renal

Question 1

acute pyelonephrtiis

Answer 1

flank pain, unilateral

n/v

Question 2

acute renal failure

Answer 2

abrupt oliguria, edema, weight gain

ELEVATED creatinine
GFR

Question 3

right kidney lower than the left dt liver

Answer 3

true

Question 4

average U/O

oliguria

Answer 4

u/o=1500ml

oliguria-

Question 5

when renal fxn decrease, CR increase

normal levels

Answer 5

male: .7-1.4
female: .6-1.2

Question 6

factors that effect serum creatinine

Answer 6

gender (males higher), race (AA higher), muscle mass, age (less)

Question 7

creatine clearance

Answer 7

24 hour urine test
not effected by fluid, diet, exercise
more accurate than serum creatinine

Question 8

GFR normal value

Answer 8

> 90 ml/min

Question 9

GFR in renal failure

Question 10

casts

Answer 10

shaped like cylinders, RBC casts and protinuria = glomerulonephiritis

Question 11

normal WBC and RBC amount

Answer 11

WBC:

Question 12

nitrates

Answer 12

= e.coli

Question 13

augmentin

Answer 13

amoxicillin and clavunate

its a PCN

Question 14

UTI rx if s/s >48-72 hr

Answer 14

order urine C&S, r/o pyelonephritis.

switch to cipro/ofloxacin and treat 7-10 days

Question 15

uti treatment

Answer 15

3 days:

bactrim/septra
sulfa allergy: nitrofurantoid, augmentin

urine will b eorange, will stain contact lenses, avoid if liver/renal disease

Question 16

complicated UTI

Answer 16

treat 7 days, urinalysis and urine c&S before and after (not needed if healthy/non pregnant adult)

males, DM, pregnancy, old/young, recurrent

Question 17

nitrofurantoin (macrobid) contraindicated in renal failure

Answer 17

true

Question 18

definition of UTI

Answer 18

> 10,000 (ten/small five) CFU/ml of ONE organism

Question 19

kidney stone diet

Answer 19

avoid high oxalate foods; rhubarb, spinach, beets, chocolate, tea, meats