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16 Cards in this Set

  • Front
  • Back
Net ultrafiltration pressure
Clearance
Glomerular filtration rate
Renal plasma flow
Renal blood flow
Filtration Fraction
Filtered load
Filtered Load = GFR x plasma concentration
Body fluid compartments
60-40-20 Rule

Total Body Water = 60% of body weight

ICF = 40% (or 2/3 of TBW)

ECF = 20 (or 1/3 of TBW)

ECF = 15% Interstial fluid
5 % Plasma
Creatinine Clearance
Ccr = [Ucrt (mg/dL) * V (ml/min)]/Pcrt (mg/dL)

1440 min = 24 hrs
Fractional Excretion of Sodium
FEna = (Una/Pna)/(Ucrt/Pcrt) x 100%
GFR estimate when GFR is low
(Ccr + Curea)/2

C = clearance
Osmolar gap
1. Calculate osmolarity = 2(na) + BUN/2.8 + glucose/18

2. Osmolar gap = measured osm - calculated osm

3. osmolar gap > 20 with high anion gap metabolic acidosis:
ASSUME methanol or ethylene glycol toxicity and Tx w/ EtOH or fomepizole
Anion gap
(Na+) - (Cl- + HCO3-)
Urinary anion gap
urinary (Na + K) - Cl

Normal renal response to acid:
an abundance of chloride is excreted (NH4+Cl-) and UAG IS NEGATIVE

Impaired renal response: POSITIVE UAG
Delta gap
Only use w/ high AG metabolic acidosis

1. calculate AG
2. calculate delta gap: calc. gap - normal gap (12)

= 24 it is soley an AG metabolic acidosis

<24 a normal gap metabolic acidosis is also present

>24 metabolic alkalosis is also present
Winter's formula
To check for compensation in metabolic acidosis

expected pCO2 = (1.5 x HCO3) + 8