nur 265 exam 1 latest updated 107 questions and answers guaranteed a score
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NUR 265 Exam 1 : Latest Updated #
107 Questions and Answers:
Guaranteed A+ Score.
What is nephrotic syndrome? - -A condition of increased
glomerular permeability that allows larger molecules to pass
through the membrane into the urine and then be excreted.
-What are key features of nephrotic syndrome? - --*Massive
proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
-In nephrotic syndrome, severe protein loss in the urine is
greater than what? - -3.5g in 24 hours
-What is nephrotic syndrome treated with? –
--immunosuppressant agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney
function)
-Describe the "risk" stage for AKI - -creatinine x 1.5 of normal,
and GFR reduced by 25%
-Describe the "injury" stage for AKI - -creatinine x2 & GFR
reduced by 50%
-Describe the "failure" stage for AKI - -creatinine x3 normal, &
GFR reduced by 75% (Cant fix)
-Describe Prerenal AKI. Give examples. –
-Decreased perfusion to kidneys.
, -NSAIDs
-Severe dehydration
-Renal artery stenosis
-MI or HF resulting in low ejection fraction and low cardiac
output
-Blood/ fluid loss
-Describe Intrarenal AKI. Give examples. –
-Tissue damage to the actual kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
-Describe Postrenal AKI. Give examples. –
-Obstruction that occurs after the kidney.
-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
-How do you determine the mean arterial pressure (MAP)? - -
Systolic + (Diastolic*2) /3
-What is the MAP needed to perfuse the kidneys? - -65 mmHg
-What are examples of nephrotoxic drugs? - --NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
-During the diuretic phase of AKI, what needs to be monitored? -
-Watch for dehydration and make sure output is greater than
input
-What are the dietary restrictions for an AKI patient? - --Low
protein
-Low sodium
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