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LO4 Renal System
Explore normal and abnormal assessments for the renal system
| Question | Answer |
|---|---|
| John Smith 75 year old male comes in for an assessment. When you examine his bloodwork, his GFR is less than 35. Is this normal or abdnormal? | Abnormal |
| What other questions would you want to know about this patient? | Past medical history, history of presenting illness, system assessment |
| John Smith has had hypertension (HTN) for 30 years and had been non-compliant with his medication regime for years. Is hypertension a precursor to kidney injury (CKD)? | yes |
| How does HTN affect the kidneys? | By constricting and narrowing the vessels in the kidneys, reducing blood flow. |
| How does congestive heart failure affect the kidneys? | Reduced blood supply, increased fluid build up |
| Is it important to weight a patient with kidney failure daily? | Yes |
| Why is it important to weight a patient with kidney failure daily? | Because of the risk of fluid overload. |
| What important electrolyte can become elevated in someone who has kidney disease? | potassium |
| What are some common interventions used with kidney disease? | Dialysis, diuretics, fluid restriction, anti-hypertensives |
| If someone has a dialysis shunt (A/V Fistula) is it ok to perform a blood pressure, blood glucose or venipuncture on that arm? | No-the fistula is the patient's lifeline. If it becomes damaged or becomes infected it can impact that person's life. |
Created by:
nfraser52
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