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COMPS renal/MALE GU
renal failure
17
Nursing
Graduate
05/02/2015

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Cards

Term
Acute Renal Failure categories
Definition
- Prerenal: reduction of renal perfusion e.g. dehydration, GI bleed, bilateral arterial occlusion

- Intrarenal: vascular, glomerular, tubular injuries

- Postrenal: obstruction or urinary tract or renal veins
Term
Protein in urine
Definition
Normal = 40-80 mg/day
Abnormal, MONITOR and make sure on ACE OR ARB = more than 150 mg/24 hrs
REFERRAL range = 800-1000 mg/24 hr
Nephrotic range = more than 3.5g/24 hr
Term
Nephrotic range for proteinuria
Definition
more than 3.5 g/24 hr
Term
Creatinine normals
Definition
Cr: male - 0.6-1.2; female - 0.5-1.1
Term
Calculating GFR
Definition
[(140-age) x (kg wt.)]/[(Scr mg/dl) x 72] - males

females = x 0.85
Term
GFR ranges
Definition
Healthy people, normal GFR 90mL/min/1.73m2
60-89mL w/o kidney damage may be nl
60-89mL >3mo along with kidney damage=early kidney dz
<60mL >3mo = chronic kidney dz (CKD)
Term
Acute renal failure
Definition
- RISE in Cr. and BUN, like doubled
- not peeing much!
Term
Acute renal: Prerenal dx
Definition
- FLUID LOSS
- tx: fluid!!

BUN/Cr ratio > 20:1 due to increased water and urea absorption
Low urine spot sodium (not 24 hr) < 20meq/L (mostly less than 10)
Term
ATN dx
Definition
BUN/Cr ratio normal or < 20:1
High urine Na >40 mEq/L
High FENa >2%
- careful hydration and supportive care
Term
Intrarenal causes (6)
Definition
1. contrast nephropathy
2. thromboembolic disease
3. Interstitial nephritis
4. Pigment nephropathy
5. Acute glomerulonephritis
6. Acute tubular necrosis (ATN)
Term
Postrenal causes
Definition
- Group of disorders from physical obstruction of ureters, bladder, prostate, renal vein
- Patients may have flank pain, polyuria, oliguria or anuria
Term
CKD dx
Definition
CKD is GFR < 60mL per min per 1.72msq or evidence of kidney damage w/wo decreased GFR for 3 or more months
Term
CKD staging!!!
Definition
Stage 1: >90 - kidney damage w/ nL or inc. GFR
Stage 2: 60-89 - kidney damage w/ mildly dec. GFR
Stage 3: 30-59 - mod. decr. GFR
Stage 4: 15-29 - severely decr. GFR
Stage 5: <15 OR DIALYSIS - kidney failure
Term
Prostatitis
Definition
- UTI sx, edematous prostate, may be warm and tender/boggy to palpation, pain
- abx x 14 days
Term
BPH
Definition
- PSA>4
- prostate = smooth, rubbery consistency with possible nodules
Term
Hydroceles
Definition
- Painless swelling of one or both testicles
- Disappears without treatment during first year of life in newborns or 6 months in adults
- If symptomatic or does not resolve spontaneously, refer for hydrocelectomy
- transilluminates
Term
Varicocele
Definition
- Nontender mass above testicles that feels like a bag of worms
- Typically develop in adolescence and likely result in worsened sperm production
- No treatment necessary unless pain, testicular atrophy, or infertility then refer for repair
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