NUR 431 Exam 3 study guide with complete solutions.
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Course
NUR 431
Institution
NUR 431
10-15
normal BUN
0.8 - 1.5
normal creatinine
00:03
01:08
125
normal GFR
chronic kidney disease (CKD)
presence of kidney damage for more than 3 months with or without a GFR < 60
CKD kidneys have inability to
maintain acid-base balance
remove products of metabol...
Stage 5 CKD symptoms - Answer uremia (azotemia)
may or may not produce urine
CKD causes - Answer DM (poorly controlled)
HTN
CKD risk factors - Answer family history
increased age (> 60)
male
African American
HTN, DM, smoking
overweight/ obesity
CKD pathogenesis - Answer glomerulosclerosis (cannot filter blood)
interstitial fibrosis
interstitial inflammation (damage causes loss of function over time)
uremia - Answer increased blood levels of ureas and nitrogenous wastes that are
normally eliminated by the kidneys
, CKD symptoms related to kidney no longer able to maintain fluid and electrolyte
hemmostasis - Answer edema
hyperkalemia
hyperphosphatemia
metabolic acidosis
hypermagensemia
CKD symptoms related to kidney no longer able to rid body of wastes via urine - Answer
anorexia
malnutrition
itching
CNS changes
CKD symptoms related to decrease in production of erythropoietin - Answer anemia
CKD symptoms related to decrease in activation of vitamin D - Answer renal
osteodystrophy
CKD drug uses - Answer slow rate of progression
treat complications
sodium bicarbonate therapy goals - Answer slow CKD progression
prevent bone loss
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