Renal

Question 1

Answer 1

Question 2

Classic triad of TURP syndrome

Answer 2

HTN, bradycardia, & change in mental status

Question 3

Which abx are nephrotoxic?

Answer 3

Aminoglycosides (vanc, gent, tobramycin, amikacin, amphotericin B)

Question 4

Answer 4

Question 5

How do you calculate creatinine clearance/GFR for a man?

Answer 5

(140 - age) x (weight kg)/ (serum creatinine x 72)

Question 6

How do you calculate GFR for women?

Answer 6

Question 7

A creatinine clearance of 70 suggests?

Answer 7

Mild renal dysfunction

Question 8

Arginine vasopressin increases GFR by causing?

Answer 8

Constriction of the efferent arteriole. For this reason it is a better option to preserve renal function when a potent vasopressor is required

Question 9

What lab tests reflects the concentrating ability of the kidney?

Answer 9

Urine specific gravity & fractional excretion of sodium

Question 10

How is bleeding time affected by ESRD?

Answer 10

Question 11

Tx for uremic bleeding

Answer 11

Replenishing vWf (VIII) with desmopressin (1st choice). Cryo is second choice but carries risk of viral transmission

Question 12

Answer 12

Stage 1: serum Cr 50 percent over baseline
Stage 2: UO < 0.5mL/kg/hr x 12 hrs
Stage 3: serum Cr > 4mg/dL

Question 13

What is the dose of mannitol?

Answer 13

0.25 - 1g/kg

Question 14

Tests of GFR

Answer 14

BUN (10-20)
Serum Creatinine (0.7-1.5)
Creatinine clearance (110-150)

Question 15

Tests of tubular function

Answer 15

Fractional excretion of Na (1-3%)
urine osmolality
Urine Na concentration (130-260)
Urine specific gravity (1.003 - 1.030)

Question 16

Answer 16

Question 17

Answer 17

Question 18

Answer 18

Question 19

What are the absolute contraindications to extracorporeal lithotripsy?

Answer 19