STUVIA 2024/2025
Med Surg Exam 3
- Acute weight loss (greater than 5%)
- Decreased skin turgor
- Dry mucous membranes
- Oliguria - low urine
- Anuria - no urine
- Increased hematocrit
BUN increase
- Hypothermia - can also be a sign of sepsis - ✔✔FVD Manifestations
fluid challenge either oral or IV - ✔✔What do you do for FVD?
Fluid and sodium restriction
Diuretics
Dialysis - ✔✔What to do for FVE?
headache, confusion, drowsiness, nausea, vomiting, warm flushed skin, more risk for death
we do bicarb replacement, - ✔✔Signs of metabolic acidosis
%
depressed respirations, muscle hyper rigidity, dizziness, tingling of fingers and toes.
We do fluid replacement, adequate flouride - ✔✔Signs of metabolic alkalosis
hypertension - ✔✔Treatment of what slow progression for kidney disease?
glomerular filtration rate - measurement of kidney function - amount of plasma filtered through
glomerular - ✔✔What is GFR?
diabetes
hypertension
obesity
diabetes and hypertension = 70% - ✔✔Risks for chronic kidney disease
increased creatinine which will also make symptoms stronger
anemia - due to decreased erythropoietin
stuvia
, STUVIA 2024/2025
metabolic acidosis
abnormalities in phosphorus and calcium balance
Fluid retention (edema CHF)
Advanced: heart failure worsen, abnormalities in electrolytes, hard to control hypertension (due to
FVE) - ✔✔Clinical manifestations of chronic kidney disease
Creatine Clearance - ✔✔measure of amount of creatine the kidneys are able to clear in a 24 hr
period....men and women vary genetically differently
polycystic kidney disease
causes enlarged swollen kidneys - ✔✔growth of numerous fluid-filled cysts in the kidneys which
destroy the nephrons
hematuria, polyuria, hypertension, development of renal calculi (kidney stone), UTIs and proteinuria -
✔✔S&S of polycystic kidney disease
%
maintains catheters and drains, administers analgesia, position changes, coughing, IS (incentive
spirometry), and deep breathing - ✔✔Nursing care for nephrectomy
serum creatinine levels - ✔✔How is acute kidney injury diagnosed
- Hypovolemia - low fluids
- Hypotension - low bp
- Reduced cardiac output and heart failure
- Obstruction of the kidney by tumor, blood clot or kidney stone
- Bilateral obstruction of the renal arteries or veins
- S&S can be reversed if conditions are treated before permanent damage - ✔✔Causes of acute
kidney injury
- Assessment of renal function
- Prevent and treat infections
- Prevent and treat shock
- Provide adequate hydration
- Avoid transfusion reactions
- Meticulous care to patients with indwelling catheters; remove them as soon as possible
- Monitor closely all medications metabolized or excreted by the kidneys
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AnswersCOM. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.