Exam 3 Flashcards

1
Q

This electrolyte can be ⬇️ in those with CKD

A

Hypocalcemia 🍊

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2
Q

When BP is low, the line of action will help ⬆️ it. Too much of this can be harmful ‼️to the kidneys

A

RAASystem

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3
Q

1️⃣Priority nursing concern in a patient with renal calculi 🪨

A

Acute pain 🥴 💊

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4
Q

🧑‍🔬If found in urinalysis, it can be indicative of a UTI 💛

A

Nitrates 🏰

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5
Q

Risk factors😱 for development of a UTI 💛

A

Hard to void 😫🚽

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6
Q

A great way to monitor fluid balance 💦

A

⚖️ Daily weights 🫄

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7
Q

Low K, low Na, low phosphate should involve what kind of diet?

A

Renal Diet 🥗🫘🫛

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8
Q

This happens easy in someone with renal disease

A

🌊🏄‍♀️ Fluid overload ⬆️💧

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9
Q

A decreased erythropoietin 🩸can cause

A

💤Anemia 🩸😴

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10
Q

This is done to act as the kidneys

A

Dialysis 🩸

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11
Q

⚠️UTIs effecting the kidneys and the bladder

A

Pyelonephritis

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12
Q

Normal creatinine values

A

0.5-1.2

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13
Q

Normal Bun values 🍑

A

10-20

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14
Q

📝 Major cause of Chronic Kidney Disease

A

HTN 🫀and DM 🍬🍭

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15
Q

Dangerous ‼️electrolyte inbalance in someone with kidney disease

A

⬆️ Hyperkalemia

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16
Q

Used after TURP to keep the bladder clot free 🚫🩸

A

CBI

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17
Q

Can be caused by “nurses bladder” 👩🏻‍⚕️

A

UTI 🦠

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18
Q

BPH can cause this 🎈

A

Post renal cause of AKI

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19
Q

Possible imbalance in someone with CKD, a low pH 🧑‍🔬a low HC03, and a high K

A

🩸Metabolic acidosis 🥽🧪

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20
Q

S& S include frequency, dribble ⛹🏾‍♀️at the end of urination and nocturia 🌝

A

🎈BPH

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21
Q

📚Education piece for a patient recovering from a UTI 🛌

A

🚽Urinate every 3-4 hours ⏳while awake

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22
Q

This itching 🧴of the skin can be a sign of CKD

A

🧴Pruritus

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23
Q

To help maintain fluid balance 💧especially with hypernatremia

A

🚫💧Fluid restrictions 🚫☕️🥤🧃

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24
Q

A ⬇️ in this in someone with CKD leads to baseline anemia 🩸

A

🩸Erythropoietin

25
Urine output lower than 🤏🏽40mL in 24 hours ⏱️
Anuria 😐
26
Interventions that can reduce the risk of developing HTN
⬇️Reduce: ETOH Intake 🍻🍻😳 Body weight 🫃🏽 Stress 😖 Quit smoking 🚬🚭 Control DM 🍭 Low sodium 🧂🥨 🏋️‍♂️💪🏽Exercise
27
What is the amount of 🩸 pumped by each ventricle in 1 min called?
