Busy. Please wait.
Log in with Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
show password

Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't Know
Remaining cards (0)
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

Renal Tx


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




Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
restart all cards