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96 Cards in this Set
- Front
- Back
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GU includes 5 |
kidneys, ureters, bladder, urethra, reproductive organs |
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RF declines at |
40 |
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wont have kidney problems until |
typically 90 |
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specific gravity |
concentration |
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what drugs can cause hyperkalemia |
ace, beta, blood thinner, nsiaids, diuretic |
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creatine in OA |
lower
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urinary incotinance normal |
NO |
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OA tubules |
decreased amt and length |
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glomerli in OA |
40% sclerosed |
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position older woman |
on side |
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estregen does what with women |
external sphincter weaker |
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ADH purpose |
increase bloodpressure |
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ADH organs |
hypothalumus detects, pituitary secrets |
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acute renal failure |
be prompt
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primary cause of chronic renal failure |
htn dm |
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pre renal acute renal failure |
perfusion |
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renal causes of arf |
htn dm |
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post renal arf |
bph |
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acute renal failure symptoms |
increased bun creatinine, edema, weight loss, flank pain, crackles |
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acute renal failure from what drugs |
nsaids, acei, metformin |
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3 types of chronic renal failure |
decreased renal reserve, renal insufficiency, end stage renal disease |
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decreased renal reserve |
managed with diet, 40-75% |
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renal insufficiency |
20-40% meds and diet |
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end stage |
15% managed with dialasys |
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specific gravity at what for chronic renal |
1.010 |
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chronic renal failure can cause what urine |
oliguria, anuria, proteinuria, pyuria, hematuria |
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pyuria |
pus in urine |
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s/s of chronic renal |
pruritis, anorexia |
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most accurate measure of renal function in OA |
creatinine |
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3 treatments of chronic renal |
hemodialysis, peritoneal dialysis, transplant
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hold what before dialysis |
bp |
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always chart what with HD access |
? |
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do not give what to crf |
potassium |
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how to help hi potassium |
kayexalate |
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protein chronic renal |
low |
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4 things need t o be monitered |
na,k, phosph, calcium |
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gi with crf |
constipation |
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avoid what with crf const |
electrolyte enemas |
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kidney donor decision |
unos united network for organ sharing |
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fluid with uti |
important |
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urinary incontinance normal |
no |
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urge incontinance |
randomally cant hold it |
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functional incontinance |
dementia
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what drug for ui |
anticholinergic |
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anticholinergic bad
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OA, htn, glaucoma, bph |
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3 drugs for bph |
flowmax, saw palmetto |
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thyroid disease more common in |
women |
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3 body systems effected by thyroid |
cardio, hematologic, cns |
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thyroid fast or slow |
occur slow |
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two thyroid hormones |
t3 and t4 |
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what stiumulates thyroid from pituitary |
tsh |
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t3 and t4 and tsh |
negative feedback |
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main thyroid hormone |
t4 80% |
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active form of thyroid |
t3 |
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best thyroid function test |
tsh |
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most common cause of hypo in general |
hasimotos thyroiditis |
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hashimotos |
autoimmune inflammation |
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most common hypo in OA |
gland disfunction |
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risk factor hypo |
female, meds, history, radiation |
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symptoms of hypo in older adults |
falls, incontinence, decreased mobility |
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2 complications of hypo in OA |
htn, hyperlipidemia |
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low hypo emergency |
myxedema coma |
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myxedema coma |
hyponatremia, hypoglycemia, and hypercapnia |
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treatment of myxedema coma |
thyroid, stroid, |
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diagnose hypo |
tsh t4 |
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treatment of choice for hypo |
t4 |
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t4 (synthroid) |
empty stomach same time |
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synthroid lab |
tsh |
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monitor tsh how often |
6-12 months |
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3 hyperthyroid causes |
graves, toxic goiter, meds |
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hr in OA is high |
90 |
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hyper in OA |
tachy, arrhythmia, weight loss, decrease appet,fatigue, weakness |
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3 heart problems in oa from hyper |
afib, hf, angina |
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thyroid storm in oa |
tachy, fever, vomit, hf, loc |
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treatment of hyper |
ptu, meth, gluco steroid to decrease t3 |
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treatment of choice for oa hyper |
radioactive iodine |
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origin of nursing standards |
state and federal laws, ana scope and standards, tjc |
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advanced medical directives |
living wills, power of attorney- when incapable |
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polst |
physician orders for life sustaining treatment |
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5 wishes doc |
person who makes decisions, kind of medical treatment, comfort, how they want people to treat them, what they want loved ones to know |
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older americans act |
meals on wheels, requires state minimum care of OA |
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adult protective services |
abusive |
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aage descrimination act |
no discrimination based on age |
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obra |
improves nursing homes- 30 day interval to be checked out |
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patient self determination |
inform patient of right to refuse, and rights of autonomy |
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aps eps |
adult protective services 18-59, elderly protective 60+ |
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many losses by Oa |
cumulative loss |
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too much loss |
bereavement overload |
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greif |
emotional response |
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mourning |
behaviours
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pioneer for end of life care |
kubler ross |
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5 stages of grief |
denial anger bargaining depression acceptance |
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disenfranchized grief |
grief isnt socially supported |
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start how low for pain meds
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50-75* norml |
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what route is perferred |
oral |
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morphine is |
gold standard |
