week 11 seminar Flashcards
what is azotemia
accumulation of nitrogenous waste
what is the net result of both pre and post renal Aki
less filtration
how long does the maintenance phase of AKI usually last
10-14 days, to months
how would you assess pre, intra, and post renal Aki
initiation: assessment is same as pre and post renal causes
maintenance: assessment is same as CKD
recocvery: assessment is different, you want to monitor for hyponatremia and dehydration
what is the goal of intervention for AKI
to save the basement membrane
what are the main assessments for pre and post renal
ins/outs, BP, bladder scan, urea and creatinine
in the oliguric/maintenence phase of AKI, which symptoms does the nurse monitor for
mainly pulmonary edema, hyponatremia, and hyperkalemia
why does acidosis worsen with hyperkalemia
because hydrogen ions will enter the cells which causes potassium to leave
what constitutes severe hyperkalemia
potassium over 6 with EKG abnormalities
what constitutes moderate hyperkalemia
potassium over 6
how do you treat severe hyperkalemia with RKG changes
IV calcium gluconate
whats the difference between primary glomerulonephritis and secondary
primary: condition that primarily involve the kidneys
secondary: kidney involvement is only a part of it (i.e. lupus()
what is history you would take for glomerulonephirits
recent viral or bacterial infections, autoimmune conditions, immunisation history
will you have fever with cystitis
no, just pyelonephritis
what type of UTI is associated with CVA tenderness
upper UTI (will be absent with lower UTI)
