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renal11
| Question | Answer |
|---|---|
| main cause of glomerulonephritis? | strep bacteria |
| how is fluid replacement determined? | 24 hour fluid loss + 500 cc |
| With all kidney issues except ________, protein needs to be decreased in the diet. | nephrotic syndrome |
| the main cause of nephrotic syndrome is | inflammation |
| another name for total body edema is | anasarca |
| A person with nephrotic syndrome needs anticoagulant therapy for ______ | 6 months |
| What two drugs are given through an IV to help with the fluid problems associated with nephrotic syndrome? | lasix and albumin |
| pre-renal failure is when ______ | blood can't get to the kidney |
| intra-renal failure is when ____ | damage has occurred inside the kidney |
| post-renal failure is when _____ | urine can't get out of the kidney. |
| To help dx renal failure what should be performed? | fluid challenge |
| if the patient is given a fluid challenge, and they are in renal failure, what will their urine specific gravity do? | won't change |
| When a patient is in renal failure, why would they develop anemia?? | lack of erythropoietin |
| Why would the patient with renal failure develop osteoporosis? | they retain phosphorus, which lowers the Ca level in the blood, and therefore causes the body to draw Ca from the bones. |
| The two phases of acute renal failure are ________. | oliguric phase and the diuretic phase |
| During the Oliguric phase: UO is ______; UO of ______ to _____ in 24 hours; K will be ______. | decreased; 100-400ml; increased |
| In hemodialysis, the filter is ____ | a machine |
| If the patient is undergoing hemodialysis, they need _______ | vascular access |
| During dialysis, ____ needles are inserted into the vascular access. | two |
| the ____ end of the access will remove the blood and the return is through the low pressure _____ access. | arterial; venous |
| If a patient has vascular access for dialysis, what are the nursing considerations? | no BPs, no needle sticks, and no constriction on that arm. |
| When assessing vascular access, you should hear a ______ and feel a ______. | bruit; thrill |
| In peritoneal dialysis, _____ serves as the filter. | peritoneal membrane |
| What temperature should the fluid that is used for peritoneal dialysis be? | warm |
| What should the drainage from a peritoneal dialysis look like? | clear, straw-colored. |
| What should the nurse do if all the fluid instilled during peritoneal dialysis doesn't return? | turn the patient from side to side. |
| Which type of patients shouldn't use CAPD (continous ambulatory peritoneal dialysis)? | those with disc disease, arthritis, or those with a colostomy |
| Which type of dialysis is used at night? | CCPD (continuous cycle peritoneal dialysis). |
| What is the number one complication associated w/peritoneal dialysis? | peritonitis |
| Why would a person with peritoneal dialysis complain of a constant sweet taste in their mouth? | because the fluid used for dialysis is full of glucose to make it more hypertonic |
| A patient on peritoneal dialysis should increase _____ and _____ in their diet? | protein and fiber |
| A patient with a kidney stone may have _____ and _____ in their urine. | WBC and RBC |
Created by:
SouthernBelle
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