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Galen Advanced Medsurg Nur265 EXAM 1
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Galen Advanced Medsurg Nur265 EXAM 1
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Galen Advanced Medsurg Nur265EXAM 1
AKI S/S - ANSWER-oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below 65
AKI in xray dx - ANSWER-infiltration (fluid in lungs)
AKI ABG results may read - ANSWER-respiratory alkalosis (spao2 below 88%)
example of pre renal AKI - ANSWER-dehydration, blood loss, decreased cardiac output, heart failure; infection;
NG suction, sepsis, V/D
Example of intra renal AKI - ANSWER-myoglobinuria,BPH, tubular necrosis, nephrotoxocity; acute polynephtiits,
contrast
Example of post renal AKI - ANSWER-bladder neck obstruction, bladder cancer; calculi; tumor
Duiretic phase (3rd phas
e) of AKI - ANSWER-Nurse should give 3L-6L per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
, Best Lab indicator of Kindey function (AKI and CKD) - ANSWER-creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - ANSWER-30 mL/hr
normal potassium levels - ANSWER-3.5-5.0 mEq/L
Normal Sodium levels - ANSWER-135-145 mEq/L
Diet for AKI patients - ANSWER-mod protein
high carb
Complication of AKI - ANSWER-Preicarditis
Nephrotoxic agents include - ANSWER-contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - ANSWER-protein 40 g/day
diet:AKI patient without dialysis - ANSWER-protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - ANSWER-decreased urine production
400mL/day or less
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