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