Week 3 Renal Dysfunction Flashcards
1
Q
BP Regulation Hormones
A
- Renin
- Angiotensin
- Aldosterone
2
Q
Strong Bone Construction
A
- Convert vit D from active form
- Increases Calcium levels in bone
3
Q
Waste Excretion
A
- Protein metabolites
- Nitrogen & urea
- Water-soluble medication metabolites
4
Q
Salt & Water Balance
A
- Respond to ADH & aldosterone
- Affect water reabsorption
- Maintain healthy plasma levels of salt
5
Q
RBC Production Boost
A
- Produce erythropoietin
- Stimulates bone marrow to manufacture RBCs
6
Q
Low Aldosterone
A
- Decrease Na+ retention
- Decrease fluid volume
- Decrease BP
- Increase urine output (diuresis)
7
Q
High Aldosterone
A
- Increase Na+ retention
- Increase fluid volume
- Increase BP
- Decrease urine output
8
Q
High ADH
A
- Increase fluid volume
- Increase BP
- Decrease urine output
9
Q
Low ADH
A
- Decrease fluid volume
- Decrease BP
- Increase urine output (diuresis)
10
Q
Renal Nursing Assessments
A
- Health & family history
- Medication history
- Physical exam
- Labs & investigations
11
Q
Health & Family History
A
- Comorbidities that increase kidney damage risk
- Diabetes
- Neuromuscular
- Conditions affecting bladder emptying
- Family history of kidney disease
- Age (increased age = increased kidney damage risk)
12
Q
Medication History
A
- Identify nephrotoxic meds
- NSAIDs
- Antibiotics (vancomycin)
- Loop diuretics (Furosemide)
- Contrast dyes (MRI)
- Metformin
13
Q
Physical Exam
A
- Urinary output
- Pain - mid/lower back, lower groin
- Signs of waste build-up
14
Q
Signs of Waste Build-Up - GI
A
- Nausea, vomit, diarrhea
- Abdominal discomfort/distension
- Ulceration - bleeding
15
Q
Signs of Waste Build-Up - Integumentary
A
- Itching/skin irritation
- Azotemia
16
Q
Signs of Waste Build-Up - Neuro
A
- Interrupts normal neruo function
- Early: lethargy, forgetfulness, mild confusion
- Late: seizures, coma
17
Q
Micturition
A
- Voiding
- 30mL/h - 1-2L/day
18
Q
Anurea
A
No urine output
19
Q
Oligurea
A
Low urine output
20
Q
Polyurea
A
Excessive urine output
21
Q
Heamturea
A
Blood in urine