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33 Cards in this Set
- Front
- Back
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What do you want to do to treat acute renal failure when administrating a diet of potassium and sodium
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Decrease sodium and potassium levels
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What is the difference between Azotemia and Uremia
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Uremia effects other body system Azotemia doesnt and is marked by high urea and creatinine
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What is CRRT
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continuous renal replacement therapy
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Where would a CRRT be used
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in ICU
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What kind of dialysis may be done at home
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Peritoneal dialisis
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how often is peritoneal dialysis performed
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daily
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Basically for prevention of renal failure what should be performed
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low bp
monitor output be aware of med s |
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What are the five functions of the kidney
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1)
Urine Formation and Elimination Electrolyte Balance Acid-Base Balance BP Regulation Blood Component Production |
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What is Renal Insufficiency
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Decline in renal function to about 25% of normal. Levels of BUN and Creatinine are mildly elevated
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What is Uremia
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Syndrome of renal failure that includes elevated BUN and Cr levels accompanied by fatigue, anorexia, nausea, vomiting, pruritus and neurological changes.
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What is Azotemia
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Increase in the serum levels of urea and creatinine.
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What
Criteria for Acute Renal Failure
concerning urine output
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Oliguria less than 20ml per hour
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What type of organ failure has a patient who is Unable to excrete water, Na, K, and Nitrogenous wastes
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Acute renal failure
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What happens to potassium levels w acute renal failure
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Elevated K
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What happens to phosphorous
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Elevated PO4
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What happens to calcium levels
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Decreased calcium levels
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What cause of acute renal failure involves Afferent arterial pressure falling below 60-70mmHg
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Pre renal
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Early manifestations of Prerenal is what?
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decrease in UO
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What are some causes of acute prerenal kidney failure
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Hypotension
Shock CHF Hypovolemia Renal Artery Obstruction |
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An intrarenAl acute kidney failure is described as
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Anything that causes damage to renal tissues
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Four causes of intra-renal kidney failure are known as
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Ischemia
Injury to glomerular membrane Atn Pylonnephritus |
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What is a post renal cause of kidney failure
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Anything that blocks the output of urine
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Five causes of post renal kidney failure are
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BPh
Urinary stones Trauma Neoplasm |
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What are the three stages of acute kidney failure
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Oliguric diuretic Recovary
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Three Stages of Chronic Renal Failure
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Renal Impairment
Renal Insufficiency End-Stage Renal Disease |
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The renal impairment stage of chronic renal failure is marked by
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Fall in GFR to 40-50% of normal
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The earliest sign of their renal impairment stage of chronic renal failure is
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Polyuria earliest sign
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What gfr percentage marks the Renal Insufficiency stage
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Fall in GFR to 20-40% normal
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Azotemia is what stage of chronic kidney failure
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Renal insufficiency
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End-stage renal disease has what percentage renal functioning
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Fall in GFR to 10-15% of normal
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Anatomical changes such as Anatomical Changes
Reduction in the Capillaries Scarring of the Glomeruli Atrophy and Fibrosis of the Tubules Mass of the Kidneys is Reduced occurring what stage of chronic kidney failure |
End stage
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What are the two clinical manifestations of chronic kidney failure
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Alterations in Fluid and Electrolyte Balance
And Body System Alterations |
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The clinical manifestation that occurs with chronic renal failure in which two thirds of the nephrons are destroyed is
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Uremia
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