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23 Cards in this Set

  • Front
  • Back

Vasopressin (ADH)

Controls water excretion

Oliguria

Less than 500 ml of urine a day

Azotemia

abnormal collection of uric acid, creatine and ammonia

Renin angiotensin mechanism

controls BP

Kidney Disease Severeity

1. Kidney stones


2.Acute Kidney Injury (AKI)


3. Chronic Kidney Disease (CKD)


4. End stage renal disease

Kidney Stones Nephrolithiasis

-Calcium stones most common


-Increased BMI uric acid stones more pre


Calcium: >300 mg or 4mg/gkkg


-IH=idiopathic hypercalciuria (familial disorder)


-usually (-)phospherous balance


**Bone loss**


*Calcium supplements w/ meal

Oxalate stones

Diet: NO rhubarb, spinach, strawberries, chocolate, wheat, nuts, beets and tea.

Acute Kidney Injury (AKI)(ARF)

1. Prerenal (inadequate renal perfusion)


2.INtrinsic (Diseases in kidney(


3.Urinary Tract Obstruction (post)

RIFLE

Risk


Injury


Failure


Loss


ESRD

BUN:Creatine

Bun +


20:1 Prerenal


10:1Intrinsic

AKI (ARF) Protein

.5-.8 non dialysis


1-2 dialysis


1.5-2.5 CRRT (Continuous renal replacement therapy)

AkI kCAl

25-40 of body weight

AKI Potassium

30-50 eQ (39=AW)

AKI NA

20-40 (23 AW)

mEQ=(mgxValence)/AW

To calculate



AKI Fluid

Loss + 500 mL

Chronic Interstitial nephritis

sickle cell, abuse, DM=LOTS OF FLUID

FAnconi Syndrome

Dont reabsorb glucose AA


FLUIDS and Supplements

Renal Tubular Acidosis (RTA)

Type 1: Defective distal tubular--bone issues, treat w bicarbonate


Proximal is benign

Pyelonephritis

bacterial infection

Acute Glomerulonephritides

Blood in urine (hematuria)


capillary inflammation


HTN


mild renal function loss


STREP, Shunts, Vasculitis

Nephrotic Syndrome

Loss of glomerular barrier for protein


large urinary loss in protein


*edema, high col


DIABTES< LUPUS

Chronic Kidney Disease

(1/2 to 2/3) of kidney not functioning


*diabetes


*htn


*gloerulonephritis ;