Renal Function

Front 1

Renal Trama what lab might they measure?

Back 1

Myoglobinuria

Front 2

early symptoms of abdominal pain or flank pain. May be able to palpate enlarged kidneys, have hematuria and UTI, HTN.

Back 2

Polycystic Renal Disease

Front 3

Treatment for Polycystic Renal Disease

Back 3

diet restriciton, fluid restrictions.

Front 4

treatment for Renal tumor

Back 4

radiation, chemo, lap or nephrectomy.

Front 5

Which patient are at most risk for renal tumors.
A) 35 y/o woman with seditary lifestyle
B) 46 year old male with DM
C) 22 year old male smoker
D) 57 healty male

Back 5

C) Most at risk for renal tumor are people who smoke cigarettes

Front 6

Classic symptoms of Renal tumors in advanced stage.

Back 6

gross hematuria, flank pain, and a palpable mass.

Front 7

early symptoms of renal tumors

Back 7

wt. loss weakness, and anemia

Front 8

Treatment of choice for renal tumors that has a risk for hemmorhage

Back 8

Radical nephrectomy

Front 9

Primary functions of kidneys

Back 9

regulate the volume and compostions of ECF, filtration, renin secretion, blood pressure control, erythropoietin production and vit d activation.

Front 10

Fuctional unit of kidney

Back 10

nephron

Front 11

Lab test specific to kidney

Back 11

BUN, Creatinine

Front 12

Most specific lab test for kidney

Back 12

Creatinine clearence

Front 13

If GFR is below 15 what do you need to do

Back 13

Dialize

Front 14

Dialysis is used to

Back 14

remove fluid and waste that the kidney can not do

Front 15

Most significant sign of renal failure

Back 15

Oliguria

Front 16

If there is a disruption to blow flow you are in what stage of renal failure

Back 16

Prerenal

Front 17

If there is a disruption in urine flow you are in what stage of renal failure

Back 17

Post renal

Front 18

If there is damage to renal tissue you are in what stage of renal failure

Back 18

intrarenal

Front 19

In the _______ phase of ARF you see FVE altered WBC and low blood flow increased BUN and creatinine, hyperkalemia if not fixed can move in to chronic renal failure

Back 19

Oliguric phase

Front 20

In the _______ phase you see gradual improvement of glomerular function

Back 20

Diurectic phase

Front 21

Because of the FVE in oliguric phase you will be put on ________ restriction

Back 21

Potassium, Fluid, Sodium, and Phosphate restriction

Front 22

Will you be put on high or low dose dopamine with ARF

Back 22

Low dose

Front 23

With Hyperkalemia what are the interventions you will expect to see

Back 23

Regular Insulin IV administered
Sodium bicarbonate
Calcium gluconate IV
Dialysis
Kayexalate
Dietary restriction

Front 24

What are two phosphate binding agents

Back 24

Phoslow and Renal gel with Phoslow: you take RIGHT BEFORE you eat.

Front 25

Which would you NOT give to an ARF patient LR or NS

Back 25

LR

Front 26

A progressive irreversable deterioration in renal function

Back 26

ESRD

Front 27

Leading causes to CRF or ESRD?

Back 27

DM and HTN

Front 28

What disease do you see proteinuria, rusty urine, Edema, and damage to the glomerulus

Back 28

Glomerulonephritis

Front 29

Damage to nephron fuctioning, frothy urine, Massive proteinuria, Massive edema everywhere, and malnourishment.

Back 29

Nephrotic Syndrome

Front 30

With ESRD you will give what types of medications

Back 30

Diuretics, ACE inhibitors and calicum channel blockers for HTN

Front 31

What do you see in EARLY ESRD(CRF):

Back 31

Polyuria not good quality urine is clear

Front 32

With urinary Calculi what 4 nursing interventions are important?

Back 32

Strict I and O
Treat with fluids
Treat Pain (#1)
and Strain urine

Front 33

The first manifestations or this disease are HTN, and Hematuria or a feeling of heaviness in the back, side or abd.

Back 33

Polycytic Kidney Disease

Front 34

We are most concerned with what in PKD?

Back 34

Chronic Pain

Front 35

An upper UTI is most commonly cause by an ____________

Back 35

Lower UTI

Front 36

What disease can not be diagnosed untill everything else has been excluded. It has no single treatment

Back 36

Interstitial Cystitis

Front 37

What disease is commonly cause by bacteria such as E. Coli and is treated with 14-21 days of antibotics

Back 37

Pylonephritis

Front 38

what drug is most commonly used for UTI's.

Back 38

Macrobid or Macrodantin

Front 39

Ureteral Catheters

Back 39

insertion through the abd. wall into the ureters tension on the catheter should be avoided and drainage should be checked every 1-2 hours

Front 40

Suprapubic Catheters

Back 40

Incision through the abd. wall- protect skin from breakdown, usually a temporary situation, irriagated with sterile technique.

Front 41

Erythropoietin releases RBC's and is the number one cause for

Back 41

ANEMIA

Front 42

During RF The activation of Vitamin D is altered this affects what two electrolytes

Back 42

Calcium and Phosphate

Front 43

interventions for patients with Lower UTI

Back 43

*adequate fluid intake
*avoid caffiene spicy food, alcohol, citrus foods
*apply local LOW heat to suprapubic area or lower back
*Teach to take FULL antibotic not just take it until symptoms go away
*Teach S/S of Upper UTI

Front 44

With Kidney Transplant you are always worried with the possibility

Back 44

of REJECTION

Front 45

AV Fistula:

Back 45

Connects directly from artery to vein, takes 6 weeks or more to develop,

Front 46

Man made, created by subcutaneously implanting graft material between the artery and vein, can use it quicker than fistula but there is more problems with clotting and infection

Back 46

AV Graft

Front 47

What is added to the blood as it fills the dialyzer to prevent clotting during dialysis

Back 47

Heprin

Front 48

If you are palpating the venous access site what should you feel...if auscltating what will you hear?

Back 48

Thrill and bruit