Exam Review from class -josh Flashcards Preview

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Flashcards in Exam Review from class -josh Deck (54):
1

ECF volume is controlled by what

Aldosterone

2

ECF osmolarity is controlled by what?

ADH

3

Creatiinine is not reabsorbed by the kidneys, it is a waste product of what?

muscle metabolism

4

does normal creatinine equal good renal fxn?

nope could still have decreased GFR

5

BUN has alot of confounding factors a level of what usually indicats bad GFR

> 50 mg/dL

6

what is teh first thing to go w/ injury to the kidneys?

ability to concentrate urine (you can't concentrate it)

7

What test is expensive but is a better indication of renal function than creatinine

Cystatin C

8

what is a blanket term to describe bad things that happen to the kidneys?

AKI

9

what is Oliguric AKI UOP

< 400 cc/day

10

What is non-oliguric AKI UOP

> 400 cc/day

11

GFR is determined by what?

ultrafiltration coefficient

12

In the kidneys there are 2 smooth muscle sphincters at teh capillary bed. it can constrict what 2 things

Efferent arterioles
or
Afferent arteriole

13

what is prerenal Azotemia

nothing wrong w/ the kidney but something is making them work harder

14

What is intrarenal Azotemia

problem lies within parenchyma

15

what labs will help you differentiate b/t pre and interrenal Azotemia

BUN/Creatinine and osmolality

16

so if BUN/Creatinine ratio 20 x more BUN than creatine it is what pre or intra renal

Prerenal (BUN is dehydration status indicator-creatinine not reabsorbed)

17

BUN/Creatine ration if 10-20 x more BUN then is it pre or intra renal

Intrarenal

18

if urine osmolality > 500 mOsm/kg what is it pre or inter

pre

19

if urine osmolality is < 400 mOsm/Kg what is it pre or inter renal

interrenal

20

Obstruction of urinary outflow tract is what type of renal faliure?

post

21

does n dopamine work?

nope

22

what drug is know to be renal protective

fenoldopam

23

should you give pt's in AKI diuretics?

nope doesnt show to help

24

what does PEEP and pneumoperitineum do to RBF?

decreases it

25

what does CPB/ non-pulseatile flow do to renal perfusion? and what does it produce?

Decreases it
produces free radicals

26

what drugs are big offenders for pt's w/ AKI

NSAIDs
ace inhibitors
aminoglycosides
immunosupressents

27

why would pt's w/ AKI get poss RSI and no LMA?

delayed gastric emptying

28

basics to TURP syndrome?

Open venous sinus in prostate allows absorption of irrigation fluid

29

what clotting factors are pro clot

1-13

30

what factors are anticlot

protein c/s
Plasmin
Plasminogen
tpa

31

what is a big preop assessment that can show bleeding disorders?

ask about bleeding gums

32

what are teh major vitamins involved in anemia

B12 & folic Acid

33

what is the most common type of anemia

iron deficiency

34

skeletal malformations with increased severty , will cause intubation problems w/ what type of anemia

Thalassemia

35

Aplastic anemia will show what with labs?

pancytopenia

36

____ or ____ dz can also cause anemia

kidney or liver

37

what type of anemia do you get neuro deficits (parasthesia, gait disturbances, decreased reflexes)

B12

38

what type of anemia is most common in the surgical world?

dilutional anemia

39

1 unit of PRBCs will increase Hgb amd Hct how much

Hgb 1 g
HCT 3%

40

what is the biggest trigger for Sickle cell

hypoxemia

41

what happens when the ODC when 2,3 DPG decreases

shift to left

42

when id teh most common time you will see a decrease in 2,3 DPG levels

stored PRBCs

43

what is te biggest factor for 2,3 DPG levels in stored blood

storage time

44

10-12 units of cryoprecipitate will increase fibrinogen by how much?

100mg/dL

45

stress and anxiety are linked to what GI disturbance?

IBS

46

what GI inflammatory affects the entire thickness of the bowel

Crohn's

47

what GI inflammatory disease affects the inner most lining of the COLON

Ulcertive colitis

48

what age/sex is most effected by Anorexia?

young girls

49

what age/sex is most effected by binging?

older males

50

what eating d/o is associated w/ mallory weiss syndrome or gastroesophageal lacerations?

Bulimia -b/c you throw up so hard you injure the esophagus

51

what is the basics principles w/ malabsorption syndromes?

you body isn't absorbing what it needs

52

what malabsorption syndrome is associated w/ zollinger ellison syndrome?

MEN1

53

what malabsorption syndrome is associated w/ hormone secreting glands?

MEN 2

54

what is worse OHS or OSA

OHS