Renal Flashcards

(59 cards)

1
Q

prerenal

A

prior to kidney

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2
Q

intrinsic

A

in kidney

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3
Q

postrenal

A

after kidney

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4
Q

most common cause of kidney issue

A

55-60

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5
Q

renal failure GFR

A

decrease

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6
Q

renal failure BUN

A

rapid increase

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7
Q

renal fialure creatine

A

increase

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8
Q

renal fialure urine output

A

may or may not decline

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9
Q

normal GFR

A

> 90

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10
Q

normal BUN

A

10-20

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11
Q

normal creatine

A

.7-1.3 men
.6-1.1 women

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12
Q

how do we do contrast with AKI

A

fluid bolus

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13
Q

NSAID renal issue

A

prerenal

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14
Q

big things to assess for AKI

A

grey turns sign (brushing on 11-12th rib)
weight/I&O

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15
Q

normal BUN to creatine

A

10;1

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16
Q

does a high BUN translate to renal failure

A

no

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17
Q

muscle mass decreases creatine

A

yes which is why females have low

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18
Q

pre renal bUN to cre
(CHF/GIB)

A

15:1

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19
Q

contrast rise

A

24-48

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20
Q

contrast peak

A

3-5days

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21
Q

constrast resolution

A

5-7 days

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22
Q

what serves as a measure for nephron injury and repair

A

proteinuria

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23
Q

green pee

A

propofol

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24
Q

oliguria

25
pre renal causes
NSAID sepsis hypovolemia shock HF
26
is pre renal reverisble
yes
27
intrinsic renal causes
late stage sepsis tubulars acute tubular necrosis
28
acute tubular necrosis leads to
tubular obstruction, edema, cell injury
29
why does acute tubular necrosis cause intrtubular obstruction
epithelial break off and cause obstruction
30
crysaloids
isotonic hypotonic hypertonic
31
colloids
albumin/PRBC - pul fluid into intravascular
32
post renal cause
BPH
33
hyperkalemia causes
peaked T waves widening of QRS VT/VF
34
how to treat hyperkaalemia
calcium, insulin, glucose kayexalate (can lead to dehydration
35
nutrition for renal
high carb restrict K/NA/Phospahte/protein/fluids
36
what other foods are high in K
chocolate and potatoes
37
complications of ARF
hyperkalemia M acid ameinai and prolonged bleeding infections cardiac malnutiron
38
who is at risk for CKD
small gestational birth childhood obesity hypertneison DM african ancestry
39
>90 GFR
1
40
GFR 60-89
2
41
GFR 30-59
3
42
GFR 15-29
4
43
GFR less than 15 or dialysis
5
44
hemodialysis does what to BP and electrolytes
decrease
45
if sending pt to hemodialysis should we give BP med
no
46
dialysis is normally how many days a week
3
47
what is gold standard for dialysis
fistula
48
fistula
joining artery and vein
49
CRRT
24hr need Quinton
50
complication for CRRT
filter clotting - heparin - citrate and calcium
51
why should we leave returning un covered
make sure not discontected
52
wear what during peritoneal dyasisi
mask
53
graft assess what
numbness and tingling to make sure working
54
skin issues with end stage kidney
pruritus, dry, pale
55
hyperkameia is most severe electrolyte
yes
56
as renal failure processes and GFR progresses below 50mL which change occurs
metabolic acidosis
57
other electrolyte issues
hyperkalemia M acid anemia hypocal hyperphos
58
brain dead
intubated neuro issue GSC less than 5
59