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Flashcards in renal Deck (14):
1

glomerulonephritis

inflammatory reaction in glomerulus
- antibodies lodge = scarring, bad filtering
- main cause: strep

acute can lead to chronic

2

main cause of glomerulonephritis

strep

3

s/s of renal failure

retain toxin:
malaise
headache
anorexia
nausea, vomiting

retain H2O:
decreased uop
weight gain

4

nephrotic syndrome

inflammatory response in the glomerulus = big holes = proteinuria = hypoalbuminemia = fluid out of vascular space into tissue = hypovolemia = kidneys try RAAS = anasarca

PS
- hyperlipidemia because liver trying to compensate by making more albumin which releases cholesterol, triglyercides
- blood clots (missing protein factors to prevent)

5

anasarca

total body edema

6

nephrotic syndrome tx

diuretics
- water out

ACE-I
- stop aldosterone

prednisone
- decrease inflammation (holes)

anti-lipemics

anti-coagulation therapy up to 6 months

dialysis

7

pre-renal failure

blood can't get to kidneys

think shock, hypotension

8

intra-renal failure

damage has occurred within kidney

think dyes, drugs, glomerulonephritis, nephrotic syndrome, DM, htn

9

post-renal failure

urine can't get out of kidneys

think enlarged prostate, kidney stone, tumors, edematous ileal conduit stoma

10

renal failure electrolyte imbalances x3

hyperkalemia (think: lethal arrhythmias)
metabolic acidosis (can't filter out H+)
retained phosphorus --> serum Ca down --> Ca out of bones

11

oliguric phase of renal failure

decreased uop (100 - 400mL/24 hours)
fluid volume excess, hyperkalemia

12

diuretic phase of renal failure

sudden onset; increased uop
fluid volume deficit (shock!), hypokalemia

13

thrill

palpate - cat purr sensation

14

bruit

auscultate turbulent flow