The Kidney!!
BPH
Urinary Diversion
RRT
Misc.
100
1. Regulation of fluid & electrolytes 2. Regulation of acid/base balance 3. Excretion of metabolic wastes 4. Excretion of bioactive substances affecting body fxn 5. Regulation of arterial BP 6. Regulation of RBC production 7. Regulation of vit D production 8. Prostaglandin synthesis
What are the functions of the kidney
100
TURP
What is transurethral resection of the prostate
100
The two types of urinary diversions.
What are cutaneous and continent urinary diversions
100
6-12 weeks before use; do not use this arm for procedures; should assess for a thrill/bruit
What is an AV fistula
100
An abrupt change in kidney function signaled by a rise in serum creatinine and a reduction in urine output
What is acute kidney injury
200
1. Volume control (Na & H2O balance) 2. Generation of vasoactive substances (renin & angiotensin I).
What are two ways in which the kidneys regulate bp
200
Smoking, HTN, heavy EtOH consumption, DM, Heart dz
What are risk factors of BPH
200
The most common type of cutaneous urinary diversion
What is an ileal condiut
200
Made from clear water and electrolytes and is free of any waste products or drugs
What is dialysate
200
Daily urine output b/w 100-400 mL.
What is oliguria
300
Protein → urea Nucleic acids → uric acid Muscle creatine → creatinine Hemoglobin breakdown Hormone breakdown
What are the end products of metabolism excreted by the kidneys
300
Five clinical manifestations of BPH
What are increased frequency, nocturia, urgency, hesitancy, abd straining with urination, decrease in volume/force of urinary stream, dribbling, sensation of incomplete emptying, acute urinary retention possible, UTIs
300
Five complications associated with an ileal conduit.
What are wound infection, wound dehiscence, urinary leakage, ureteral obstructions, SBO, ileus, gangrene of stoma site
300
Dialysis method for hemodynamically unstable patients
What is continuous renal replacement therapy
300
BUN, creatinine, BUN/Cr ratio, GFR, Urine and serum osmolality, electrolytes.
What are laboratory values used to dx renal function
400
The method in which the kidneys regulate RBC production
What is Erythropoietin production.
400
Curved, stiff catheter that is best for catheterizing patient with BPH
What is a Coude catheter
400
pink and moist, no pain sensation, very vascular - may bleed slightly with cleaning, mucus might be in urine, and abnormal finding should be reported immediately
What are important educational points for patients who have an ileal conduit
400
Progressive, irreversible destruction of renal fxn. Systemic, CM's occur after 80% of GFR is lost.
What is CKD
500
180 L/day. Total plasma volume is filtered 60 x day.
What is normal GFR
500
Function and one example of an alpha-adrenergic blocker
What is relax smooth muscle of bladder neck and prostate - improves urine flow and relieves sx of BPH alfuzosin - uroxatral doxazosin - cardura silodosin - rapaflo tamsulosin - flomax terazosin - hytrin
500
Most common type of continent urinary diversion method.
What is continent ileal urinary reservoir or Indiana Pouch
500
Indicative of peritonitis - must notify provider immediately
What is cloudy dialysate.
500
Renin production (regulates BP), erythropoietin (regulates erythrocyte production), activate vitamin D (necessary for Ca+ to be absorbed from the GI),
What is the endocrine functions of the kidney
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