Renal Flashcards
(17 cards)
Signs and symptoms of hypermagnesium. (5)
Facial flushing lowered BP nausea/vomiting drowsiness Depressed deep tendon reflexes. Muscle weakness. Decreased respirations. ECG changes.
What is the main nursing priority when caring for a patient with acute glomerulonephritis?
Monitor I& O.
Tests to measure kidney function: (4)
Urine specific gravity. Urine osmolality. Creatinine level/clearance. BUN.
Pre-op teaching for a urinary ultrasound:
Make sure bladder is full.
What are geriatric patients at higher risk for relating to urinary disorders?
UTI’s
What two anatomical degenerative conditions occur in geriatric patients with urinary disorders?
- Decreased bladder tone.
2. Neurogenic bladder (dysfunctional bladder)
Nursing interventions for a patient with urinary retention: (3)
Provide environment conducive to voiding (bathroom verses bedpan). Provide hot liquids. Catheterization.
Normal magnesium level?
1.3-2.3 mg/dl
s/s of renal failure?
abdominal pelvic/flank pain hematuria edema decreased/cessation urine output hypertension anorexia tachycardia
complications of renal failure?
pulmonary edema cardiac temponade electrolyte/metabolic abnormalities cardiac dysrhythmias CHF HTN liver failure seizures uremia
How do we treat acute renal failure?
dialysis
Does the GFR increase or decrease with age?
decrease 1mL/min annual starting at age 35
Older patients are more likely to develop hypernatremia or hyponatremia?
hypernatremia and fluid volume deficit due to lack of thirst
Which population has incomplete emptying of the bladder, which can lead to UTIs?
older women
Which population is at risk for urinary retention?
diabetics, prostate enlargement, elderly, pregnancy, neurological disorders
s/s of acute glomerulonephritis? (5)
hematuria edema azotemia (abnormal concentration of nitrogenous wastes in the blood) proteinuria urine may be cola colored
complications of acute glomerulonephritis? (3)
hypertensive encephalopathy
heart failure
pulmonary edema
