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Renal Disorders

Reanal disorders Mr Justice (wendy)(Andrea)(Tonya)

QuestionAnswer
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
Created by: rpclothier
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