Urine Trouble
A nurse just pushed an IV med on a renal patient and now the pt asks, “can you please turn up the TV, the volume just went down.” What rx was pushed and how?
The nurse pushed furosemide too quickly, causing ototoxicity.
Fatigue + risk for infection + risk for bleeding =
Pancytopenia
This type of cancer is characterized by the excessive production of immature leukocytes:
Leukemia
Cells that die leak this electrolyte which is intravascularly high for the first 24-34 hours, then low as it diuresis >48 hours.
Potassium (K+)
What is in this room at Mission - K529?
Doesn't exist. No fifth floor in the K tower.
In ARF, the ability to regain kidney function is linked to what?
Duration of oliguria and anuria
A women who has been on heparin since surgery eight days ago walks into an ED.
She checks all of the boxes for what?
Heparin-Induced thrombocytopenia (HIT)
In leukemia treatment, these are the three sequential phases of chemotherapy.
Induction, consolidation, maintenance
An unconscious patient’s RUE has circumferential burns. Upon assessment, you find the right hand to be pulseless and cool to touch. What are you worried about?
Compartment Syndrome
Would you rather have lymphoid cancer with or without Reed-Sternberg cells?
With.
A patient w/ CKD states, “I can’t wait until dialysis so that I can be cured.” What are two aspects about CKD that you should ensure the patient understands?
CKD is progressive, CKD is Irreversible, CKD leads to end-stage kidney disease, dialysis starts once disease has advanced, dialysis does not cure CKD
1) Abnormal clumping of platelets in capillaries is…
2) Increased megakaryocytes in marrow/reduced platelet count is…
1)Thrombotic thrombocytopenic purpura (TTP)
2) Autoimmune thrombocytopenic purpura (ITP)
When I say “presence of monoclonal paraprotein & Bence Jones protein in urine,” you say…
Multiple Myeloma!
The degree of skin integrity loss is related to these three variables.
Agent causing burn, temperature of heat source, length of time exposure
Would you rather re-write all of your journals or re-take Nursing Ethics & Health Policy, Emerging Trends in Nursing, and Adv Tech & Pharmacotherapeutic?
You are assessing a pt on a renal unit who has crackles upon lung auscultation, has hypertension, has a funny looking EKG, urine output of 20ml/hr. What does the nurse suspect is going on here and what one tx might the nurse suspect this pt may need start?
Crackles- fluid overload
EKG- electrolyte imbalance/hyperkalemia
Oliguria- worsening renal failure
Tx: dialysis
Name two of the three things that treat ITP…
Steroids, platelet transfusions, splenectomy
A CNA reports that a patient with "brittle bones, kidney issues, and cancer" is being monitored to see if they will urinate soon in the bathroom. What condition from NSG 410 does this suggest, and why would the patient require standby assistance?
Multiple Myeloma; fall precautions
Name the priority intervention before a patient with inhalation burns receives fluid. Why?
Intubation; Fluid resuscitation causes airway edema
Would you rather have TTP or ITP?
ITP
A patient whose MAP is 64, is receiving tx for a severe UTI and just came back from CECT which showed renal calculi and ischemia in the proximal tubule. Note at least four of the potential causes of this pt’s low urinary output and categorize each. (Pre, Intra, Post)
Shock- Prerenal
Abx- intrarenal
Contrast- intrarenal
Kidneys Stones- Postrenal
Ischemia- intrarenal
A patient has very low platelet count, has large bruises, is confused, has a headache and is experiencing chest pain, and has low urine output. What is going on with this patient and what is the treatment for the disorder that is causing this?
Ischemia due to TTP; Tx- Plasmapheresis
A patient is receiving 7+3 combination chemotherapy during the induction phase of treatment for Acute Leukemia. What is being suppressed, and what are the associated complications?
Bone Marrow; anemia, risk for infection, risk for bleeding
Name two complications from fluid under resuscitation and two from over resuscitation.
Under: acute kidney injury, sepsis (GI translocation, infection), tissue death
Over: pulmonary edema, compartment syndrome, cerebral edema
Would you rather be told you have stage 1 CKD or ARF with long duration of oliguria and anuria?
Stage 1 CKD