Term
| 1. _____ is the clinical condition resulting from various pathologic processes that lead to insufficiency of renal excretory and regulatory function. |
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Definition
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Term
| 2. Chronic renal failure is much more common in the _____. |
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Definition
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Term
| 3. 4 of the most common renal disorders of the elderly. |
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Definition
| 1) GLOMERULONEPHRITIS, 2) RENAL ARTERY STENOSIS, THROMBOSIS, OR EMBOLISM, 3) ACURE OR CHRONIC RENAL FAILURE, 4) NEPHROTIC SYNDROME |
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Term
| 4. 6 chronic illnesses that predispose the elderly to chronic renal failure. |
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Definition
| 1) DIABETES, 2) HYPERTENSION, 3) URINARY TRACT OBSTRUCTION, 4) HYDRONEPHROSIS, 5) ATERIAL OBSTRUCTION, 6) LONG TERM USE OF NSAIDS AND CERTAIN ANALGESICS |
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Term
| 5. A dipstick analysis is a good test for these 3 conditions. |
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Definition
| 1) DIABETES, 2) KIDNEY PROBLEMS, 3) LIVER PROBLEMS |
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Term
| 6. 12 s/s of kidney problems. |
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Definition
| 1) FATIGUE, 2) URINARY ISSUES, 3) SWELLING OF LOWER EXTREMITY, FEET, FACE, OR HANDS, 4) PERSON WILL HAVE A ROTTEN SMELL AND THEIR SKIN WILL TURN BROWNISH, 5) SKIN RASH/ITCHING, 6) METALLIC TASTE IN MOUTH/AMMONIA BREATH, 7) NAUSEA AND VOMITING, 8) SHORTNESS OF BREATH, 9) FEELING COLD, 10) DIZZINESS AND TROUBLE CONCENTRATING, 11) LEG/FLANK PAIN, 12) RADIATING PAIN FROM FLANK TO PUBIS |
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Term
| 7. 7 changes in urination that may occur if a patient has kidney issues. |
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Definition
| 1) PATIENT HAS TO GET UP AT NIGHT TO URINATE, 2) URINE MAY BE FOAMY OR BUBBLY, 3) INCREASED FREQUENCY, 4) PALE URINE, 5) DECREASED URINARY FREQUENCY OR AMOUNT, 6) BLOOD IN URINE, 7) FEELING OF PRESSURE OR DIFFICULTY URINATING |
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Term
| 8. Swelling of the _____ is a big indication of kidney issues. |
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Definition
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Term
| 9. Patients with kidney issues will have a _____ smell, and their skin will turn _____. |
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Definition
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Term
| 10. The most general symptom of a kidney/bladder problem is _____. |
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Definition
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Term
| 11. What causes the fatigue associated with kidney problems? |
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Definition
| THE KIDNEYS PRODUCE A HORMONE CALLED ERYTHROPOETIN WHICH STIMULATES RBC PRODUCTION. A DECREASE IN THIS HORMONE WILL DECREASE RBC PRODUCTION WHICH WILL LEAD TO ANEMIA, THEN HHYPOXIA THEN FATIGUE |
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Term
| 12. The fatigue associated with kidney issues is a result of a condition called _____. |
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Definition
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Term
| 13. If a patient has _____, the doctor should look at the kidneys and GI tract. |
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Definition
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Term
| 14. Kidneys remove wastes from the bloodstream, and when the kidneys fail, the buildup of wastes in the blood can cause severe _____. |
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Definition
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Term
| 15. Kidney conditions will cause a metallic taste in the mouth/ammonia breath due to _____, which is a buildup of wastes in the blood. Patients may also lose weight because of this due to a loss of taste and appetite. |
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Definition
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Term
| 16. Uremia can also cause _____ with a loss of appetite and weight loss. |
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Definition
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Term
| 17. 2 causes of shortness of breath associated with kidney issues. |
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Definition
| 1) EXTRA FLUID CAN BUILD UP IN THE LUNGS, 2) ANEMIA HYPOXIA CAN LEAVE THE BODY OXYGEN STARVED AND SHORT OF BREATH |
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Term
| 18. Anemia can cause the person to feel _____ all the time, even when in a warm room. |
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Definition
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Term
| 19. The brain requires _____% of the body’s oxygen. |
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Definition
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Term
| 20. _____ can result in the brain not getting enough oxygen for normal function, which results in memory problems, trouble concentrating, and dizziness. |
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Definition
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Term
| 21. _____ is a condition that causes large, fluid filed cysts on the kidneys and sometimes the liver and causes pain. |
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Definition
| POLYCYSTIC KIDNEY DISEASE |
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Term
| 22. The cysts of polycystic kidney disease can be seen on a _____. |
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Definition
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Term
