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Renal Disorder/Burns
Question | Answer |
---|---|
Normal GFR | 120-125 mL/min |
Manifestations of Polycystic Kidney Disease | Flank pain, hematuria, proteinuria, polyuria, nocturia, UTI, calculi, HTN, palpable kidneys |
Diagnostic testing of PKD | Ultrasound (procedure of choice), IVP, CT scan |
PKD Management | Fld. intake of at least 2000 mL/day, ACE inhibitors, teach measures to prevent UTIs, avoid nephrotoxic drugs, dialysis or transplant eventually required. |
Glomerular disorders | Leading cause of chronic renal failure, a primary or secondary disorder, filtration is disrupted, membrane becomes more permeable to plasma proteins and blood cells. |
Manifestations of glomerular disorders | Hematuria, proteinuria (best indicator of injury), hypoalbuminemia, edema, azotemia r/t falling GFR, HTN, oliguria. |
Acute Glomerulonephritis | Inflammation of glomerular membrane, poststreptococal is most common form (APSGN), antibody complexes trapped in glomerular membrane leads to inflammation |
Manifestations of Acute Glomerulonephritis | Abrupt onset of proteinuria, hematuria, salt & water retention, azotemia, cola-colored urine, periorbital & dependent edema, fatigue, anorexia, N&V. Less apparent in older adults. |
Nephrotic syndrome | Group of clinical findings. Massive proteinuria, hypoalbuminemia, hyperlipidemia, & edema. Increased risk of atherosclerosis & clots. Good prognosis in children, less optimistic in adults. |
Specific Gravity | 1.001-1.030 |
pH | 4.5-8.0 |
BUN | 5-20 |
Creatinine | 0.5-1.2 |
Hgb | 12-17 |
Hct | 36-54% |
Chloride | 97-107 |
Phosphate | 2.5-4.5 |
Sodium | 135-145 |
Potassium | 3.5-5.0 |
Calcium | 8.6-10.0 |