Renal 1
Urine is under 30 ml what do we do?
Tell Physcian
If patient is an acute injury and the the CT scan has contrast what do we do?
Check creatnine levels and notify physician
HYPERVENTALION IS......
Respiratory Alkalosis
signs and symptom of acute pancreatis
pain, abdominal tenderness, jaundice, weightless, nausea, vomitting, gray blue umbilical (cullens sign) gray-blue on thigh and peritoneal cavity(Turners sign)
What is hepatic enecaphatopathy?
It is due to build up of ammonia levels, may cause neuro issues
Functions of the kidney?
Erythropoietin, Vitamin D metabolism, Blood pressure management, Acid base balance by making bicarb, excrete and resorb fluids and waste products
Diuretic Phase priority?
Keep them hydrated( GIVE FLUIDS) and monitor urine output even if they have a Foley catheter
Signs and symptoms of disequilibrium syndrome
mental status changes, include seizures, coma, nausea, vomitting, headaches, fatigue, and restlessness, feeling dizzy pg 1401
management of acute pancreatic
need high calorie diet, high protein. feed small meals, sprinkle enzymes over food, pain management, for nausea and vomitting keep them hydrated
Treatment of Hepatic encephalopathy
Lactulose - helps flush ammonia to exit bowels, make sure they have access to toilet or commode
antibiotics, high fiber diet, drink alots of fluid
Creatnine is the main tell tale sign of acute kidney injury TRUE OR FALSE?
True
What should be avoided for kidney injury
Contrast media, nephrotoxic medications like mycin, can, foods such as certain proteins
the 3 types of acute kidney injury
Pre- renal- ex; shock, burns, dehydration, sepsis(treatment give fluid)
Intrarenal ex; allergic disorders, bacteria, thrombosis of renal vessels, mycin, embolism, contrast, nephrotoxic agents
Post-renal - ex; caculi, tumors, or strictures( treatment surgery)
Signs and symptoms cirrhosis
jaundice, fetor hepacticus - musty or sweet breath odor, LOC
the 4 phases of Aki
onset, oliguria, diuretic, recovery
Normal creatnine levels
male 0.6 - 1.2
female 0.5 -1.1
Retaining potassium is risk for?
Cardiac arrest you will see *T levels
Signs and symptoms of acute kidney
Ashy looking skin (frothy), edema, fever, pneumonia, crackles in the lungs, metabolic acidosis - hyperkalemia, hyponatremia, hypocalcemia, hypophosphatemia, anemia
if you have cirrhosis you should avoid?
Tylenol, alcohol, fat soluble vitamins
God will allow me to pass my exam
Yes
Normal BUN levels
10-20
Patient is fluid over load what would you do? and what would teach paitient family
Raise hob, give oxygen, call physician, DR will order ABGS
- Teach patient family about the need to keep fluid intake with prescribed restricted amounts and to ensure that the prescribed daily amount is evenly distrubeted through the 24 hrs and there diet is restricted
Signs of fluid overload
Decreased urine output, rapid bounding pulse, rapid shallow RR, edema, crackles or wheezes, elevated BP, Narrowed pulse pressure, JVD
If you ascites due to cirrhosis what do you may need?
Parencentisis
Signs and symptoms of Enaceptopathy
confusion, Asterixis, loc alterated