You Must Be Kidney-ing Me
Kidneys play an important role in maintaining homeostasis by performing these functions (name 3)
What are excreting excess waste, fluids, and electrolytes, controlling blood pressure, regulating acid-base balance, and making erythropoietin?
This is the most common urinary tract infection and is typically treated with PO antibiotics
What is cystitis (bladder infection)?
These are the three phases of AKI
What are the oliguric phase, the diuretic phase, and the recovery phase?
What is the damage from CKD is progressive and irreversible?
What is auscultation of bruit and palpation of thrill
Kidney dysfunction can lead to these conditions (name 3)
What are hypertension, metabolic acidosis, electrolyte imbalance, and anemia?
In this UTI, bacteria spreads to the kidneys leading to fever >102, nausea, chills, and flank pain
What is pyelonephritis?
The oliguric phase of AKI has the following characteristics (name 3)
What is UOP less than 400 mL/day, metabolic acidosis due to build up of electrolytes/wastes, increased BUN/creatinine, and hypertension/fluid volume overload?
This medication is often given to CKD patients to prevent anemia
What is erythropoietin?
When caring for the patient with an AV fistula, the nurse will add the following to the plan of care
What is no venipuncture, IVs, or BPs on extremity with fistula, assess fistula for signs of infection, and assess for bruit and thrill?
These tiny units in the kidneys work as filters and sensors to maintain homeostasis
What are glomeruli?
Teaching for the cystitis patient includes emphasizing these measures (name 3)
What is increase fluids, void every 3-4 hours, finish all antibiotics, and wipe from front to back (female patients)?
The diuretic phase of AKI has the following characteristics (name 3)
What is urine output of 1-3 L/day, hypovolemia, dehydration, and BUN/creatinine levels that begin to normalize
What are potassium and sodium?
Peritoneal dialysis involves instilling dialysate into this part of the patient's body and allowing it to dwell for a number of hours before draining
What is the abdominal cavity?
This common endocrine disorder can cause damage to the kidneys due to microvascular damage
What is diabetes?
This UTI is due to inflammation/damage to the glomeruli, causing the patient to have hematuria, proteinuria, and hypertension
What is glomerulonephritis?
The recovery phase of AKI has the following characteristics (name 2)
What is increasing GFR and BUN/creatinine levels that plateau, then return to normal
The CKD patient typically displays this alteration to blood pressure due to fluid volume overload
What is hypertension?
This dialysis finding is a sign of infection called peritonitis and should be reported to the health care provider immediately
What is cloudy dialysate?
These are examples of nephrotoxic substances or medications (name 2)
What are NSAIDs, antiretrovirals, some antibiotics, and CT contrast?
This symptom of UTI is often seen in elderly patients
What is delirium or altered mental status?
These are the 3 causes of AKI
What is prerenal, intrarenal, and postrenal?
CKD has progressed to end-stage renal disease (ESRD) and requires dialysis when GFR falls below what level?
What is 15 mL/min or less?
Sweating, dizziness, or nausea during the dialysis run can indicate this condition
What is hypotension?