| 23. If a patient complains of radiating pain from the flank to pubis, the doctor should be thinking of _____. |
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Definition
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Term
| 24. _____ is bone disease related to kidney failure that affects 90% of dialysis patients. It causes bones to become thin and weak or malformed, and affects both children and adults. |
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Definition
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Term
| 25. There is an increased risk of renal osteodystrophy in _____ and _____. |
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Definition
| OLDER PATIENTS AND WOMEN WHO HAVE GONE THROUGH MENOPAUSE |
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Term
| 26. _____ is a condition common in people who have been on dialysis for more than 5 years. It develops when proteins in the blood deposit on joints and tendons causing pain, stiffness, and fluid in the joints. |
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Definition
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Term
| 27. _____ offers choices in treating advanced and permanent kidney failure, and first became a practical and widespread treatment for kidney failure in the 1980’s. |
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Definition
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Term
| 28. The health care team for peritoneal dialysis is these 5 people. |
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Definition
| 1) NEPHROLOGIST, 2) DIALYSIS NURSE, 3) TECHNICIAN, 4) DIETITIAN, 5) SOCIAL WORKER |
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Term
| 29. 3 steps in how peritoneal dialysis works. |
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Definition
| 1) A CATHETER IS USED TO FILL THE ABDOMEN WITH DIALYSIS SOLUTION, 2) THE PERITONEUM OF THE ABDOMEN ALLOWS WASTE PRODUCTS AND EXTRACELLUAR FLUID TO PASS FORM YOUR BLOOD INTO THE DIALYSIS SOLUTION, 3) THE WASTES AND FLUID THEN LEAVE THE BODY WHEN THE DIALYSIS SOLUTION IS REMOVED |
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Term
| 30. In peritoneal dialysis, the dialysis solution contains a sugar called _____ which will pull wastes and extracellular fluid into the abdominal cavity. |
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Definition
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Term
| 31. In peritoneal dialysis the period the dialysis solution is in the abdomen is called _____. |
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Definition
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Term
| 32. A typical peritoneal dialysis calls for _____ exchanges a day. |
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Definition
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Term
| 33. The most common form of peritoneal dialysis is called _____, and does not require a machine. The patients are able to walk around with the dialysis solution in their abdomen. |
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Definition
| CONTINUOUS ABULATORY PERITONEAL DIALYSIS (CAPD) |
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Term
| 34. Other forms of peritoneal dialysis require a machine called a _____ to fill and drain your abdomen, usually while the patient is asleep. |
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Definition
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Term
| 35. CAPD uses _____ to fill and empty the abdomen. |
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Definition
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Term
| 36. Typically CAPD requires _____ exchanges during the day, and _____ evening exchange with a long overnight dwell time while you sleep. |
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Definition
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Term
| 37. _____ is a dialysis machine that uses an automated cycler to perform 3-5 exchanges during the night while the patient sleeps. In the morning the patient begins one exchange with a dwell time that lasts the entire day. |
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Definition
| CONTINUOUS CYCLER-ASSISTED PERITONEAL DIALYSIS (CCPD) |
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Term
| 38. _____ is a dialysis treatment like CCPD, only the number of overnight exchanges is greater (6+) and there is no exchange during the day. |
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Definition
| NOCTURNAL INTERMITTED PERITONEAL DIALYSIS (NIPD) |
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Term
| 39. _____ is usually reserved for patients who peritoneum is able to transport waste products very rapidly or for patients who still have substantial remaining kidney function. |
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Definition
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Term
| 40. A _____ can help improve your dialysis and your health, and will increase the value of the dialysis treatments. |
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Definition
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Term
| 41. _____ is the most common dialysis that is used. |
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Definition
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Term
| 42. Hemodialysis is performed _____x a week. |
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Definition
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Term
| 43. 3 main jobs of a hemodialysis machine. |
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Definition
| 1) PUMP BLOOD AND MONITOR FLOW FOR SAFETY, 2) CLWAN WASTES FROM BLOOD, 3) MONITOR BP AND THE RATE OF FLUID REMOVAL FROM YOUR BODY |
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Term
| 44. The _____ of the hemodialysis machine is a large canister containing thousands of small fibers through which blood is passed. It contains many fibers which filter the blood. |
