injury to the kidney, acute
ESRD
Dialysis 👩🏿🚒
🥧lonephritis
Kidney stones
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100
can you be on dialysis with an AKI?
yes! AKI still has some kidney function, so dialysis and diuretics will still be able to penetrate the kidneys
100
characterized by a GFR less than ....
15
100
when is the only time the nurse can touch a central venous catheter?
to change the dressing if its soiled or coming off
100
how many L of fluid should the pt be intaking per day?
3-3.5 liters to flush out infection
100
urolithiasis is a stone in the ________ while nephrolithiasis is a stone in the ______
Urolithiasis - stone in ureter
nephrolithiasis - stone in kidney
200
treatment for AKI includes :
which medication?
what kind of diet changes?
furosemide
Adequate carbs, protein, and fat while restricting potassium, sodium, and fluid intake
200
Why canot ESRD pts have diuretics?
they have no kidney function at all
200
how should the nurse assess the patient's AV fistula each shift?
listen for a bruit and feel for a thrill
200
why do you have to be hospitalized for pyelonephritis?
it leads to sepsis very quickly
needs IV abx
200
Sami's elderly female patient is sitting on the toilet and she sees a string and gets confused because she knows she does not have a tampon in. what should sami tell the patient?
this is a stent that was inserted so that urine can pass through and not build up
300
JB jones is ranting to nurse sami (im sorry sami) about how he already has heart failure and now he has an AKI and his life is over. he said he is never going to recover from this. what should sami tell him?
AKI is reversible if caught in time
also, get over yourself
300
what medication is given for ESRD to prevent bone disease?
Foslo - taken with meals to pull out phosphorus that is building up
300
a patient is on peritoneal dialysis and reports cloudy dialysate. why should the nurse be concerned?
this is an indicator of peritonitis
300
pyeolonephritis is caused by this bacteria
E. Coli
300
what is colicky pain caused by?
microscopic crystals cut and scrape as they move down the ureters
400
Mateo has AKI. she has not peed much today and her labs show high potassium. which phase of AKI is she in?
oliguric
decreased urinary output, renal labs high, UOP <400 per day, hyperkalemia
400
Sami's patient is going to dialysis. she has a blood pressure pill for her patient scheduled now. when should she give the med?
after dialysis
dialysis is already going to lower the BP
400
the dialysis nurse is assessing the patient. the patient's blood pressure is critically low 60/45. what should the nurse do?
slow down dialysis
do NOT give a bolus
400
this medication is commonly given for patients with pyelonephritis for bladder spasms
pyridium
400
mateo has a 0.8 cm stone. what will her treatment me?
she can pass this stone, so she will be hydrated with fluids and given pain medication
500
olivia's patient with AKI is complaining of itchy and edematous skin. what should nurse sami do?
explain to olivia that her body is building up waste which is why she is experiencing these symptoms
sami should use moisturizing lotion on olivias skin to prevent breakdown
500
Madelyn has ESRD and she received a PO morphine medication. she said she didnt feel any relief from the drug. the doctor is hesitant to give madelyn more pain medication. why?
pts may hold onto medications in their system and they can accumulate
500
the patient reports severe abdominal cramps while receiving peritoneal dialysis. what does the nurse suspect happened?
the dialysate was cold
500
how can pyelonephritis be prevented?
PLS PEE
perineal hygiene, drink fluids
500
sami has a stone that is so big that lithotripsy wont be effective. what is the next step?
nephrostomy - make an incision in back of kidney, break up stone/pull it out, and may get nephrostomy tube)
places a stent to allow urine to drain out through the back