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23 Cards in this Set
- Front
- Back
Vasopressin (ADH) |
Controls water excretion |
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Oliguria |
Less than 500 ml of urine a day |
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Azotemia |
abnormal collection of uric acid, creatine and ammonia |
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Renin angiotensin mechanism |
controls BP |
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Kidney Disease Severeity |
1. Kidney stones 2.Acute Kidney Injury (AKI) 3. Chronic Kidney Disease (CKD) 4. End stage renal disease |
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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 |
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Oxalate stones |
Diet: NO rhubarb, spinach, strawberries, chocolate, wheat, nuts, beets and tea. |
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Acute Kidney Injury (AKI)(ARF) |
1. Prerenal (inadequate renal perfusion) 2.INtrinsic (Diseases in kidney( 3.Urinary Tract Obstruction (post) |
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RIFLE |
Risk Injury Failure Loss ESRD |
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BUN:Creatine |
Bun + 20:1 Prerenal 10:1Intrinsic |
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AKI (ARF) Protein |
.5-.8 non dialysis 1-2 dialysis 1.5-2.5 CRRT (Continuous renal replacement therapy) |
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AkI kCAl |
25-40 of body weight |
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AKI Potassium |
30-50 eQ (39=AW) |
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AKI NA |
20-40 (23 AW) |
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mEQ=(mgxValence)/AW |
To calculate |
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AKI Fluid |
Loss + 500 mL |
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Chronic Interstitial nephritis |
sickle cell, abuse, DM=LOTS OF FLUID |
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FAnconi Syndrome |
Dont reabsorb glucose AA FLUIDS and Supplements |
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Renal Tubular Acidosis (RTA) |
Type 1: Defective distal tubular--bone issues, treat w bicarbonate Proximal is benign |
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Pyelonephritis |
bacterial infection |
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Acute Glomerulonephritides |
Blood in urine (hematuria) capillary inflammation HTN mild renal function loss STREP, Shunts, Vasculitis |
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Nephrotic Syndrome |
Loss of glomerular barrier for protein large urinary loss in protein *edema, high col DIABTES< LUPUS |
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Chronic Kidney Disease |
(1/2 to 2/3) of kidney not functioning *diabetes *htn *gloerulonephritis ; |