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Definition
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Term
| 45. The dialyzer is sometimes called an _____. |
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Definition
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Term
| 46. When one receives an organ transplant, they are required to take _____ which means the patient needs to avoid vaccines and illness. |
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Definition
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Term
| 47. The _____ of hemodialysis cleans wastes from blood, and monitors BP and the rate of fluid removal from the body. |
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Definition
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Term
| 48. The dialysis solution of hemodialysis is also known as _____, and it is the fluid in the dialyzer that helps remove waste and extra fluid in the body. It contains chemicals that make it act like a sponge to absorb the wastes and extra fluid. |
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Definition
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Term
| 49. Most dialysis centers use 2 needles which serve these 2 functions. |
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Definition
| 1) ONE TO CARRY BLOOD TO THE DIALYZER, 2) ONE TO RETURN CLEANED BLOOD TO THE BODY |
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Term
| 50. Needles for high-flux or high-efficiency dialysis need to be a little _____ than those used with regular dialyzers. |
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Definition
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Term
| 51. Hemodialysis removes the harmful wastes and extra salt and fluids from your body, and helps keep the proper balance of chemicals like _____ and _____ in your body. |
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Definition
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Term
| 52. Dialysis will remove many of the minerals from blood, which will increase one’s chances of developing _____. |
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Definition
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Term
| 53. Can you give supplements to a patient on dialysis? |
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Definition
| NO!!!! HAVE THEM EAT WHOLE FOODS WITH THE CORRECT NUTRITION |
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Term
| 54. _____ is defined as the involuntary loss of urine, and affects 8-34% of the elderly. |
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Definition
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Term
| 55. 8 functional causes of urinary incontinence. |
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Definition
| 1) MENTAL/MOBILITY, 2) MEDICINES (DIURETICS, MUSCLE REXLAXANTS, PAIN MEDS), 3) UTI, 4) ATROPHIC VAGINITIS/URETHRITIS, 5) DIABETES, 6) FECAL IMPACTION, 7) LOSS OF SENSORY/MOTOR FUNCTION, 8) DEMENTIA |
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Term
| 56. Most _____ and _____ will run a low grade bacterial infection. |
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Definition
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Term
| 57. A patient who has a low grade bacterial infection should have a _____ 2 weeks after taking antibiotics. |
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Definition
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Term
| 58. If a patient has urinary incontinence, adjust these 3 places. |
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Definition
| 1) T10-12, 2) L3-L4, 3) S2-S4 |
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Term
| 59. 2 active care exercises for a patient with urinary incontinence. |
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Definition
| 1) KEGAL EXERCISES, 2) PELVIC FLOOR RE-EDUCATION |
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Term
| 60. _____ are like a diaphragm at the end of the vaginal tract that helps support the pelvic floor in a patient with urinary incontinence. |
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Definition
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Term
| 61. 3-4oz a day of _____ will help coat the urinary tract making it difficult for the bacteria to latch onto the tract. |
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Definition
| CRANBERRY/CRANBERRY JUICE |
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Term
| 62. If a patient has dysuria, increased urinary frequency, flank pain, fever, and/or hematuria, a doc should consider these 3 conditions. |
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Definition
| 1) CYSTITIS, 2) UTI, 3) KIDNEY STONE |
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Term
| 63. 3 places you should adjust for a patient with kidney stones. |
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Definition
| 1) T10-T12, 2) L3-L4, 3) S2-S4 |
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Term
| 64. Adjusting these 3 segments will _____ making it easier to pass stones. |
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Definition
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Term
| 65. If a patient has kidney stones, they should follow these 6 nutritional recommendations. |
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Definition
| 1) 3-4OZ OF CRANBERRY JUICE, 2) 50MG B-6, 3) 400MG MAGNESIUM, 4) ASPARAGUS CAPS, 5) INCREASE WATER, 6) DECREASE CAFFEINE |
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Term
| 66. A patient with a _____ will have increased urinary frequency with some discomfort, and leukocyte casts in urinalysis. |
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Definition
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Term
| 67. Will a bladder infection respond well to chiropractic? |