🫀Cardiac Output ➡️
28
What are S&S of L- sided 🫀HF?
Crackles 🫁 Pink 💞frothy sputum Orthopnea Weakness
29
What is a manifestation of myocardial ischemia?
❤️‍🩹Angina
30
What is intermittent claudication?
Ischemic muscle pain created with 🏋🏽‍♀️exercise/activity, severe cramping 🦵🏻and resolves with rest 🪑
31
What are the values for Stage 2 ✌🏽HTN?
SBP 140+ DBP 90+
32
What is the thickening of the chamber causing the heart 🫀not to pump effectively?
(LV) Hypertrophy
33
What causes CAD? 🪢
Hyperlipidemia 🐖 HTN ⬆️ Tobacco use 💨 🍩DM
34
What is the recommended 🫀Cardiac Diet? 🍏
Aka Dash Diet 🏃🏽‍♂️💨 Low fat dairy 🐄 Lean proteins 🐟 Grains 🌾 🍇🍓Fruits and Vegetables 🥕 🥬
35
What is the biggest problem/effect of HTN?
🩶End organ damage 🖤
36
The 🩸 from the right ventricle gets pumped into…
➡️The pulmonary 🫁arteries🪢
37
JVD, dependent edema, and weight gain 🫃🏼are signs of?
➡️Right sided Heart failure 🫀
38
What causes angina? ❤️‍🩹
🤏🏽Narrowing of 1 or more of the coronary arteries due to atherosclerosis; Insufficient 🩸 flow to the heart ♥️
39
What are the Total Cholesterol lab values?
Less than 200 ⬇️ 🐷
40
What is the HDL lab value?
🧔🏻 Males: 45+ 👩‍🦳Females: 55+
41
What are the values for a hypertensive crisis?
180/120 and 🆙
42
🩸 flows from the pulmonary 🫁vein through what valve, into the left ventricle?
Mitral Valve 🫀
43
What do you call it when Stable angina becomes 📉Unstable angina? ❤️‍🩹
Acute Coronary Syndrome ‼️
44
Lower extremity edema🦵🏼, thick hardened skin, and non-healing wounds are signs of…
🅿️eripheral vascular disease
45
What is Ejection fraction?
How well the ♥️ pumps blood out➡️ with each beat, the percentage of 🩸 leaving your ♥️ with each contraction
46
What are some complications of Heart Failure? ❤️‍🩹
🫁Pleural effusion, renal issues, anemia🩸, dysrhythmias 📈
47
Coronary 🪢artery spasms cause…
Prinzmetal Angina
48
Tachycardia, sudden chest pain, 🫁dyspnea are signs of?
🫁 Pulmonary embolism 🩸
49
S&S of DVT? 🩸
🦵🏼Unilateral leg edema Pain 😖 Tenderness Dilated superficial veins Paresthesias 📌🧷 Warm skin 🥵 Erythema 🚩 Possible temp of 100.4+ *Can travel to PE*
50
Chronic Venous 💙Insufficiency symptoms and treatment (CVI)
Leathery Brown skin (legs) 🦵🏾 Pitting edema 🕳️ Compression Elevation of legs to reduce edema Ambulate as tolerated 🚶‍♀️
51
Peripheral 🅰️rterial Disease Symptoms and treatment
Muscle pain with exercise 😖🏋️‍♂️ Pain resolves with rest 🪑 Thin, shiny 💎 skin Hairless legs 🦵🏻 Decreased pedal pulse Ulcer risk 🕳️ Pain worse with elevation Thick, rigid toe nails
52
What are the ranges for ⬆️ Elevated Blood Pressure?
SBP: 120-129 DBP: 80+
53
What are the ranges for Stage 1️⃣ HTN?
SBP: 130-139 DBP: 80-89
54
What are the ranges for Stage 2️⃣ HTN?
140/90 and 🆙
55
CVD targeted organs are?
🫀Heart- hypertensive heart disease 🧠Brain- cerebrovascular disease 🪢Peripheral vessels- PVD Kidneys- nephrosclerosis 👁️Eyes- retinopathy
56
What are lifestyle modifications towards ⬇️BP and cardiovascular risk?
Manage BP Control cholesterol ⬇️ Reduce BS 🩸🍭 🏂🚴‍♂️Get active 🏃🏽‍♀️ 🥗🥬Eat better Lose weight Stop smoking 🚭
57
Initial treatment/ Nursing intervention for Acute Coronary Syndrome?
Pain assessment/relief (Nitro, Morphine, oxygen) 💊 Promotion of rest 🛌 🎶Stress alleviations 🎷
58
Heart Failure Nursing management
Decrease in symptoms (SOB/fatigue) Decrease peripheral edema Increase exercise 🏊 🏃‍♂️ Medication therapy 💊