Ch 70 Renal Disorders Flashcards Preview

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Flashcards in Ch 70 Renal Disorders Deck (24):
1

Polycystic kidney disease (PKD)

Inherited
Fluid-filled cysts develop in nephrons

2

Early manifestations of PKD

Abdominal or flank pain
Nocturia

3

Manifestations of PKD

HTN (very common)
Dysuria
> abd girth
constipation
bloody/cloudy urine
kidney stones

4

Results of urinalysis with PKD

+ proteinuria
+ hematuria
Possible + bacteria

5

Medications for pain management

Do not use ASA due to bleeding risk
NSAIDs are used cautiously because they reduce renal blood flow

6

Top nursing priority in PKD

control BP

7

Pyelonephritis

bacterial infection in the kidney and renal pelvis (upper urinary tract)

8

Populations in which pyelonephritis is common

Frequent catheterizations
DM (due to reduced bladder tone)
Chronic renal stones
Overuse of analgesics

9

Manifestations of acute pyelonephritis

fever/chills
tachycardia
flank/back/loin pain
N/V
Fatigue
burning, urgency or frequency
Nocturia

10

Manifestations of chronic pyelonephritis

HTN
Inability to conserve Na+
< urine concentration
tendency to develop hyperkalemia and acidosis
low grade fever

11

Pyelonephritis urinalysis

+ for leukocyte, WBC and bacteria

12

Fluid intake with pyelonephritis

at least 2-3 L/day

13

Acute glomerulonephritis manifestations

Edema/fluid overload
dark urine
HTN
fatigue
N/V

14

Acute glomerulonephritis lab results

hematuria & proteinuria
< GFR (50mL/hr)
> BUN
< serum albumin due to protein lost in the urine

15

Acute glomerulonephritis interventions

Antibiotics
Na/ H2O restriction/ antihypertensives
Possible K+ and protein restriction

16

Rapidly progressive glomerulonephritis

type of nephritis where crescent shaped cells are present in the bowman's capsule

17

Rapidly progressive glomerulonephritis timeframe

weeks to months

18

Rapidly progressive glomerulonephritis sx

causes loss of kidney function
sx of renal failure (fluid volume excess, htn, oliguria, electrolyte imbalances, and uemic symptoms)

19

Chronic glomerular nephritis time line

develops over 20-30 years

20

Chronic glomerular nephritis sx

Mild proteinuria, hematirua, hypertension, fatigue, and occasional edema

21

Chronic glomerular nephritis labs

Creatanine >6 and up to 30
BUN 100-200
Acidosis

22

Nephritic syndrome

increased glomerular permeability
causes proteinuria

23

Nephritic syndrome features

severe proteinuria
low albumin
high lipids
edema
HTN

24

Nephritic syndrome treatments

immunosuppresants
ACE inhibitors to < proteinuria
Anti-lipids
high protein diet
mild diuretics