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AHN 447 Exam 1 (Renal) with Questions and Answers Verified 100% Correct | Latest Update
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AHN 447 Exam 1 (Renal) with Questions and Answers Verified 100% Correct | Latest Update
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AHN 447 Exam 1 (Renal) with Questions andAnswers Verified 100% Correct | Latest Update
What should you teach your pt with chronic pyelonephritis? - ✔✔- stay hydrated
- avoid NSAIDS and other antibiotic classes
- no cocaine/smoking
- no contrast media
What diet should a pt be on with chronic pyelonephritis? - ✔✔- low sodium/potassium
- low protein at first then high protein when on dialysis
What is the most common site for TB outside of the lungs? What can this cause? -
✔✔urinary tract; renal tuberculosis
What is the difference between primary and secondary glomerulopathies? - ✔✔- primary:
only the kidney is involved
- secondary: injury due to drug exposure, infection, systemic or vascular pathology
What is the most common risk group/factor for acute glomerulonephritis? - ✔✔Seen
frequently in men after an acute streptococcal infection
When do symptoms usually appear with acute glomerulonephritis? - ✔✔up to 10 days later
What are the hallmark symptoms of acute glomerulonephritis? - ✔✔- dark (coca cola
colored) urine
- proteinuria/hematuria (bc kidney can't filter properly)
, What is the treatment for acute glomerulonephritis? - ✔✔- appropriate abx therapy
- may be put on corticosteroids, diuretics, or sodium potassium restriction
What are the clinical manifestations of chronic glomerulonephritis? - ✔✔- circulatory
overload (edema, weight gain, JVD, crackles)
- decreased GFR and increased BUN and Cr
- symptoms of uremia (slurred speech, tremors, asterixis, skin changes)
What is the treatment for chronic glomerulonephritis? - ✔✔- slow the progression of the
disease
- always leads to ESRD so make preparations (ex. put on transplant list or establish dialysis
access)
What is the main feature of nephrotic syndrome? - ✔✔severe proteinuria (3.5 g protein/24
hour)
What are the clinical manifestations of nephrotic syndrome? - ✔✔- hypoalbuminemia
- Hyperlipidemia
- Edema
- Hypercoagulability
- Renal insufficiency
How can you diagnose nephrotic syndrome? - ✔✔renal biopsy
What is the leading cause of ESRD in the US? - ✔✔diabetes
What is the first manifestation of diabetic nephropathy? - ✔✔albuminemia
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