Module 10
What does the nurse want to do with the patient before dialysis?
Vitals
Weights
Labs
What is the treatment for Acute Glomerulonephritis?
Bed rest until hypertension subsides
Sodium restriction
Antihypertensive
Diuretics'
Steroids
Low proteins, High carb diet
What are the lab values do you see with chronic Glomerulonephritis?
High bun, creatine
Hyperkalemia
Hypermag
Decreased calcium
Decreased albumin
What are the nursing interventions for acute kidney injury?
Mointor signs of fluid imbalance
report output of less than 30 ml/hour
Monitor electrolytes
Hand Hygiene and infection prevention
What do you look for with self exam for breast cancer?
Texture changes
Dimpling
Lymph discharge
Bloody Discharge
Lump
Nipple inversion
Lumps in armpit
redness/rash
What does the nurse monitor during dialysis?
Pain
Respiratory effort
Discomfort
Dwell time
Initiate outflow
What does the nurse want to monitor with acute glomerulonephritis?
Mental status change which indicates ICP
What is the treatment of Chronic Glomerulonephritis?
Supporting symptoms
Dialysis
Kidney transplant
Bright red rash
What lab levels are you going to look at for breast cancer?
Liver enzymes
Hypercalcemia
Phosphatase
What are the signs of Glomerulonephritis?
Puffiness of eyes
Hypertension
Edema
Flank Pain
Visual disturbances
Fever
Chills
Skin Lesions
What happens in Chronic Glomerulonephritis?
Scar tissue leads to decreased filtration leads to atrophy leads to renal failure
What does it mean if there is proteins and glucose in urine?
Inflammation or infection
What cancer is harder to treat?
Inflammatory breast cancer
What is the diagnostic test to check for metastasis?
CT
What are the test you should do for Acute Glomerulonephritis?
UA
BUN, Creatine
CBC
What are the signs of Chronic Glomerulonephritis?
Edema
Headache/Hypertension
Fatigue
Dyspnea
Weight loss
Loss of strength
Irritable
Nocturia
What are the signs of sudden onset Acute Kidney Injury?
Change in output
Hyponat
Hypocalcemia
Hyperkalemia
Fatigue/bruising
N/V
Mental status change
What is the initial treatment for most cancer?
Operate
Lumpectomy
Mastectomy
What is the only diagnostic tool that gives definitive diagnosis for cancer?
Biopsy
What does the UA look like for Acute Glomerulonephritis?
Smokey/Orange color
RBC and proteins in urine
Increased Specific Gravity
What will you find in the urine of someone with Chronic Glomerulonephritis?
Retinal Hemorrhage
What is the treatment of acute kidney injury?
Correct underlying cause
Symptomatic treatment
What is the initial treatment for inflammatory cancer?
Starts with Chemo and radiation
Where does breast cancer metastasis too?
Lung
Bones
Lymph nodes
Liver
Brain