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51 Cards in this Set

  • Front
  • Back

Renal system consists of:

Kidneys, ureters, bladder, urethra

Renal system is used for:

-Waste removal


-Regulation of water and electrolyte balances


-Controls Blood pressure

What % of the total cardiac output passes thru the kidneys

20%

Acute Renal Failure (ARF)

Abrupt decline in renal function leading to azotemia




Decrease in glomerular filtration

AKI


Pre-renal

Decreases in renal perfusion of excessive vasoconstriction


Reversible if cause is eliminated

AKI


Renal

Infectious diseases, toxins, systemic dzs

AKI


Post renal

Obstruction or urine flow

AKI Phases

Initiation


Extension


Maintenance


Recovery



Initiation

first stage


not biochemically evident


injury at this stage occurs on a subcellular level

Extension

cellular injury progresses to death


Biochemical derangements and clinical manifestations evident

Maintenance

Cell death


regeneration occurs simultaneously


removal of existing cause will not change damage

Recovery

Improvment in GFR and tubular function


can last weeks to months



AKI risk factors

shock, hypovelemia, hypotension, dehydration


electrolyte imbalances


nephrotoxic drugs


systemic dzs


increased age



Normal Specific gravity in dos and cats

Dog: >1.025


Cat: > 1.040

If UOP is decreased what should be done

fluid therapy


vasopressors





Normal UOP


1-2 ml/kg/hr




Anuria: 0.5 ml/kg/hr


Oliguria: 0.5- 1 ml/kg/hr

Signs of AKI

Kidneys enlarged


painful on palpation


dehydration


azotemic


oliguric


polyuric

AKI mortality rate dogs and cats

Dogs: 60%


60% chronic kidney dz


40% normal renal function




Cats: 40-50%


50% Chronic kidney dz

Leptospirosis

AKI, Vomiting, dehydration


INCREASE BUN Creat

Chronic Kidney dz


CKD

Irreversible and progressive decline in renal function caused by destruction of the nephron units

CRF

loose ability to concentrate urine


Impairment of ADH response


decrease in erythropietin

Urinary obstruction fatal if not treated in

3-6 days

Perineal Urethrostomy

Surgical widening of urethra



Hormones

Chemical messengers secreted into bloodstream


signal target cells to perform

Pituitary gland

Anterior: stimulating hormones




TSH ACTH FSH LH prolactin MSH GH

Hypothalamus

ADH, oxytocin stored in post pituitary gland

Endocrine glands

Thyroid


adreanal


pancrease


parathyroid


ovaries


testes

4 types of tx for hyperthyroidism

drug therapy (inhibiting the synthesis of TH)


diet (y/d)


radioactive iodine


sx



Y/D is deficient in what

iodine

Pancreas


exocrine

secretion of digestive enzymes

Pancreas


endocrine

secretion of blood glucose regulating hormones


Insulin (Bcells)


Glucagon (a cells)


Somatostatin and pancreatic polypeptides

Diabetes Mellitus

Dz of impaired carbohydrate, protein and fat metabolism associated with an abnormal or relative insulin deficiency

TX of Diabetes mellitus

optimization of diet: high fiber and low carbs




Insulin

DKA


Diabetic ketoacidosis

body is unable to use glucose, metabolize carbs



Insulinoma

Functional tumor of the B cells


secrete insulin independent of negative feedback






BG of 15-78

Nervous system contains

CNS


PNS


neurons


myelin



CNS

Central nervous system




Brain and spinal cord

PNS

Peripheral nervous system




Cranial nerves and peripheral nerves

Neuron

Main cell in both systems


Transmits electrical impulses to and from the brain

Myelin

lipid coating covering the axon of some neurons

Traumatic Brain Injury


TBI


4

Intracranial


extracranial


primary


secondary

Intracranial TBI

cerebral perfusion pressure, oxygen delivery to brain

Extracranial TBI

hemorrhage, penetrating wounds, airway obstructions

Primary TBI

Immediate result caused by trauma or accident




Concussion


Brain contusion


laceration

Secondary TBI

Systemic extracranial insults and intracranial physical and biochemical changes




ischemia, inflammation

Vestibular Dz symptoms

Head tilt


nystagmus


paresis/deficits


mentation


head tremors


circling


vomiting

Respiratory System

Transports oxygen to the bloodstreams and removes CO2

Respiratory System consists of:

Upper: nasal cavity, sinuses, nasopharynx,larynx




Lower: Trachea, Bronchi, Lungs, Pleural cavity

Apneustic pattern

Deep inhalation with abnormally long pause before exhalation

Cheyne-Stokes breathing

Alternating tachypnea and bradypnea that occurs when CO2 regulation of respiration is interrepted

Kussmauls breathing

Slow, deep , regular