Renal - Class Notes/1 Flashcards

1
Q

nephrotic hallmark sx

A

massive loss of protein

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2
Q

renin function

A

converts angiotensinogen to angiotensin 1, lungs then convert Ang-1 to Ang-2 for vasoconstriction

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3
Q

two systemic disease that cause glomerulonephritis

A
  1. HTN

2. DM

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4
Q

pushing out pressure =

A

HP

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5
Q

post strep infection can cause

2

A
  1. RHD

2. glomerulonephritis

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6
Q

AKI that is uncontrolled can lead to

3

A
  1. renal insufficiency
  2. renal failure
  3. ESRF
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7
Q

nephrotic or nephritic - massive loss of protein

A

nephrotic

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8
Q

AKI post think

A

obstruction in uriter

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9
Q

AKI most common outcome

A

resolution

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10
Q

kidney edema causes

2

A

decreased albumin

decreased OP

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11
Q

nephrotic or nephritic - not immune related

A

nephrotic

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12
Q

AKI prerenal is to

A

impaired renal blood flow

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13
Q

glomerulonephritis proteinuria level

A

massive, >3g/day

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14
Q

3 processes of urinary system

A
  1. filtration
  2. reabsorption
  3. excretion
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15
Q

AKI intra most common causes

2

A
  1. post ischemic

2. nephrotoxic

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16
Q

liver edema causes

2

A

decreased albumin

decreased OP

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17
Q

glomerulonephritis tx

A

restrict protein, sodium, and water

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18
Q

glomerulonephritis - if there are RBC casts, where is the bleeding coming from

A

kidney - distal tubule

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19
Q

glomerulonephritis tx of choice

A

high dose steroids

20
Q

most common cause of glomerulonephritis

A

post strep infection

21
Q

CKD two fates

A
  1. slow decline

2. fast decline

22
Q

how do you r/o post strep infection of glomerulonephritis

A

strep test

23
Q

three main systems affected from CKD

A

heart
liver
NS

24
Q

what two things should not be filtered out in urine

A
  1. RBCs

2. Protein

25
nephrotic - glomerulus is more
permeable
26
AKI - prerenal....think | 3
1. heart 2. bvs 3. hypoperfusion
27
AKI - shock is to
pre
28
CKD is a what loss of function
progressive
29
CKD sx | 2
1. proteinuria | 2. uremia (can be converted to ammonia and cause encephalopathy)
30
post strep infection suspected to cx glomerulonephritis - what to ask patient
how have you been feeling the past few months
31
most common immunological cause of glomerulonephritis (general)
post infection
32
nephritic is to
glomerulus inflammation
33
nephrotic dx test
urinalysis; 24 hour urine collect, keep urine cold
34
AKI intra is to
acute tubular necrosis ATN
35
CKD is classified by
GFR >90 (n. 125)
36
cardio edema causes
increase HP
37
what drugs can cause glomerulonephritis | 4
1. ibuprohin 2. NSAIDs 3. drugs to tx pneumonia 4. drugs to tx heart disease
38
3 organs you think of when you hear edema
heart liver kidney
39
ATN is to
AKI intra
40
AKI intrarenal px makeup | 3
1. alcoholic and homeless 2. depression w/ OD of OTC meds 3. cancer px from tx
41
CKD lab tests important results | 2
increased BUN and creatinine
42
CKD - when do we worry about GFR
<50
43
AKI - think... | 3
pre intra post
44
nephrotic is not what related
immune
45
two common causes of CKD
HTN | DM
46
glomerulonephritis what happens in type II hypersensitiivty
in situ; body attacks the basement membrane
47
pulling in pressure =
OP