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N370-03: Renal
Disease/Patho pt. 2
| Term | Definition |
|---|---|
| Dry | (Wet or Dry) renal dysfunction shows INC BUN and is usually caused by hemoconcentration (volume depletion, poor perfusion, cardiac insufficiency, protein catabolism, inc protein intake, reabsorption of hematoma, and corticosteroids. |
| Wet | (Wet or Dry) renal dysfunction shows DEC BUN and is usually caused by hemodilution (overhydration, malnutrition/lack of protein wastes, and severe hepatic damage/cannot filter blood. |
| Peritoneal dialysis, Hemodialysis, and Renal Transplant | What are the main types of renal replacement therapies? |
| Hyperkalemia, Acidosis, Volume overload, Elevated BUN, Pericarditis, Encephalopathy, Edema (pulmonary | What does the "HAVE PEE" indications for dialysis stand for? *Know why* |
| Peritoneal Dialysis | _____ is a type of dialysis wherein blood is cleaned INSIDE the body (the peritoneal region) as it acts as a natural filter through semipermeable membrane (solute follow high to low gradient) |
| Dialysate | During peritoneal dialysis, abdominal area is slowly filled with ______ through catheter -> blood stays within the cavity b/c extra flue & waste are drawn by albumin into the liver |
| T | T or F: Dialysate instilled in peritoneum has lower gradients which PULLS OUT out the waste from blood vessels/ |
| Peritoneal dialysis; peritonitis | ______ provides easy access, can be performed at bedside without a dialysis nurse but is less effective than hemodialysis and has a BIG RISK of _____. |
| Infection and bleeding; peritonitis (rigid board like abdomen w/ rebound tenderness) | Peritoneal dialysis requires tube inserted percutaneously which increases risk of ____ and _____. Once infection sets in, _____ happens which is inflammation of peritoneal cavity. |
| Disequilibrium syndrome | ______ is a cluster of symptoms that occur soon after dialysis; highest risk are patients new to dialysis, extremely high BUN, active neuro conditions at time of dialysis |
| Superior vena cava; arrhythmias | Temporary dialysis vascular access goes into the _________ and has a potential migration into atria/ventricle which could instigate ______. |
| ESRD, evaluation of poor hemodialysis efficacy, cost savings (benefit vs. risk) | What's the criteria for renal transplant? (hint: EEC *eek!!!*) |
| Hyperacute (minutes to hours d/t immediate ischemia necrosis from clots), Acute (days to months d/t vasculitis), Chronic (slowest/longterm d/t fibrotic scarring -> progressive ischemia) | What are three types of kidney transplant rejection? |
| Infection | For kidney transplant rejection medications, immunosuppressant drugs target cell-mediated immunity to reduce body's natural reaction to foreign situations, which is why we anticipate inc ______ risk. |
| Benign Prostate Hyperplasia (BPH) | ______ is a non-malignant enlargement & normal variant of aging process in elderly men; narrows lumen of the bladder itself then it obstructs urine and leads to s/sx of retention (inability to void). (Post-renal AKI)? |
| ADH | ______ causes reabsorption of water alone. |
| Aldosterone | _______ causes reabsorption of sodium, thus water follows too. |
| True | T or F: Avoid giving renal patients potassium (organ meats, fish, dried fruits, milk, dark green veggies, salt sub), phosphorus (dried beans, yogurt, cheese), protein (calc based on body weight rt dialysis status), sodium (processed/fast food, pickles) |
| HTN; diabetes | The following conditions put someone to on a great risk for ESRD: ___ (disrupts vessels) and _____ (d/t osmotic diuresis -> glucose are big particles -> overworks kidneys). |
| 80 | When __% of nephrons are not functioning, start renal replacement therapy! |
Created by:
yortiz
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