Flashcards in NURS 302 EXAM 4 RENAL Deck (23):
F/E & acid base
help regulate BP
Regulate vit. D & calcium formation
What happens when you only have one kidney?
Unilateral Renal Agenesis
what happens in unilateral renal agenesis?
the other kidney grows twice normal size.
pt. can't participate in contact sports.
check BP for life
What tests are used to measure kidney function?
low output of urine
Why are the elderly so susceptible to UTIs
urine less acidic,
What signs and symptoms are associated with the elderly and UTIs?
Typical, absent, or vague. New onset confusion???
aka Nephrolithiasis. aka Renal Calculi.
what causes kidney stones?
Risk factors= gender, race, location, season, fluid intake, diet, occupation, & pH of urine.
What are the signs and symptoms associated with them?
What are major nursing interventions and responsibilities associated with caring for someone with kidney stones?
strain all urine. IVP or KUB x-ray. CT scan.
Treatment for kidney stones?
increase fluid intake,
Causes include decreased blood flow to the kidneys, problems with structures i kidneys, and problems with elimination from kidneys.
Plasma creatine increased
reversible if dx/tx early
acute renal failure
diabetic kidney dx
largest cause of kidney failure in US
federal support for dialysis and transplants
irreversible loss of renal fxn
affects nearly all organ systems
fatigue, N/V, pruirits & neuro changes
chronic renal failure
what are the 3 stages of chronic renal failure?
chronic renal insufficiency
chronic renal failure
end stage renal failure
symptoms of renal failure
most common cause of AKI. Caused by impaired renal blood flow. Something wrong before the kidneys. poor perfusion. restore blood flow to the kidneys.
prerenal kidney failure
acute tubular necrosis (ATN). Something has happened to kidneys—ischemia. Hypotension r/t hypovolemia. Oliguria.
intrarenal kidney failure
urine formed but obstructed. BPH most common cause. Can occur in bladder, ureters, urethra(BPH). Bladder outflow causes RF only if 1 kidney damaged or only have 1 kidney. Goal: maintain life until renal fun has recovered.
postrenal kidney failure
what causes acute pyelonephritis?
abscesses renal pelvis or ureter
Sx of acute pyelonephritis?
flank groin pain
s/sx of UTI first