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Med Surg 2 > Renal > Flashcards

Renal Flashcards

1
Q

prerenal

A

prior to kidney

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2
Q

intrinsic

A

in kidney

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3
Q

postrenal

A

after kidney

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4
Q

most common cause of kidney issue

A

55-60

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5
Q

renal failure GFR

A

decrease

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6
Q

renal failure BUN

A

rapid increase

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7
Q

renal fialure creatine

A

increase

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8
Q

renal fialure urine output

A

may or may not decline

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9
Q

normal GFR

A

> 90

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10
Q

normal BUN

A

10-20

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11
Q

normal creatine

A

.7-1.3 men
.6-1.1 women

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12
Q

how do we do contrast with AKI

A

fluid bolus

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13
Q

NSAID renal issue

A

prerenal

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14
Q

big things to assess for AKI

A

grey turns sign (brushing on 11-12th rib)
weight/I&O

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15
Q

normal BUN to creatine

A

10;1

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16
Q

does a high BUN translate to renal failure

A

no

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17
Q

muscle mass decreases creatine

A

yes which is why females have low

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18
Q

pre renal bUN to cre
(CHF/GIB)

A

15:1

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19
Q

contrast rise

A

24-48

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20
Q

contrast peak

A

3-5days

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21
Q

constrast resolution

A

5-7 days

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22
Q

what serves as a measure for nephron injury and repair

A

proteinuria

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23
Q

green pee

A

propofol

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24
Q

oliguria

A

<400ml/24 hr

25
Q

pre renal causes

A

NSAID
sepsis
hypovolemia
shock
HF

26
Q

is pre renal reverisble

A

yes

27
Q

intrinsic renal causes

A

late stage sepsis
tubulars
acute tubular necrosis

28
Q

acute tubular necrosis leads to

A

tubular obstruction, edema, cell injury

29
Q

why does acute tubular necrosis cause intrtubular obstruction

A

epithelial break off and cause obstruction

30
Q

crysaloids

A

isotonic
hypotonic
hypertonic

31
Q

colloids

A

albumin/PRBC
- pul fluid into intravascular

32
Q

post renal cause

A

BPH

33
Q

hyperkalemia causes

A

peaked T waves
widening of QRS
VT/VF

34
Q

how to treat hyperkaalemia

A

calcium, insulin, glucose
kayexalate (can lead to dehydration

35
Q

nutrition for renal

A

high carb
restrict K/NA/Phospahte/protein/fluids

36
Q

what other foods are high in K

A

chocolate and potatoes

37
Q

complications of ARF

A

hyperkalemia
M acid
ameinai and prolonged bleeding
infections
cardiac
malnutiron

38
Q

who is at risk for CKD

A

small gestational birth
childhood obesity
hypertneison
DM
african ancestry

39
Q

> 90 GFR

A

1

40
Q

GFR 60-89

A

2

41
Q

GFR 30-59

A

3

42
Q

GFR 15-29

A

4

43
Q

GFR less than 15 or dialysis

A

5

44
Q

hemodialysis does what to BP and electrolytes

A

decrease

45
Q

if sending pt to hemodialysis should we give BP med

A

no

46
Q

dialysis is normally how many days a week

A

3

47
Q

what is gold standard for dialysis

A

fistula

48
Q

fistula

A

joining artery and vein

49
Q

CRRT

A

24hr
need Quinton

50
Q

complication for CRRT

A

filter clotting
- heparin
- citrate and calcium

51
Q

why should we leave returning un covered

A

make sure not discontected

52
Q

wear what during peritoneal dyasisi

A

mask

53
Q

graft assess what

A

numbness and tingling to make sure working

54
Q

skin issues with end stage kidney

A

pruritus, dry, pale

55
Q

hyperkameia is most severe electrolyte

A

yes

56
Q

as renal failure processes and GFR progresses below 50mL which change occurs

A

metabolic acidosis

57
Q

other electrolyte issues

A

hyperkalemia
M acid
anemia
hypocal
hyperphos

58
Q

brain dead

A

intubated
neuro issue
GSC less than 5

59
Q
A

Med Surg 2 (32 decks)

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