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Definition
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Term
| 68. A patient with a _____ will have flank pain and hematuria. |
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Definition
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Term
| 69. Will a kidney infection respond well to chiropractic? |
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Definition
| NO, THEY NEED ANTIBIOTICS |
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Term
| 70. Hyperthyroidism is also known as _____. |
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Definition
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Term
| 71. Hypothyroidism is also known as _____. |
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Definition
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Term
| 72. 2 types of thyroid nodular diseases. |
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Definition
| 1) HASHIMOTO’S DISEASE, 2) ANAPLASTIC CARCINOMA |
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Term
| 73. 9 s/s of hypothyroidism. |
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Definition
| 1) FATIGUE, 2) INTOLERANCE TO COLD, 3) DRY SKIN AND HAIR, 4) LETHARGY, 5) POOR MEMORY, 6) CONSTIPATION, 7) WEIGHT GAIN, 8) MUSCLE CRAMPS, 9) DEAFNESS |
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Term
| 74. 10 s/s of hyperthyroidism. |
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Definition
| 1) NERVOUSNESS, 2) IRRITABILITY, 3) PALPITATIONS, 4) HEAT INTOLERANCE, 5) SWEATING, 6) SOB, 7) WEIGHT LOSS, 8) EYE COMPLAINTS, 9) INSOMNIA, 10) BULGING EYES |
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Term
| 75. A patient with _____ should test their basal axillary temp for 10min every morning. |
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Definition
| HYPOTHYROIDISM (WILL LOWER TEMPS) |
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Term
| 76. Men should check their basal axillary temps for _____, while women should check for _____ due to menstrual hormones. |
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Definition
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Term
| 77. A thyroid lab exam tests for these 3 hormones. |
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Definition
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Term
| 78. Where should you adjust for a patient with thyroid problems? |
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Definition
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Term
| 79. 3 nutritional recommendations for a patient with thyroid issues. |
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Definition
| 1) 1000 MG OF L-TYROSINE, 2) KELP/IODINE, 3) THYROID GLANDULAR |
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Term
| 80. _____ is a thyroid medication that does not have T3 or T4. |
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Definition
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Term
| 81. _____ is a thyroid medication that has T3+T4. |
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Definition
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Term
| 82. Patients receiving thyroid treatment may not notice changes for 6-8 weeks, but their temp may change in _____ weeks. |
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Definition
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Term
| 83. _____ % of chiropractors are involved in litigation at one time. |
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Definition
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Term
| 84. What is the most common claim of malpractice brought against chiro’s? |
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Definition
| ADJUSTMENTS CAUSING INJURY TO DISC |
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Term
| 85. The doctor patient relationship increases one’s chances of developing claims due to _____ of care. |
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Definition
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Term
| 86. The best insurance a doctor can have in preventing a malpractice claim is the development of _____. |
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Definition
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Term
| 87. _____ is a diagnostic and treatment process that a clinician should follow for a certain type of patient, illness or clinical circumstance. It is how similarly qualified practitioners would have managed the patients care under the same or similar circumstances. |
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Definition
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Term
| 88. 3 major board complaints about professional boundaries. |
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Definition
| 1) SEX, 2) LIES, 3) DRUGS |
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Term
| 89. Who are doctors most likely to have an affair with? |
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Definition
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Term
| 90. Professional boundaries are determined by the _____. |
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Definition
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Term
| 91. _____ is sexual contact which occurs within the context of the delivery of healthcare. |
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Definition
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Term
| 92. _____ is misuse of the authority and trust placed in a doctor for the purpose of engaging in sexual activity with a patient. This activity can be with current or former patients. |
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Definition
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Term
| 93. 90% of all sexual misconduct victims are _____. |
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Definition
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