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43 Cards in this Set
- Front
- Back
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In this diagnostic procedure, contrast dye is often injected directly into the femoral artery.
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renal angiography
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This type of medication reduces renal flow.
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NSAIDs
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FACT:
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Treat infections in individuals with polycystic kidney disease with fat soluble antibiotics.
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Constipation is a manifestation of this kidney disease.
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polycystic kidney disease
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Complications of polycystic kidney disease include:
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liver cysts, pancreatic cysts, cerebral or abdominal artery aneurysm
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Kidney/ureter manifestations of hydronephrosis:
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flank pain, abdominal tenderness, renal colic, gross hematuria
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Bladder/urethra manifestations of hydronephrosis:
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frequency, hesitancy, dribbling, incontinence, nocturia, suprapubic pain
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FACT:
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Hydronephrosis may be managed with a percutaneous nephrostomy tube above obstruction.
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FACT:
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After percutaneous nephrostomy tube placement for hydronephrosis, the physician should be notified immediately if there is leakage of urine or blood.
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FACT:
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Transient hematuria 12-48 hours is expected after percutaneous nephrostomy
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If there was a sudden decrease in urine output in a patient with a percutaneous nephrostomy tube what would you suspect?
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The catheter is blocked or dislodged.
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If a patient with a percutaneous nephrostomy tube
had flank pain, decreased urine output, and fever what would you suspect? |
Obstruction of the catheter
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Bladder tumors can metastasize to the ___, ___, ___ through lymph.
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bones, liver, lungs
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A bladder tumor would manifest as...
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gross, painless, intermittent hematuria
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BCG vaccine is used in the management of ___.
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bladder tumors
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BCG vaccine can cause ___ and ___.
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flu-like symptoms; +PPD
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Doxorubicin for the treatment of a bladder tumor can cause ___.
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genital rash
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If a patient had decreased B/P and increased heart rate after a cystectomy what would you suspect?
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hemorrhage
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After a patient had a cystectomy would you expect to see pink/blood-tinged urine?
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Yes
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In ___, symptoms of renal failure are not manifested.
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azotemia
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___ commonly follows hypotension, hypovolemia, nephrotoxicity.
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Acute renal failure
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prerenal, postrenal, intrarenal?
Decreased function secondary to decreased perfusion |
prerenal
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Is there structural renal damage in prerenal?
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no
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prerenal, postrenal, intrarenal?
hypovolemia, systemic vasodilation, decreased C/O, decreased B/P, hypoperfusion |
prerenal
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prerenal, postrenal, intrarenal?
Decreased renal output from obstructed renal flow |
postrenal
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prerenal, postrenal, intrarenal?
neurogenic bladder, tumors, urethral strictures, renal calculi, prostatic hyperplasia |
postrenal
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prerenal, postrenal, intrarenal?
Direct damage to kidney tissues and structures |
intrarenal
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Most common cause of intrarenal is ___.
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acute tubular necrosis
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prerenal, postrenal, intrarenal?
glomerulonephritis, rhabdomyolosis, prolonged hyportension, OB complications, obstructive jaundice, prolonged prerenal state, sepsis, malignant HTN |
intrarenal
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prerenal, postrenal, intrarenal?
A fluid challenge results in no change in output |
intrarenal
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___ is also associated with crushing injury and mushroom ingestion.
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acute tubular necrosis
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3 signs of hyperkalemia?
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tachypnea
weakness possible H/A |
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___ is cardioprotective
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calcium gluconate
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What is given for increased phosphate?
3 examples of phosphate binders? |
phosphate binders
amphogel, basajel, renagel |
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What may be used to treat metabolic acidosis?
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NaHCO3
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Renal diet:
___ phosphorus, ___ K+, ___ Na, ___ PRO |
low; low; low; low
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FACT:
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The recovery phase begins when BUN and creatinine stabilizes.
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4 leading causes of chronic renal failure?
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hypertension, diabetes, glomerulonephritis, polycystic kidney disease
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When GFR is 40-50% of its functional capacity, BUN and creatinine are ___.
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normal
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When GFR is 40-50% of its functional capacity, the patient is:
a.)symptomatic b.)asymptomatic |
b.) asymptomatic
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In renal insufficiency, GFR is ___% of its functional capacity.
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20-40
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In renal failure, GFR is ___% of its functional capacity.
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10-20
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In ESRD, GFR is ___% of its functional capacity.
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<10
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