Renal Flashcards

0
Q

Loop of Henley

A

Concentrated and dilutes urine

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1
Q

Proximal tubule

A

Reabsorbs

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2
Q

Distal convoluted tubule

A

Site of adh control

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3
Q

Arf

A

Less than 400ml in 24hrs

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4
Q

Prerenal

A

Hypo perfusion

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5
Q

Renal Arf

A

Kidney damage acute tubular necrosis

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6
Q

Pre renal urinary sodium

A

Sodium less than 20

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7
Q

Renal stage sodium level

A

40-100

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8
Q

Pre renal bun:creat

A

20:1

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9
Q

Renal fx bun:creat ratio

A

10:1

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10
Q

Fluid and LASix increases uop in

A

Pre renal failure

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11
Q

Hyper kalemia symptoms

A

Muscle weakness EKG changes

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12
Q

Treat hyperkalia

A

Calcium chliride(if EKG changes)
Insulin and glucose
Bicarbonate
Kayexelate

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13
Q

Acute tubular necrosis caused by

A

Ischemia and nephrotic ivory

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14
Q

Ischemic causes of atn

A
Hemorrhage 
Burns
Sepsis
Heart failure
Transfusion reactions
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15
Q

Nephrotic ivory causes of Atn

A
Heavy metals
Meds
Street drugs
Rhabdomyalosis
Radioactive dye
16
Q

Oliguric stage

A

10-17 days
Increased bun creat k
Fluid overload chf
Peritoneal dialysis

17
Q

Polyuric stage

A

2 weeks - 3months
Increased bun creat
Low k
Fluid depleted

18
Q

Recovery stage

A

3months-1year

Pray the kidneys regenerate

19
Q

Urine Na in pre renal vs renal

A

Pre 20

Renal 40-100 with low uop

20
Q

Bun:creat in pre renal vs renal

A

Pre 20:1

Renal 10:1

21
Q

LASix/fluid challenge pre vs renal

A

Pre +urine

Renal no urine

22
Q

Hyper kalemia EKG

A

Peaked t wave 6.5

Prolonged pr interval 6.5-7

Widened qrs

Biphasic qrs 8

Sine waves/vtach

23
Q

Hyperkalemia treatments

A

Calcium chloride
Insulin+glucose
Sodium bicarb
K-exelate

24
Q

Calcium phosphate have a ___relationship

A

Reciprocal

25
Q

Hypocalcemia presentation also for hyperphosphatemia

A

Christens
Trousseau
Twitch twitch
Seizures

26
Q

Presentation of hypercalcemia and hypophosphatemia

A

Muscle weakness

Apathy

27
Q

Amphogel binds

A

Phosphate

28
Q

Sign of rapid alkalosis

A

Obtundation

29
Q

Hypokalemia EKG changes

A

U wave
Depressed st segment
Ventricular irritability

30
Q

Gfr measured by

A

Creat clearance

31
Q

Ischemic injury to kidneys when

A

Map<60 for 40 minutes

32
Q

In drug induced Atn LASix will increase

A

Increase toxicity