Renal Tx Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Metabolic alkalosis: Tx: Chloride-responsive: | correct ECF volume deficit with isotonic saline; d/c diuretics; add H2 blocker or PPI; IV acetazolamide if CV or pulmo dz |
Metabolic alkalosis: Tx: Chloride-resistant: | surgical resection of mineralcorticoid-producing tumor (?adrenal adenoma); ACEI or spironolactone to block aldosterone effect |
Metab acidosis Tx | IV bicarb if pH<7.1 and hemo unstable; tx underlying disorder |
Glomerulonephritis Tx | cyclophosphamide & prednisone for inflammatory response (less nec in PSGN); salt/fluid restriction; HD if azotemia; ACEI |
CKD tx | ACEI, ARB; ctrl comorbids (LDL <100, A1c <7.5, BP <130/80); EPO/Fe prn |
nephrotic syndrome tx | ACEI, judicious diuretics, Na/fluid restriction; aggressive infxn tx; anticoag prn |
renal stone tx: <5 mm: | fluids; strain urine for stone; analgesics prn; poss alpha or CCB |
renal stone tx: 5-10 mm: | fluids, analgesics; ESWL or ureteroscopy w/basket extraction |
renal stone tx: >10 mm: | inpt mgmt if unable to maintain oral intake; hydration; Gold Std: perc nephrostomy; or ureteral stent; ESWL or (>2 cm) perc lithotomy |
hypernatremia tx | Na >145; tx as inpt; Tx hypovolemia first (isotonic saline), hyponatremia second (oral free water or IV D5W) |
hypernatremia: if Na >200: | HD |
Hyponatremia tx | Tx hypovolemia as inpt; tx underlying cause (euvolemic/ hypervolemic: fluid restriction) |
Too rapid correction of hyponatremia can cause | central pontine myelinolysis => neuro damage |
severe hypovolemic hyponatremia (<120) tx | cautious use of hypertonic saline |
hyperkalemia | tx severe high K+ then underlying dz; dc K-sparing meds; IV Ca gluconate; bicarb, D50, Ca CO3, IV insulin; kayexalate |
hyperphosphatemia tx | if 2/2 CKD: PO4 restriction + oral PO4 binders; oral CaCO3 |
hypermagnesemia tx | 10-20 mL IV Ca gluconate in 10 min; furosemide |
bladder ca: tx: superficial lesion: | endoscopic resection & fulguration, f/u cystoscopy q3 mo; poss adjuvant thiotepa, mitomycin-C, or BCG |
bladder ca: tx: recurrent dz or diffuse TCC: | radical cystectomy |
Renal cell ca tx | radical nephrectomy for local dz; palliative XRT for dissem dz (brain, bone, lungs); poss alpha interferon & interleukin |
Renal cell ca: ineffective treatments | neoadjuvant xrt for early dz; radical nephrectomy in advanced dz; hormonal/CT |
Wilms tumor tx | multimodal: surgery (radical nephrectomy), CT (dactinomycin, vincristine, doxorubicin), poss xrt |
HUS tx | Abx after sx onset may decrease duration; Cipro or rifaximin |
loop diuretics: site of action | loop of henle |
Thiazide diuretics: site of action | Proximal distal renal tubule |
K-sparing diuretics / Aldosterone antagonists: site of action | Distal renal tubule & collecting duct |
Carbonic anhydrase inhibitors: site of action | Proximal renal tubule |
Created by:
Abarnard
Popular Medical sets