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35 Cards in this Set
- Front
- Back
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amenorrhea
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>6mo's with no menses
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oligomenorrhea
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>34days with no menses
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polymenorrhea
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<22 days between menses
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menorrhagia
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heavy periods
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metorrhagia
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irregular periods
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menometoragia
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heavy and irregular periods
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gravida
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is/has been pregnant
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primigravida
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1st pregnancy or had only 1
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multigravida
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had multiple pregnancies
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nulligravida
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never been pregnant and is not now pregnant
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primipara
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delivered one baby beyond 20 wks gestation
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multipara
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delivered 2+ babies beyond 20 wks
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nullipara
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never delivered a baby beyond 20 wks
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parturient
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in labor
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puerpera
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JUST delivered a baby
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a=
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number of term babies
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b=
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number of pre-term babies
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c=
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number of abortions/ectopics
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d=
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living children
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obstetrical hisotry
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G#Pabcd
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type II renal tubular acidosis
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prox tubule ; impaired HCO3- reabsorption --> metabolic acidosis
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type I renal tubular acidosis
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impaired H+-ATPase in alpha intercalated cells --> metabolic acidosis
in collecting duct - obvi |
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type IV renal tubular acidosis
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aldosterone deficiency or resistance in collecting duct --> less Na reabs in principal cell and less H+ATPase activity in alpha intercalated cells
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intercalated cells are mostly responsible for...
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H+ secretion!!!
H-ATPase into lumen!! |
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principle cells are mostly responsible for...
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Na transport and water transport
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drug produces hypokalemia
no pH effect incr both CH2O and TcH2O affects prox tubule by (primary) - inhibition of osmotic prox h2o reabs with (2ndary) inhibition of na reabsorption --> net result of 10% na diuresis |
mannitol (osmotic diuretic)
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drug:
diamox |
carbonic anhydrase inhibitor works in prox tubule
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drug:
inhibitors carbonic anhydrase in prox tubule 5-10% natriuresis produces hypokalemia (potentially) produce metabolic acidosis incr both CH2O and TcH2O |
acetazolamide (carbonic anhydrase inhbitor)
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drug:
inhibits nak2cl symporter --> decr nacl reabs no dilute urine no hypertonic medullary interstitium 25% natriuresis hypokalemia (decr ECV --> aldosterone secr --> K secr) produces what... in terms of pH decr BOTH ch2o and tch2o |
furosemide - loop
MET ALKALOSIS ecv contraction with no HCO3- loss --> incr hco3- conc'n |
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when to give calcium gluconate?
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onset 1-2 mins
lasts 30 mins reverses cardiotoxicity it is IV |
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why give insulin to hyperkalemic pt?
what else do you give with it? |
to shift K intracellularly
works in 30 mins for about 2-6 hours dextrose AVOID WHEN HYPERGLYCEMIC |
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why give albuterol to hyperkalemic pt
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albuterol is givin thru a neb over 30 mins and lasts 1-2 hours
shifts K intracellularly |
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why give kayexalate
na polystyrene sulfonate |
oral or rectal
starts in 1-6 hours no effect on kidneys NONRENAL ELIMINATION OF K+ |
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why give furosemide
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works in 5-30 minutes (usually at least an hour tho)
slow injection (even tho its an IV bolus) renal elimination! lasix (lasts 6 hrs) |
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what does hemodialysis
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gets rid of K
immediate |
