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31 Cards in this Set
- Front
- Back
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prerenal ARF
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shock
CHF hypovolemia burns |
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Intrarenal ARF
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damage to kidney
(inflammation, infection, drugs) |
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postrenal ARF
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Blockage
(BPH) |
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phases of ARF
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Onset
Oliguric Diuretic Recovery |
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clinical manifestations of prerenal ARF
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hypotension
tachycardia decreased UO decreased cvp lethargy |
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clinical manifestations of intrarenal ARF
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oliguria
edema SOB crackles HTN Volume overload manifestations changes in LOC |
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diagnostics of of ARF
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KUB
renal US CT scan without contrast MRI/MRA |
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Labs for ARF
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increased BUN/CR
abnormal electrolytes altered urine lab |
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pharmacological ARF
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fluid boluses
diuretics CCB's Dopamine Kayexalate IV insulin Phosphorus binders |
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Neuro assessment of ARF
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Neuro assessment
Monitor LOC |
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cardiac management of ARF
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Cardiac assessment
hemodynamic monitoring edema electrolytes fluid restrictions |
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respiratory management of ARF
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Lung assessment
RR O2 stats ABG's |
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GI assessment of ARF
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abdominal assessment
monitor labs |
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Nutrition assessment of ARF
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nutrition consult
decrease K, Na, and protein |
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GU ARF
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hourly urine outputs
color and clarity of urine monitor BUN, Cr |
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stage 1 GFR
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>90
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stage 2 GFR
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60-89 mild ckd
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stage 3 GFR
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30-59 moderate CKD
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Stage 4 GFR
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15-29 sever CKD
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stage 5 GFR
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<15 ESKD
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systemic changes of CKD
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decrease Na excretion
decrease K excretion Uremia pericarditis |
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Pharmocology for CKD
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same as ARF
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Patient education for CKD
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teach pt to take BP
teach to weight self daily at same time meds dialysis tx diet |
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Cardiac nursing management of CKD
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monitor for fluid overload:
BP, HR, CVP, electrolytes, edema, daily weights, EKG |
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respiratory nursing management of CKD
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Pulmonary edema:
crackles, RR/rhythm, SOB, DOE, O2 stats, ABG's Pneumonitis: Kussmaul resps |
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kussmaul resps
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extreme increase in rate and depth of breathing
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pneumonitis signs
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thick sputum, reduced coughing, tachypnea, fever, pleural friction rub
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GI management of CKD
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stools for occult blood
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Nurtrition management for CKD
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protein and fluid restrictions
restriction of K, Na, and phos. intake |
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GU management of CKD
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assess amount, frequency and appearance
I&O |
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skeletal management of CKD
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risk for fractures
assess for spine curvature, bony bumps, or protrusions handle pt with care |
