is at risk for CKD
small gestational birth
childhood obesity
hypertneison
DM
african ancestry
> 90 GFR
1
GFR 60-89
2
GFR 30-59
3
GFR 15-29
4
GFR less than 15 or dialysis
5
hemodialysis does what to BP and electrolytes
decrease
if sending pt to hemodialysis should we give BP med
no
dialysis is normally how many days a week
3
what is gold standard for dialysis
fistula
fistula
joining artery and vein
CRRT
24hr
need Quinton
complication for CRRT
filter clotting
- heparin
- citrate and calcium
why should we leave returning un covered
make sure not discontected
wear what during peritoneal dyasisi
mask
graft assess what
numbness and tingling to make sure working
skin issues with end stage kidney
pruritus, dry, pale
hyperkameia is most severe electrolyte
yes
as renal failure processes and GFR progresses below 50mL which change occurs
metabolic acidosis
other electrolyte issues
hyperkalemia
M acid
anemia
hypocal
hyperphos
brain dead
intubated
neuro issue
GSC less than 5
