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Renal > FINAL > Flashcards

FINAL Flashcards

1
Q

Furosemide

A

False

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2
Q

HCTZ

A

“others”

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3
Q

Spironolactone

A

“others”

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4
Q

Atorvastatin

A

FALSE

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5
Q

Lovastatin

A

TRUE

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6
Q

Lisinopril

A

TRUE

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7
Q

Atenolol

A

TRUE

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8
Q

Metoprolol

A

FALSE

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9
Q

Metformin

A

“others”

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10
Q

Glyburide

A

TRUE

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11
Q

Glipizide

A

FALSE

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12
Q

Morphine

A

TRUE

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13
Q

Codeine

A

TRUE

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14
Q

Tramadol

A

TRUE

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15
Q

Meperidine

A

TRUE

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16
Q

NSAIDS

A

“others”

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17
Q

Ranitidine

A

TRUE

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18
Q

famotidine

A

TRUE

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19
Q

Nexium

A

FALSE

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20
Q

Prevacid

A

FALSE

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21
Q

Cipro

A

TRUE

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22
Q

Avelox

A

FALSE

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23
Q

Ceftriaxone

A

FALSE

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24
Q

Clindamycin

A

FALSE

25
Q

Levofloxacin

A

TRUE

26
Q

Doxycycline

A

FALSE

27
Q

Zithromax

A

FALSE

28
Q

Biaxin

A

TRUE

29
Q

Tetracycline

A

TRUE

30
Q

cefotazime

A

TRUE

31
Q

Septra DS

A

TRUE

32
Q

Pen VK

A

FALSE

33
Q

Markers for GFR…

A

Inulin, Iothalamate, Iohexol, Labeled markers(99mTc-DTPA, 125I-Iothalamate), Creatinine, Cystatin C

34
Q

Normalized CLcr equation…

A

140-Age/SCr

Units: mL/min/72Kg

35
Q

1 mcg is how many mg…

A

0.001 mg

36
Q

DAILY WATER REQUIREMENTS BY BODY WEIGHT

A

1st 10 kg->100mL/kg
2nd 10 kg->50mL/kg
Each kg over 20 kG->20mL/kg

37
Q

DAILY WATER REQUIREMENTS BY AGE

A

Young athletic adult->40mL/kg
Average Adult->35mL/kg
Elderly 30mL/kg

38
Q

TBW% Premature

A

80

39
Q

TBW% 3 month

A

70

40
Q

TBW% 6 month

A

60

41
Q

TBW% 10-18 yrs

A

M-59

F-57

42
Q

TBW% Average Adult

A

M-60

F-50

43
Q

TBW% Lean-Athletic Adult

A

M-70

F-60

44
Q

TBW% Obese Adult

A

M-50

F-42

45
Q

TBW% Older adult >60

A

M-52

F-46

46
Q

TBW%Emaciated Adult

A

70-75

47
Q

Water requirement based on kcal….

A

1mL/Kcal energy expenditure

48
Q

Renal H20 Regulation

A 
GFR
Adequate delivery of filtrate
Intact tubular concentration and diluting mechanisms(DIURETICS)
Turning on/off ADH
ADH responsiveness of kidneys
Renin-Angiotensin system
49
Q

Describe Loop Diuretic effect….

A

Block Na in loop of Henle

  • Proportional Na to H20 loss
  • 20-30% reabsorption of Na
50
Q

Describe Thiazide Diuretic effect…

A

Block Na in distal tubule

  • Na»»H20 secretion
  • 5-10% Na reabsorption
51
Q

ADH NET result

A

Decrease in urinary H20 secretion
Increase H20 intake
Stops ADH once osmolality is restored

52
Q

Non-Osmotic stimulates ADH release through…

A

Renin-Angiotensin System

activated by decrease in perfusion (decreased EABV)

53
Q

When to use Isotonic fluid

A

IV of choice to expand ECF when,

Volume depletion, Shock(decreased BP), Burns, Hemorrhage, Post-Op, Dehydration

54
Q

When to use Hypotonic fluids

A

They provide free water in HYPERTONIC states like hyperglycemia and hypernatremia w/ECFV depletion

55
Q

Isotonic solutions

A

Normal Saline

Lactated Ringer

56
Q

Hypotonic solutions

A
  1. 45% Half NS

0. 2% saline (quarter NS)

57
Q

Sodium Free Solutions

A

Dextrose 5%

Referred to as FREE WATER

58
Q

Tx for SIADH Euvolemic

A

Restrict H2O, 3% NaCl, +/- Furosemide

59
Q

Tx for Hypervolemic

A

3% NaCl initially then fluid restriction +/- Loop

Renal (4 decks)

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