renal failure Flashcards

1
Q

what does polyuria mean?

A

increased urination

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2
Q

what does dysuria mean?

A

painful passing of urination

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3
Q

what does haematuria mean?

A

blood in urine

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4
Q

what does proteinuria mean?

A

protein in urine

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5
Q

what does uraemia mean?

A

urea-filtered out of blood to kidneys

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6
Q

what tests are used to test renal function?

A

-estimated glomerular filtration rate- urea and electrolytes- mostly used for renal function
-creatinine release over 24 hr period

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7
Q

what are the two ways renal function can fail?

A

acute renal failure- rapid
chronic renal failure- gradual

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8
Q

what are the 3 causes of renal failure?

A

pre-renal-passing of blood from aorta to kidney
intrarenal- kidney itself
post renal- outflow obstruction

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9
Q

what are the causes of pre-renal failure?

A

-problem with blood flow to kidney
-causes drop in blood pressure

may be due to -hypovolemia or aortic aneurysm

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10
Q

what are the causes of intrarenal failure?

A

direct damage to kidney

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11
Q

what causes post-renal failure?

A

obstruction to ureter

-may be through kidney stones, enlarged prostate, tumour

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12
Q

what is the function of glomeruli?

A

-tiny blood vessels that filter waste from kindeys

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13
Q

what are primary causes of chronic renal failure?

A

-glomerulonephritis
-polycystic kidney disease

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14
Q

what are secondary causes of chronic renal failure?

A

-diabetes
-hypertension
-drug therapy
-renal vascular disease

normally combination of these and time

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15
Q

what is involved in the cycle of chronic renal disease?

A

renal hypertension causes reduced blood to kidneys- this can lead to release of hormone by the kidneys which increases blood pressure-leading to cardiovascular disease

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16
Q

what can be used to lower blood pressure affecting kidneys?

A

-diuretics

17
Q

what does glomerulonephritis cause? chronic renal failure

A

causes direct damage to glomeruli- and blood cells/protein can leak into the urine

18
Q

what does glomerulonephritis gradually lead to?

A

-hypertension
-chronic renal failure

19
Q

what is nephrotic syndrome?

A

a complication of glomerulonephritis

20
Q

what drugs should be avoided with chronic renal disease?

A

NSAIDS- inhibit glomerular blood flow

21
Q

how does renal vascular disease affect the kidney ? chronic renal failure

A

-reduces blood flow to kidneys
-causes hypertension

22
Q

what does polycystic kidney disease cause?

A

cysts that lead to an enlarged kidney and destruction of functioning kidney tissue

23
Q

what is end stage renal disease?

A

-when glomerular function can no longer maintain life
- <15ml/min

24
Q

what are the signs of chronic renal failure?

A

-anaemia
-renal bone disease
-hypertension

25
Q

does renal replacement therapy cure disease?

A

NO

26
Q

what are the dental affects of end stage renal disease?

A

-oral opportunistic infections
-dry mouth
-taste disturbances