• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/9

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

9 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Osmotics

Draws fluid from the intracellular space and expands the intravascular volume. (Tubules)

Mannitol can cause grave consequences for CHF or Kidney disease

Thiazide

(Acts on distal tubule in the Loop of Henle.) Impairment of reabsorption of Na, Cl, and K excreted with. H2O.


HCTZ, CTZ, Benthiazide.

> hypochloremic, hypokalemic metabolic alkalosis.

Potassium Sparing

( Act on distal convoluting tubule & Aldosterone) Triamterine, Amiloride, Spiranolactone- used for overload r/t cirrhosis & heart failure.- slow onset of action.

Hyperkalemia, nephrotoxicity. Tx: calcium admin, or glucose/insulin.

Loop Diuretics

(ascending loop of H) Interferes with concentrating & diluting mechanisms. Ethacrynic acid, bumetanide,torsemide, Furosemide

Generalized & Pulmonary edemas, acute kidney injury. RAPID action. Electrolytes imbalances and hearing loss.

Carbonic Andrade Inhibitors

(proximal renal tubules) Acetazolamide. Diminished excretion of H2 ions & bicarb excretion.


<IOC

COPD - Hypercarbia can occur.

All anesthetics reduce renal blood flow, GFR, & URINE FLOW

Due to renal vasoconstriction, or < SVR, ADH stress response.

ESRD

Skeletal muscle relaxants- succinylcholine, curare, pancuronium can be used.

Vecuronium, droperidol extended monitoring for prolonged action. Propofol is metabolized by the liver.- safe

AKI (Acute renal failure)

@ Risk: Male, <Age>, Obese, DM, >ASA. Septic, Eme Vascular, Cardiac. Bypass, >intraabdominal pressure.

Prerenal- hypotension,


Intrarenal- rhabdomyolysis,


Post renal- blockage

CKD Chronic Kidney Disease

Decreased GFR >3 MONTHS = 5 STAGES