Normal Range for BUN
10 - 20 mg/DL
what is the most vulnerable genitourinary organ in a trauma?
Kidneys
Opiate Overdose can lead to which acute serious illness?
rhabdomyolysis
Pyelonephritis is usually caused by what kind of infection?
Bacterial. Usually an untreated UTI.
How many types of Renal Calculi? Name them!
4. Calcium, Uric Acid, Struvite, Cystine
As the glomerulus gets inflamed, what leaks into the urine?
Proteins, WBC's and RBC's
What are the 3 main causes of Kidney trauma?
MVC, GSW's, Stab wounds
FDA recommends no more than how many mg of Acetaminophen a day?
3,000
List 4 s/s of pyelonephritis
Flank or back pain, cloudy urine, painful or burning urination, pus or blood in urine, fishy smelling urine, fever, nausea.
which type of stone is the most common?
Glomerulonephritis is most commonly associated with which infection?
streptococcal infection of the throat or skin
If the pelvis is fractured, what else can be damaged>?
Bladder can be punctured.
Many opiate drugs also contain what OTC drug?
Acetaminophen. Taking large doses can be associated with liver damage which can also lead to kidney damage.
List 3 first line drugs to acute uncomplicated pyelonephritis
Ciprofloxacin
Levofloxacin
Bactrim
what natural chemical compound, consumed in high quantities can cause Uric Acid stones?
Purines
Glomerulonephritis is more commonly seen in which two age categories?
children and young adults....why?
how many grades of Kidney trauma are there?
5
What is a Renal Diet?
Low salt, fat and cholesterol. More fruits and veggies. Low in phosphorous and protein.
Frequent kidney infections can lead to what long term?
Scarring and Loss of kidney function
This type of stone is less common and is composed of magnesium, ammonium and phosphate? Who is more at risk?
Struvite, Women
Treatment for Glomerulonephritis includes which three major categories of drugs?
Antibiotics, NSAIDS, Steriods
How do we treat kidney traumas?
Monitoring VS, Measuring I/O, IV and oral fluids, pain management, foley care if necessary.
What is a renal infarction?
Dead tissue on the kidneys.
Tenderness at the angle where rib and vertebra join with palpation
Costovertebral tenderness
This type of stone tends to reoccur and be larger. caused by a natural substance leaking into urine.
Cystine