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43 Cards in this Set

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In this diagnostic procedure, contrast dye is often injected directly into the femoral artery.
renal angiography
This type of medication reduces renal flow.
NSAIDs
FACT:
Treat infections in individuals with polycystic kidney disease with fat soluble antibiotics.
Constipation is a manifestation of this kidney disease.
polycystic kidney disease
Complications of polycystic kidney disease include:
liver cysts, pancreatic cysts, cerebral or abdominal artery aneurysm
Kidney/ureter manifestations of hydronephrosis:
flank pain, abdominal tenderness, renal colic, gross hematuria
Bladder/urethra manifestations of hydronephrosis:
frequency, hesitancy, dribbling, incontinence, nocturia, suprapubic pain
FACT:
Hydronephrosis may be managed with a percutaneous nephrostomy tube above obstruction.
FACT:
After percutaneous nephrostomy tube placement for hydronephrosis, the physician should be notified immediately if there is leakage of urine or blood.
FACT:
Transient hematuria 12-48 hours is expected after percutaneous nephrostomy
If there was a sudden decrease in urine output in a patient with a percutaneous nephrostomy tube what would you suspect?
The catheter is blocked or dislodged.
If a patient with a percutaneous nephrostomy tube
had flank pain, decreased urine output, and fever what would you suspect?
Obstruction of the catheter
Bladder tumors can metastasize to the ___, ___, ___ through lymph.
bones, liver, lungs
A bladder tumor would manifest as...
gross, painless, intermittent hematuria
BCG vaccine is used in the management of ___.
bladder tumors
BCG vaccine can cause ___ and ___.
flu-like symptoms; +PPD
Doxorubicin for the treatment of a bladder tumor can cause ___.
genital rash
If a patient had decreased B/P and increased heart rate after a cystectomy what would you suspect?
hemorrhage
After a patient had a cystectomy would you expect to see pink/blood-tinged urine?
Yes
In ___, symptoms of renal failure are not manifested.
azotemia
___ commonly follows hypotension, hypovolemia, nephrotoxicity.
Acute renal failure
prerenal, postrenal, intrarenal?

Decreased function secondary to decreased perfusion
prerenal
Is there structural renal damage in prerenal?
no
prerenal, postrenal, intrarenal?

hypovolemia, systemic vasodilation, decreased C/O, decreased B/P, hypoperfusion
prerenal
prerenal, postrenal, intrarenal?

Decreased renal output from obstructed renal flow
postrenal
prerenal, postrenal, intrarenal?

neurogenic bladder, tumors, urethral strictures, renal calculi, prostatic hyperplasia
postrenal
prerenal, postrenal, intrarenal?

Direct damage to kidney tissues and structures
intrarenal
Most common cause of intrarenal is ___.
acute tubular necrosis
prerenal, postrenal, intrarenal?

glomerulonephritis, rhabdomyolosis, prolonged hyportension, OB complications, obstructive jaundice, prolonged prerenal state, sepsis, malignant HTN
intrarenal
prerenal, postrenal, intrarenal?

A fluid challenge results in no change in output
intrarenal
___ is also associated with crushing injury and mushroom ingestion.
acute tubular necrosis
3 signs of hyperkalemia?
tachypnea
weakness
possible H/A
___ is cardioprotective
calcium gluconate
What is given for increased phosphate?

3 examples of phosphate binders?
phosphate binders

amphogel, basajel, renagel
What may be used to treat metabolic acidosis?
NaHCO3
Renal diet:

___ phosphorus, ___ K+, ___ Na, ___ PRO
low; low; low; low
FACT:
The recovery phase begins when BUN and creatinine stabilizes.
4 leading causes of chronic renal failure?
hypertension, diabetes, glomerulonephritis, polycystic kidney disease
When GFR is 40-50% of its functional capacity, BUN and creatinine are ___.
normal
When GFR is 40-50% of its functional capacity, the patient is:

a.)symptomatic
b.)asymptomatic
b.) asymptomatic
In renal insufficiency, GFR is ___% of its functional capacity.
20-40
In renal failure, GFR is ___% of its functional capacity.
10-20
In ESRD, GFR is ___% of its functional capacity.
<10