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Renal Disorders
Reanal disorders Mr Justice (wendy)(Andrea)(Tonya)
Question | Answer |
---|---|
Most accurate indicator or fluid loss/gain in Pt | Weight, 1 kg=1 L retained fluid |
Clinical manifestations r/t Glomerular injury | Proteinuria, Hematuria, Decreased GFR, Alterations in Na excretion |
Kidney size r/t Acute glomerulonephritis | Kidneys become large and congested |
Uremia | Excess urea/nitrogenous wastes in blood |
Hypertensive encephalopathy r/t Acute glomerulonephritis | HE is a complication of AG, Medical emergency |
Therapy r/t Hypertensive encephalopathy | Reduce BP w/out impairing kidney function |
Chronic glomerulonephritis indications | Retinal hemorrhages, Feet swollen at night |
Changes d/t Renal failure | Hyperkalemia, Metabolic acidosis, Anemia, Mental status changes |
Medications that contribute to intrarenal damage | NSAIDs and ACE inhibitors |
Earliest manifestation r/t Tubular damage | Inability to concentrate urine |
BUN level r/t Serum creatinine level | Both increase/decrease together |
Normal serum creatinine level | < 2 mg/dL |
Weight r/t Negative nitrogen balance | Weight is lost |
Body systems r/t Uremia | Virtually all are effected d/t Chronic renal disease(ESRD) |
Creatinine clearance vs. Serum creatinine vs. BUN level r/t Glomerular filtration decrease | GF and CC decrease, Serum C and BUN increase |
Most common dialysis method | Hemodialysis |
Bloody drainage r/t Peritoneal dialysis | Seen in first few exchanges after insertion of new catheter |