Med Surg Flashcards
(25 cards)
Femoral vein catheters require:
Strict bed rest
Frequent perineal care
Antiembolic stockings
Heparin flushes
Frequent neurovascular assessment
Renal Cell Carcinoma risk factors
Obesity
Smoking
Chemical exposure
Male
64 years and older
First degree relative with RCC
Sickle Cell Disease causes:
RBC to sickle and clump
Clumped RBCs can cause:
vaso-occlusive crisis — ischemic stroke
Immediate intervention with client with SCD –
difficulty speaking – first signs of stroke
Benign prostatic hypertrophy manifestations
Nocturia
Hematuria
Urinary retention
Urinary hesitancy
Urinary frequency
Diminished urine steam
Polycystic Kidney Disease primary goals
Pain management
Hypertension managment
Preventing urinary tract infections
Foods high in Potassium
oranges
avocado
bananas
cantaloupe
strawberries
white & sweet potato
winter squash
carrots
tomatoes
spinach
raisins
cranberries
refried beans
multi-grain bread
nuts
yogurt
Impaired kidneys cannot excrete ____ efficiently, leading to _____
potassium, hyperkalemia
Clients recovering from AKI should avoid foods that are high in ________.
Potassium
Appendicitis medical emergency
abdominal rigidity
increased abdominal pain
high fever
Polycystic kidney disease is a
- chronic and progressive disease
- leads to kidney failure & renal replacement therapy
- NO CURE
Tumor lysis syndrome (TLS)
- life threatening emergency
- tumor cells break down rapidly & releasing tumor cells into the bloodstream faster than the body removes them
Tumor lysis syndrome clinical manifestations:
flank pain
seizures
dizziness
acute kidney injury systems
Signs of shock
hypotension
decreased urine output
altered mental status
Early signs of SEPSIS
(compensated, warm phase)
fever, chills, or hyperthermia
tachycardia, tachypnea
altered mental status
warm, flushed skin
normal BP/mild hypotension
Septic Shock
(decompensated, cold phase)
- persistent hypotension
- cool, mottled skin
- organ dysfunction
Signs of organ dysfunction
- decreased urine output
- increase lactate levels
- dyspnea
- hypoxemia
Pericardial effusion can progress to
cardiac tamponade
Continuous Renal Replacement Therapy - clients must be on a _______.
continuous cardiac monitoring
Client on continuous renal replacement therapy is at risk for
potassium retention
hyperkalemia
Client with pyelonephritis - immediate follow - up
nausea & vomiting
(prevent dehydration and permanent renal damage)
New AV fistula expected findings
Trill
Bruit
Strong pulses
Brisk cap refill
AV fistula complications
cool skin
numbness
tingling
bleeding
