Renal Failure

Question 1

What indicates dialysis in Acure renal failure?

Answer 1

Sever hypercalcemia unresponsive to ttt

Question 2

Which acid-base disturbance is most likely caused by renal failure?

Answer 2

Metabolic acidosis ( due to inability to excrete acid from the kidneys)

Question 3

In ptn with chronic renal failure who developed acute gout , which drug is NOT given?

Answer 3

Indomethacin ( nonsteroidal drug ) can worsen renal function

Question 4

What are the drugs given to treat ptn with chronic renal failure who developed acute gout?

Answer 4

1- colchicine ( IV is DOC ) because oral will cause Diarrhea but still can be given

2- Acetaminophen: can be used as analgesic

3- prednisone can be used if colchicine is contraindicated

Question 5

In Asymptomatic chronic renal failure, what do you expect the calcium to be?

Answer 5

Ionized calcium will be normal

Total serum calcium is ⬇️

Question 6

Name a characteristic finding in untreated chronic renal failure?

Answer 6

Hypercalciuria

Question 7

How can you distinguish chronic renal failure from Acute renal failure?

Answer 7

Small kidneys on US = chronic

Question 8

Name the diseases where the ptn has chronic renal failure with normal or enlarged kidneys?

Answer 8

Amyloidosis

Scleroderma

Polycystic kidney disease

Diabetic glomerulosclerosis

Rapidly progressive glomerulonephritis

Question 9

Ptn on hemodialysis who has high potassium, what food contains hight potassium level that should be avoided?

Answer 9

Tomatoes & bananas have high potassium level and should be avoided in ptn on hemodialysis