Renal Failure Flashcards

1
Q

stimulates the bones to make red blood cells.

A

Erythropoietin (

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2
Q

active form
of vitamin D, helps maintain calcium for the bones

A

Calcitriol

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3
Q

EVERY MINUTE, ONE-FOURTH OF THE BODY’S
BLOOD APPROXIMATELY

A

1200 ML—PASSES
THROUGH THE KIDNEYS FOR FILTRATION.

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4
Q

COMPOSITION OF URINE

A

AQUEOUS SOLUTION
95% WATER
● ELECTROLYTES – NA, K, CL, BICARBONATE, MG,
CA ETC.
● WASTE PRODUCTS – UREA, URIC ACID,
CREATININE, CYANIDE, PO4
, SO4 ETC.

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5
Q

3 process required for urine formation include:

A

GLOMERULAR FILTRATION:
TUBULAR REABSORPTION:
* TUBULAR SECRETION:

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6
Q

CREATES A
PLASMA-LIKE FILTRATE OF THE BLOOD

A
  • GLOMERULAR FILTRATION:
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7
Q

REMOVES USEFUL
SOLUTES FROM THE FILTRATE, RETURNS THEM TO
THE BLOOD

A

TUBULAR REABSORPTION: R

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8
Q

REMOVES ADDITIONAL
WASTES FROM THE BLOOD AND ADDS THEM TO THE
FILTRA

A

TUBULAR SECRETION

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9
Q

the syndrome in which glomerular filtration
declines abruptly (hours to days) and usually
reversibe.

A

ACUTE RENAL FN

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10
Q

Aki can be diagnosed with any of the following:

A

creatinine increase of 0.3 mg/dl in 48 hours.
2. creatinine increased to 1.5 times baseline within the
last 7days.

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11
Q

Failure in glomerular filtration leads to fall in GFR with
retention of waste substances that is to be cleared by
filtration including water.

A

GLOMERULAR DYSFUNCTION

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12
Q

ailure of reabsorption function of the tubules that
would result in voiding of large volumes of dilute
urine, of low specific gravity along with electrolytes
and nutrients

A

TUBULAR DYSFUNCTION

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13
Q

hypoperfusion of kidney.

A

PRE RENAL - failurre

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14
Q
  • actual damage of the kidney tissue
A

INTRA RENAL

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15
Q

● POST RENAL- o

A

POST RENAL

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16
Q

Phase 1: Initial RF

A

Renal damage is occuring
- Asymptomatic

17
Q

Phase 2.Oliguric

A

<1ml/kg/hr of urine
- impared glomerular filtration
- Waste cannot be remove

18
Q

last 2 weeks
- cellular regeneration and healing
- gradual return to normal

A

3.Diuretic

19
Q

eft untreated it results in fluid overload,electrolyte
imbalance, uremia,coma

A

Phase 4 recoveruy

20
Q

Poor prognosis is related to associated (ARF)

A

sepsis, HUS, prolonged anemia, cardiac failure, hepatic failure

21
Q

efined as a
persistent impairment of kidney function, in other
words, abnormally elevated serum creatinine for more
than 3 months

A

CHRONIC RENAL FAILURE (CRF)

22
Q

calculated glomerular filtration rate
(GFR) less than for Chronic RF

A

60 ml per minute / 1.73m2.

23
Q

patient needs renal
replacement therapy, the condition is called

A

end-stage
renal disease (ESRD).

24
Q

2 cause of chronic renal failure

A

Diabetes
High BP

25
Q

Stage 1 CKD

A

GFR is at least 90 milliliters per minute (ml/min) per
1.73 meters squared (m²).

26
Q

person’s GFR is 30-59 ml/min per
1.73 m².

A

stage 3 CKD,

27
Q

GFR is 60-89
ml/min per 1.73 m²

A

stage 2 CKD

28
Q

stage 3a means that a person has a

A

GFR of 45-59
ml/min per 1.73 m².

29
Q

stage 3b means that a person has a

A

GFR of 30-44
ml/min per 1.73 m².

30
Q

A person with stage 1-3 CKD may be able to slow the
damage to their kidneys by:

A

Controlling their blood sugar, if they have diabetes
● Controlling their blood pressure

31
Q

By stage 4 CKD, a person’s GFR is

A

s 15-29 ml/min per
1.73 m²

32
Q

A person with stage 4 ckd is more likely to experience
symptoms such as

A

swollen hands and feet, back pain,
and more frequent urination

33
Q

A person with stage 5 CKD has a

A

GFR of 15 ml/min per 1.73
m² or less

34
Q

People with diabetes should have an annual test,
which measures m

A

microalbuminuria -

35
Q

If your kidneys stop working completely, your body fills
with extra water and waste products. This condition is
called

A

uremia

36
Q

CREATININE
● ADULT MALES

A
  • 0.6 TO 1.2 MILLIGRAMS (MG) PER
    DECILITER (DL
37
Q

ADULT FEMALES CREATININE

A

0.5 TO 1.1 MILLIGRAMS PER
DECILITER

38
Q

complete failure of the kidneys to function to
excrete wastes, concentrate urine, and regulate
electrolytes.

A

END-STAGE KIDNEY DISEASE