Kidney function Flashcards

(39 cards)

1
Q

Two main parts of the kidney

A

Renal cortex

Renal medulla

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2
Q

Parts of the nephron

A

Glomerulus

Tubules

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3
Q

Which is the functional part of the kidney?

A

The nephron

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4
Q

Acronym AEIOU

A
Acidosis
Electrolytes
Intoxication
Overload
Uremia
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5
Q

What is the glomerulus?

A

A ball of capillaries in a sac called Bowman’s Capsule.

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6
Q

Parts of the tubular system

A
  • Proximal convoluted tubule
  • Loop of Henle
  • Distal convoluted tubule
  • Collecting tubule
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7
Q

Functions of the kidney in maintaining homeostasis

A
  • Remove water and waste
  • Maintain electrolyte balance
  • Control BP
  • Make hormones
  • Maintain pH
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8
Q

Hormones/enzymes made by kidneys

A
  1. Erythropoietin
  2. Calcitriol
  3. Renin
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9
Q

What does erythropoietin do?

A

Tells bone marrow to make RBCs

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10
Q

What does calcitriol do?

A

Allow gut to absorb calcium from food

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11
Q

What does renin do?

A

Helps control BP

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12
Q

Seven major electrolytes

A
  1. Sodium
  2. Chloride
  3. Calcium
  4. Bicarb
  5. Magnesium
  6. Phosphate
  7. Potassium
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13
Q

Two ways kidneys control BP

A
  1. Retain or release water

2. Use renin to form angiotensin, which holds onto salt and water and constricts vessels

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14
Q

Symptoms of metabolic acidosis

A
  • Weakness & fatigue
  • Rapid breathing
  • Racing heartbeat
  • Headache
  • Confusion
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15
Q

Types of kidney failure

A
  1. Acute Kidney Failure (AKI)

2. Chronic Kidney Disease

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16
Q

Acute Kidney Injury (AKI)

A

Sudden severe loss of kidney function

17
Q

Causes of AKI

A
  1. Dehydration
  2. Toxins
  3. Sepsis
18
Q

Chronic Kidney Disease

19
Q

How to slow progression of CKD

A
  • Keep BG in target range
  • Keep BP in target range
  • Avoid NSAIDs
  • Quit smoking
  • Ask doctor for protecting kidneys from X Rays or CT scans
20
Q

Causes of Kidney Failure

A
  1. Diabetes
  2. High BP
  3. Glomerular disease
21
Q

Two main types of diabetes

A

Type 1

Type 2

22
Q

Two types of high blood pressure

A
  1. Primary or essential hypertension

2. Secondary hypertension

23
Q

Diseases of glomeruli

A
  1. Glomerulonephritis

2. Glomerulosclerosis

24
Q

What is glomerulosclerosis?

A

Hardening of the glomeruli

25
What is glomerulonephritis?
Inflammation of the glomeruli
26
What is Polycystic Kidney Disease (PKD)?
A genetic disease that causes fluid-filler cysts that can grow in the kidneys and sometimes liver.
27
Hypernatremia
High sodium in the blood
28
Causes of hypernatremia
- Dehydration | - Water and salt both lost
29
Symptoms of hypernatremia
- Intense thirst - Confusion - Seizures - Death
30
Hyponatremia
Low salt in the blood
31
Symptoms of hyponatremia
- Muscle cramping - Restlessness - Confusion - Headache - Fatal brain swelling
32
Hyperkalemia
High potassium
33
Causes of hyperkalemia
- Pt eating a lot of high-potassium foods - Severe blood loss - Crush injuries - Trauma - Hemolysis - Missed dialysis treatments
34
Hypokalemia
Low potassium
35
Causes of hypokalemia
- Some kidney function but on dialysis - Vomiting/diarrhea - Does not eat enough potassium in diet - Dialysis removes too much potassium
36
Symptoms of hyperkalemia
1. Altered heart rhythm 2. Weakness 3. Skipped heartbeats or asystole
37
Symptoms of hypokalemia
1. Tingling/numbness 2. Fatigue 3. Weak muscles 4. Muscle damage 5. Fainting 6. Changes in heart rhythms
38
Hypercalcemia
Too much calcium
39
Symptoms of hypercalcemia
1. Fatigue 2. Vomiting 3. Weakness 4. Muscle twitches 5. Confusion