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Nur 1006 Exam 3 Questions And 100% Correct Answers
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Nur 1006 Exam 3 Questions And 100% Correct AnswersWhat does glucose in the urine indicate?
DKA
What does bilirubin in the urine mean? (2+)
Liver failure
Small amount of keytones in the urine?
infection
Large amount of keytones in the urine?
DKA
Positive nitrate in UA
Infection
High amount of WBC in urine?
infection
Presence of RBC in urine (90)
Infection
Urine specific gravity range
1.010-1.025 (dehydrated patients will have higher, fluid volume excess will have a
decrease)
,creatine
-waste product from muscles
increased levels can indicate heart failure
Increased BUN
muscle breakdown
Albumin
protein in blood; maintains the proper amount of water in the blood
cystisis
-Lower UTI (Bladder)
-suprapubic pain
-Dysuria
-hematuria
-fever
-confusion (in older adults)
pyelonephritis
-flank pain
-dysuria
-pain at costalvertebral angle
-same S/S as cystisis
Complications of UTI
-pain management
,-urinary obstruction
Urolithiasis
stones in the urinary tract
Risk factors for urolithiasis
-male
-previous kidney stones
-dehydration
-gout
Clinical Manifestations for urolithiasis
-pain in lower abdominal area
-nausea, vomiting
-blood in urine
treatment of urolithiasis
-pain- PCA
-increase fluids
-strain all urine
-untrasound shock wave
-surgery
estracorporeal shock wave lithotripsy (ESWL)
-general anesthesia
-same prep as a colonoscopy
-clear bowel
, -encourage fluid afterwards
-stent placement may occur
Acute kidney injury
• An increase in serum creatinine greater than or equal to 0.3 mg/dL
within 48 hours
• An increase in serum creatinine to 1.5 times the baseline that is
known or presumed to have occurred in the past 7 days
• A urine volume of less than 0.5 mL/kg/hr for 6 hours
Prerenal AKI
Cause is "before" Glomerular Apparatus; MOST COMMON AKI
*Reduced renal artery blood flow
Hypotension, Hypo-perfusion, Cardiogenic Shock, Sepsis, Shock, HF, decreases CO
Intrarenal AKI
AKI with injury IN kidneys (ex. problem with nephrons themselves)
-remove causative agent
-contrast dye
-nephrotoxic drugs
-acute glomerulonephritis
Post Renal AKI
Secondary to obstruction of urinary outflow
Usually no kidney damage
Reversible once obstruction resolved
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