Renal - Class Notes/1 Flashcards

1
Q

nephrotic hallmark sx

A

massive loss of protein

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2
Q

renin function

A

converts angiotensinogen to angiotensin 1, lungs then convert Ang-1 to Ang-2 for vasoconstriction

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3
Q

two systemic disease that cause glomerulonephritis

A
  1. HTN

2. DM

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4
Q

pushing out pressure =

A

HP

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5
Q

post strep infection can cause

2

A
  1. RHD

2. glomerulonephritis

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6
Q

AKI that is uncontrolled can lead to

3

A
  1. renal insufficiency
  2. renal failure
  3. ESRF
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7
Q

nephrotic or nephritic - massive loss of protein

A

nephrotic

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8
Q

AKI post think

A

obstruction in uriter

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9
Q

AKI most common outcome

A

resolution

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10
Q

kidney edema causes

2

A

decreased albumin

decreased OP

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11
Q

nephrotic or nephritic - not immune related

A

nephrotic

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12
Q

AKI prerenal is to

A

impaired renal blood flow

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13
Q

glomerulonephritis proteinuria level

A

massive, >3g/day

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14
Q

3 processes of urinary system

A
  1. filtration
  2. reabsorption
  3. excretion
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15
Q

AKI intra most common causes

2

A
  1. post ischemic

2. nephrotoxic

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16
Q

liver edema causes

2

A

decreased albumin

decreased OP

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17
Q

glomerulonephritis tx

A

restrict protein, sodium, and water

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18
Q

glomerulonephritis - if there are RBC casts, where is the bleeding coming from

A

kidney - distal tubule

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19
Q

glomerulonephritis tx of choice

A

high dose steroids

20
Q

most common cause of glomerulonephritis

A

post strep infection

21
Q

CKD two fates

A
  1. slow decline

2. fast decline

22
Q

how do you r/o post strep infection of glomerulonephritis

A

strep test

23
Q

three main systems affected from CKD

A

heart
liver
NS

24
Q

what two things should not be filtered out in urine

A
  1. RBCs

2. Protein

25
Q

nephrotic - glomerulus is more

A

permeable

26
Q

AKI - prerenal….think

3

A
  1. heart
  2. bvs
  3. hypoperfusion
27
Q

AKI - shock is to

A

pre

28
Q

CKD is a what loss of function

A

progressive

29
Q

CKD sx

2

A
  1. proteinuria

2. uremia (can be converted to ammonia and cause encephalopathy)

30
Q

post strep infection suspected to cx glomerulonephritis - what to ask patient

A

how have you been feeling the past few months

31
Q

most common immunological cause of glomerulonephritis (general)

A

post infection

32
Q

nephritic is to

A

glomerulus inflammation

33
Q

nephrotic dx test

A

urinalysis; 24 hour urine collect, keep urine cold

34
Q

AKI intra is to

A

acute tubular necrosis ATN

35
Q

CKD is classified by

A

GFR >90 (n. 125)

36
Q

cardio edema causes

A

increase HP

37
Q

what drugs can cause glomerulonephritis

4

A
  1. ibuprohin
  2. NSAIDs
  3. drugs to tx pneumonia
  4. drugs to tx heart disease
38
Q

3 organs you think of when you hear edema

A

heart
liver
kidney

39
Q

ATN is to

A

AKI intra

40
Q

AKI intrarenal px makeup

3

A
  1. alcoholic and homeless
  2. depression w/ OD of OTC meds
  3. cancer px from tx
41
Q

CKD lab tests important results

2

A

increased BUN and creatinine

42
Q

CKD - when do we worry about GFR

A

<50

43
Q

AKI - think…

3

A

pre
intra
post

44
Q

nephrotic is not what related

A

immune

45
Q

two common causes of CKD

A

HTN

DM

46
Q

glomerulonephritis what happens in type II hypersensitiivty

A

in situ; body attacks the basement membrane

47
Q

pulling in pressure =

A

OP