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Med Surge III Exam 2
Renal
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Subdecks (4)
Renal Replacement Therapies
Med Surge III Exam 2 > Renal
33 cards
Nursing Care & Tx
Med Surge III Exam 2 > Renal
60 cards
Symptoms - Renal Disorders
Med Surge III Exam 2 > Renal
12 cards
Diagnostics & Labs - Renal
Med Surge III Exam 2 > Renal
6 cards
Cards (124)
What are the functions of the kidney?
Urine
formation/
waste excretion
Regulates
fluid volume
Controls
concentrations
of
electrolytes
Assists in maintaining
acid-base
balances
Aids in regulation of
BP
Controls productions of
RBCs
in
bone marrow
Activates
Vitamin D
~ regulate
Ca
What lab value is the best indicator for kidney function?
serum creatinine
What are the normal ranges of renal lab values?
BUN
: N = 10 – 20
Creatinine
: N = 0.6 - 1.4
BUN
:Creat
ratio
= 10:1 – 20:1
GFR
: N > 90mL/min
Creatinine Clearance
(varies based on age/gender) but N = 85 – 135
What are the risk factors for polycystic kidney disease?
Autosomal Genetic Disorder
that can develop in
childhood
or
Aduly
What is polycystic kidney disease?
cysts develop because of
repeated cell division
process; this eventually progresses to
end-stage renal disease
What is acute glomerulonephritis?
inflammation of the
glomeruli
within the
bowman's capsule
of kidney
What are the risk factors for acute glomerulonephritis?
Strep
infection,
autoimmune
diseases [
lupus
,
good pasture's syndrome
,
vasculitis
]
What are the risk factors of renal cancer?
Smoking
,
obesity
,
high blood pressure
, and
family history
exposure to
asbestos
or
lead
What are the risk factors for acute kidney injury?
Pre-renal:
dehydration
, vascular
hypovolemia
,
hypotension
[anything that
decreases
blood
flow
]
Intra-renal: [
damage
to kidney] = nephrotoxic drugs (
aminoglycosides
,
NSAIDs
, IV
contrast
dye
), renal
ischemia
,
AGN
Post Renal: [
obstruction
] =
BPH
,
stones
, strictures, tumors (prostate),
trauma
What are the risk factors for chronic kidney disease?
Diabetes
Hypertension
Direct
Kidney
Damage
AKI
,
PKD
, or
AGN
Nephrotoxic drugs
Lupus
~
autoimmune
What is acute kidney injury?
acute loss
of
renal function
Azotemia
Oliguria
(often
1st
sign)
What are some risk factors for acute glomerulonephritis to become chronic?
Repeated infections
Diabetes
Hypertension
Connective
Tissue
Disease
What is chronic kidney disease?
Progressive loss
of
kidney function
over
time.
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