Renal Disease Flashcards

Dan Hladky, CAA

1
Q

Renal Impairment

A
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2
Q

Evaluating Renal Function

A
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3
Q

Creatinine Clearance

A
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4
Q

Staging of kidney disease using GFR

A
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5
Q

Serum Creatinine

A
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6
Q

Creatinine Clearance Formula

A
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7
Q

Blood Urea Nitrogen (BUN)

A

Function decreases, BUN rises

Rises with more protein

Normal 10-20 mg/dL (Not reliable marker for GFR)

Higher than 50, usually renal impairment

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8
Q

Acute Renal Failure (ARF)
Acute Kidney Injury (AKI)

A
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9
Q

Chronic Renal Failure (CRF)

A
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10
Q

Complications of Chronic Renal Failure (CRF)

A
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11
Q

Hyperkalemia

A

Ampule (1g) of calcium will immediately lower the peak of the T wave

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12
Q

Hypocalcemia

A
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13
Q

Chronic Renal Failure (CRF) Symptoms

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14
Q

CRF Stages

A
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15
Q

Uremic Frost

A
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16
Q

Manifestation of Renal Failure

A
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17
Q

Hemodialysis (3)

A
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18
Q

Peritoneal Dialysis

A
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19
Q

Dialysis Complications

A
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20
Q

Dialysis Disequilibrium Syndrome

A
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21
Q

Cardiovascular Effects of Dialysis

22
Q

Anesthetic Agents with Renal Failure

23
Q

Management
Acute renal failure

24
Q

Preop & Induction Agents

25
Q

Volatile Agents Effects with Renal Failure

26
Q

Opioids & Anticholinergic Agents with Renal Failure

27
Q

Muscle Relaxants for Renal Failure

28
Q

Reversal Agents with Renal Failure

29
Q

Sugammadex

A

Controversial with renal failure

30
Q

Preoperative Evaluation

31
Q

Premedication and Induction

32
Q

Maintenance and Fluid Therapy

33
Q

Volume Depletion and Detection

34
Q

Stroke Volume Variation

35
Q

Pulsus Paradoxus

36
Q

Volume Depletion and Detection

37
Q

Stroke Volume Variation or
Reverse Pulsus Paradoxus

38
Q

Systolic Pressure Variation (SPV)

39
Q

Preventing Renal Problems

40
Q

Anesthesia for Patients with Mild to Moderate Renal Impairment

41
Q

Anesthesia for Patients with Mild to Moderate Renal Impairment

44
Q

Renal surgery (Cystectomy, nephrectomy, and prostatectomy)

A

Large bore IVs

45
Q

TURP Syndrome (Water intoxication)

46
Q

CNS Symptoms of TURP

47
Q

Cardio-respiratory and systemic symptoms of TURP

48
Q

Diagnosis of TURP

49
Q

Prevention of TURP

50
Q

Management of TURP

51
Q

TURP Syndrome (Correction of hyponatremia)