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18 Cards in this Set
- Front
- Back
characteristics of acute RF
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sudden onset
approx 50% of nephrons involved 2-3 week duration good prognosis for return to norm. high mortality in some situations |
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characteristics of Chronic RF
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gradual onset
90-5% involvement permanenet fatal wo dialysis, transplant |
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decreased urine specific gravity
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indicates loss of urine concentrating ability. earliest sign of renal tubule damage
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kidney response to hypovoemic shock
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RAAS activation, constriction of renal blood vessel constriction, rlease of ADH
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salt substitutes and renal failure
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pt. should aovif as many contain potassium
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ARF and anemia
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not a problem like in CRF
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Assessing dialysis effctiveness
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Serum Cr is used
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Urine spcific gravity, pH norms
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specific gravity=1.010-1.025
pH=5.5-6 |
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IV fat emulsion in RF therapy
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good non-protein source of claories
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renagel~ can I chew it?
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must take whole
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calcium carbonate in RF therapy
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give after meals as phosphate binder
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uremic syndrome
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systemic and clinical manifestations of ESRD
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renal dose dopamine
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weigh accurately to determine dosage, if infiltration, stop infusion but do not d/c iv, use to infuse antidote, phentolamine
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hyposhtenuria
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inability to concentrate urine
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PTH
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controls amount of phosphate in blood. causes excretion if excess. chronic hypocalcemia cuses constant stimulation of Parathyroid, leading to release of calcium from bones.
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BUN pedi
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newborn 4-18
infant/child= 5-18 |
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Creatinine pedi
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newborn= 0.2-0.4
infant/child= 0.3-0.7 adolescent= 0.5-1.0 |
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minimal change nephrotic syndrome
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same as idiopathic nephrosis
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