Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Chronic Renal Failur
Renal 2 Exam
| Question | Answer |
|---|---|
| Chronic renal failure is aka | ESRD |
| Person can survive without dialysis until almost ____% of nephrons are lost | 90 |
| Creatinine clearance of <____% means dialysis or transplant is needed for survival | 15 |
| GFR is calculated by | creatine, albumin, age, race, gender, BUN |
| Urinary sym of CRF | Polyuria d/t loss of ability to concentrate urine, eventually oliguria or anuria. Fixed sp grav 1.010, positive protein, WBC casts (pyuria), hematuria depending on cause |
| What happens to BUN and Creat? | Increase |
| Increased BUN results in what? | N/V, lethargy, HA, impaired thought processes, uremic frost |
| Urea and uric acid salts on skin | Uremic Frost |
| Electrolyte imbalance includes | Increase K, NA, Phos, Decreased Ca, bicarb |
| What are other s/s of CRF | Diarrhea, constipation, peripheral neuropathy, yellow-gray discoloration of skin, pruritis, leg pain, dyspnea |
| Diet for CRF | Restrict K, Na, Protein, Fluid, phos. Provide multi vitamin |
| What is protein and fluid restriction for CRF | 40g/day protein, 600 mL + previous day output fluids |
| Low K foods include | Green or wax beans, apples, grapes, bell peppers |
| Avoid K foods such as | Spinach, lima beans, potatoes, tomatoes, and peas |
| What meds to control Hyperk? | Kayexalate, insulin (ER situation not qd), sodium bicarb |
| What meds to control HTN? | ACEI, CCB, BB, Vasodilators, diuretics |
| Decreases effect of K on cells but does not decrease K | Ca Gluconate |
| With what is anemia treated? | Epogen IV or SQ 3x/week |
| What Phos binding meds given? | Os-Cal, Phos lo with meals, Renegal |
| Why would antiseizure meds be given? | Uremia and HyperNa |
| What nursing measures? | Daily weight, Strict I/O, check skin (increased r/o infection), anticipate grieving, dialysis, life-threatening overload (Increased Na, BUN) |
| When conservative tx no longer effective, _____ and/or ________ are the only options | dialysis, kidney transplant |
| What are the indicators for dialysis? | K>6, BUN >120, fluid overload w/ compromised cardiac or pulmonary status, sig mental status changes, pericarditis, pericardial effusion, cardiac tamponade |
| What output is considered anuria? | <40-50 mL/day |
Created by:
mreedy
Popular Nursing sets