Term
| What is the most common kind of kidney trauma? |
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Definition
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Term
|
Definition
- hematuria
- pain
- olguria
- anuria
- bruising over the flank or belly button |
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Term
|
Definition
- tachycardia
- restlessness
- hyptension
- pallor
- fatigue |
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Term
| Treatment for kidney trauma? |
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Definition
| - monitor H&H, urinalysis, KUB, CT |
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Term
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Definition
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Term
| Post-Op for a Nephrectomy? |
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Definition
- assess COCA
- report if less then 30ml/hr
- irrigate tube as ordered
- fluid intake 3000ml
- assess for bleeding |
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Term
| Urine passage at night between age of voluntary control? |
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Definition
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Term
| How to be diagnosis with enuresis? |
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Definition
| bed wetting twice a week for 3 months straight |
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Term
|
Definition
- structural
- neurological defects
- infection
- sound sleeper |
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Term
|
Definition
- meds
- bladder training
- limit fluids after dinner
- awake during the night |
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Term
| Kidneys unable to remove accumulated waste from blood? |
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Definition
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Term
| Rapid decline that leads to Azotemia and Fluid and Electrolyte imbalances |
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Definition
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Term
| Develops slow and insidious characterized by progressive, irreversible renal failure? |
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Definition
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Term
| A systolic BP of what is required to maintain renal perfusion? |
|
Definition
|
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Term
|
Definition
Prerenal: decrease blood flow to the glomeruli
Intrarenal: nephrotoxic agents, kidney infection, occlusion of interarenal arteries, DM, or direct trauam
- Post renal: obstruction beyond the kidneys that cause urine to back up |
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Term
| High levels of Nitrogen in the blood causing high urea, uric acid,creatinine, and ammonia? |
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Definition
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Term
| What are the most common causes of acute renal failure? |
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Definition
|
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Term
| What happens in onset renal failure? |
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Definition
- last for 1-3 days
- increasing BUN and creatinine with decreased urine output |
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|
Term
| S/S of onset renal failure? |
|
Definition
- thirst
- edema
- fatigue
- confusion
- tachycardia
- olguria |
|
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Term
| What are the stages of acute renal failure? |
|
Definition
- Onset
- Oliguria
- Diuresis
- Recovery |
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Term
| Happen happens in the oliguria stage of acute renal failure? |
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Definition
- urine decreases to <400ml/day
- increase BUN, creatinine
- decrease K+, P-, Ca+
- Urine osmolality decreases while serum increases as waste products are retained.
- lasts up to 14 days |
|
|
Term
| What happens in the diuresis age of acute renal failure? |
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Definition
- urine output between 400ml - 4000ml/day
- large amt of urine excreted but very few waste products which accumulate in the blood.
- urine labs start to normalize |
|
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Term
| What happens in the recovery stage acute of renal failure? |
|
Definition
- last 1-12 months
- serum lab levels start to normalize
- if complete recovery doesn't occur renal insufficiency or chronic renal failure may develop. |
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Term
| Treatment for hyperkalemia? (high potassium) |
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Definition
- if >6.5 treat aggressively
- Kayexalate: draws potassium into bowels
- Calcium chloride, bicarbonate, insulin, glucose: drives potassium back into cells |
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Term
| Blood taken via temporary cath or shunt access then it is pumped through a dialysis machine where blood is filtered and then put back into the body? |
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Definition
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Term
| Complicationg of hemodialysis? |
|
Definition
- blood volume is unstable
- hypotension
- bleeding
- infection |
|
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Term
| Cath is put into a pt's abdomen, a semipermeable dialysis membrane is put into cath where it sits there and pulls out waste? |
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Definition
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Term
| What dialysis is best for hemodynamically unstable pt's? |
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Definition
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Term
| Nursing intervention during peritoneal dialysis? |
|
Definition
- measure and record abdominal girth
- dialysate should be be warmed to 98.6
- inflow, dwell, drain
- dwell over 10mins
- drain over 20-30mins
- watch for resp distress |
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Term
| What is the leading causes of chronic renal failure? |
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Definition
|
|
Term
| Gradual loss of entire nephron units and puts a greater demand on remaining nephrons? |
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Definition
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|
Term
| What level does creatinine clearance have to be for a transplant to be necessary in chronic renal failure? |
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Definition
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Term
| Kidney's are unable to maintain fluid and electrolyte or acid base balance? |
|
Definition
|
|
Term
|
Definition
- nausea
- apathy
- weakness
- fatigue |
|
|
Term
|
Definition
- frequent vomiting
- weakness
- lethargy
- confusion
- oliguria |
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