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NRNP 6550 Renal and Urinary Tract Disorders Exam With Complete Solution
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NRNP 6550 Renal and Urinary Tract Disorders Exam With Complete Solution...
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NRNP 6550 Renal and Urinary Tract Disorders ExamWith Complete Solution
AKI Diagnositics - ANSWER Serum BUN/ Creatinine
CT abdomen without contrast
Bladder scan
AKI treatment - ANSWER Treat underlying cause
Prerenal= tx circulating volume
Postrenal = Remove obstruction
AKI clinical presentation - ANSWER fatigue, weight loss, anorexia, nocturia, pruritis,
sleep disturbance
Thirst, decrease U.O, dizzy, edema, HTN
Intrinsic Failure= hematuria, edema, HTN
Post renal= urgency, frequency hesitancy, flank pain, hematuria
Causes of CKD - ANSWER DM1, DM2, HTN, CVD, Age (60), Fam hx, native american,
african american and latino
CKD diagnostic testing - ANSWER BUN/ CR
eGFR is more accurate
BUN - ANSWER 10-20 mg/dL
is from the breakdown of protein from diets and other sources
, How many stages of CKD - ANSWER 5 stages
CKD 1-3 - ANSWER Electrolytes are usually normal and water balance is not disturbed
CKD 4-5 (eGFR<30) - ANSWER develop serious complications: HTN, CVD, anemia and
reduced erythropoietin
Renal Insufficiency - ANSWER reduced renal fxn in which the body has an inability of the
kidneys to remove waste products from the body
Renal Insufficiency Causes - ANSWER 1. Hypertensive nephrosclerosis
2. Glomerulonephritis
3. Diabetic Nephropathy
4. Interstitial Nephritis
5. Polycystic Kidney Disease
renal insufficiency symptoms - ANSWER often asymptomatic until late stages of disease
RIFLE, Mechanism of detecting AKI
Risk, injury, failure, loss, Esrd
AKI RIFLE CLASS R
elevation in SCr x 1.5 or reduction in GFR > 25%
U.O. < 0.5mL/kg/hr x 6hrs
AKI RIFLE CLASS I
elevation in SCr x 3 or reduction in GFR > 50%
U.O. < 0.5mL/kg/hr x 12hrs
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