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Flashcards in Renal Deck (33):
0

Proximal tubule

Reabsorbs

1

Loop of Henley

Concentrated and dilutes urine

2

Distal convoluted tubule

Site of adh control

3

Arf

Less than 400ml in 24hrs

4

Prerenal

Hypo perfusion

5

Renal Arf

Kidney damage acute tubular necrosis

6

Pre renal urinary sodium

Sodium less than 20

7

Renal stage sodium level

40-100

8

Pre renal bun:creat

20:1

9

Renal fx bun:creat ratio

10:1

10

Fluid and LASix increases uop in

Pre renal failure

11

Hyper kalemia symptoms

Muscle weakness EKG changes

12

Treat hyperkalia

Calcium chliride(if EKG changes)
Insulin and glucose
Bicarbonate
Kayexelate

13

Acute tubular necrosis caused by

Ischemia and nephrotic ivory

14

Ischemic causes of atn

Hemorrhage
Burns
Sepsis
Heart failure
Transfusion reactions

15

Nephrotic ivory causes of Atn

Heavy metals
Meds
Street drugs
Rhabdomyalosis
Radioactive dye

16

Oliguric stage

10-17 days
Increased bun creat k
Fluid overload chf
Peritoneal dialysis

17

Polyuric stage

2 weeks - 3months
Increased bun creat
Low k
Fluid depleted

18

Recovery stage

3months-1year
Pray the kidneys regenerate

19

Urine Na in pre renal vs renal

Pre 20
Renal 40-100 with low uop

20

Bun:creat in pre renal vs renal

Pre 20:1

Renal 10:1

21

LASix/fluid challenge pre vs renal

Pre +urine
Renal no urine

22

Hyper kalemia EKG

Peaked t wave 6.5

Prolonged pr interval 6.5-7

Widened qrs

Biphasic qrs 8

Sine waves/vtach

23

Hyperkalemia treatments

Calcium chloride
Insulin+glucose
Sodium bicarb
K-exelate

24

Calcium phosphate have a ___relationship

Reciprocal

25

Hypocalcemia presentation also for hyperphosphatemia

Christens
Trousseau
Twitch twitch
Seizures

26

Presentation of hypercalcemia and hypophosphatemia

Muscle weakness
Apathy

27

Amphogel binds

Phosphate

28

Sign of rapid alkalosis

Obtundation

29

Hypokalemia EKG changes

U wave
Depressed st segment
Ventricular irritability

30

Gfr measured by

Creat clearance

31

Ischemic injury to kidneys when

Map<60 for 40 minutes

32

In drug induced Atn LASix will increase

Increase toxicity