Foley
AKI
Dialysis
The Amazing Kidney
Renal Failure
100

Name 2 bundle elements to prevent CAUTI

Use sterile technique when inserting

Verify need for foley and alternatives to use

100

Name 2 potential causes for AKI

Shock (hypovolemic or septic)

Nephrotoxic medications

100

What is the type of dialysis done over 4 hours a few times a week

Hemodialysis

100

What is the primary function of the kidneys

To filter blood and remove waste

100

Name 3 categories of renal failure

Prerenal

Intrinsic

Postrenal

200

3 assessment topics for a patient with a foley

Amount

Color/ Consistency

Bag below bladder and no kinks

200

Name 3 signs and symptoms

Nausea

Vomiting

Diarrhea

Lethargy

Decreased urine output

200

What is the type of dialysis done slowly and continuously 

CRRT

200

Describe kidney function

  1. Blood flows into your kidneys through a large blood vessel called the renal artery.
  2. Tiny blood vessels in your kidney filter the blood.
  3. The filtered blood returns to your bloodstream through a large blood vessel called the renal vein.
  4. Pee travels through tubes of muscle called ureters (yer-it-ter) to your bladder.
  5. Your bladder stores pee until you release it through urination (peeing).
200

What is a cause of postrenal failure

Obstruction (stones)

300

How often is foley care performed

Every shift

300

Name 2 variants you may see in lab studies

increased creatinine

protein in urine

hyperkalemia

hypocalcemia

300

What is the recommended type of dialysis for an infant 

Peritoneal dialysis

300

What is the gland that sits on top of the kidney and what does it do

Adrenal gland

Produces hormones including cortisol which helps stress response

300

What is a cause for prerenal failure

Hypovolemia

Hypotension

400

What is normal urine output

At least 1-3 ml/kg/hr

400

How do you calculate normal fluid maintenance

4-2-1

400

What is the main component in dialysate fluid

Glucose

400

What are some causes of chronic kidney disease

Diabetes

High blood pressure

400

Using the PALS algorithm what is recommended for fluid bolus amount  

20ml/kg

500

Where can you find recommendations for size per age/weight

On the Epic code sheet

500

How do you treat AKI

Treat cause (shock/sepsis)

Treat fluid and electrolyte disturbance

Manage blood pressure

500

Name 3 nursing considerations for a dialysis patient

Strict I & O

Low potassium diet

Infection prevention

Monitor labs

Patient Education

500

Name at least 3 symptoms of kidney disease

Dark urine

Puffy eyes

Muscle cramps

Dry/itchy skin

Fatigue

500

What is the most important nursing assessment for a patient with renal failure

Urine output

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