Renal Calculi
Peritoneal Dialysis
Hemodialysis
Meds
AKD/ CKD
100

what is Renal Calculi 

Kidney Stones

100

What is this 

  • is a treatment for kidney failure that removes waste, toxins, and extra fluid from your body using the lining of your belly (peritoneum) as a natural filter instead of a machine.

100

When is this started

  •  when manifestations of uremia become severe. 

100

Meds That cause AKI

  • Aminoglycosides (antibiotics)

  • NSAIDs

  • ACE inhibitors

  • Contrast dye

  • Antiviral meds (acyclovir & HIV meds)

100

AKD Labs

  • Alb: Normal

  • BUN: ↑

  • Cr: ↑

  • GFR: ↓

200

Assessment Findings (S/Sx)

  • Reports of enlarge abdomen

  • Low back/abd/flank pain

  • Dysuria (pain upon voiding)

  • Fever/chills

  • Hematuria

  • Cloudy/foul smelling urine

  • Upset GI

200

Pt education for at home use

  • l teach the client how to maintain home dialysis records, such as blood pressure and daily weight, and how to use aseptic technique when performing catheter care or exchanges

200

What type of fluid restrictions

  • Limit fluids

  • Monitor weight daily

  • Manage thirst

200

What antibiotic is a major nephrotoxic med if given in high doses for prolong period of time?

  • Vancomycin

200

Chronic Kidney Disease (CKD) Labs

  • Alb: ↓

  • BUN: ↑

  • Cr: ↑

  • GFR: ↓

300

what typical wheather conditions may be a factor

  • Studies have shown that the warmer the climate, the higher the risk for developing renal stones 

300

Main complication of this 

Hypotension

300

What type of Dietary Restrictions

  • Limit sodium, restrict potassium rich foods, monitor phosphorus intake

  • Increase protein

300

pt is given sodium polystyrene for hyperkalemia, what do you monitor for

  • hypokalemia

300

Meds Causing AKD

  • Aminoglycosides (antibiotics)

  • NSAIDs

  • ACE inhibitors

  • Contrast dye

  • Antiviral meds (acyclovir & HIV meds)

400

education for a pt taking Nifedipine (Procardia) for Renal Calculi

Avoid Grapefruit juice

400

What type of Lifestyle Adjustments

  • Travel restrictions

  • Work limitations

  • Exercise moderately

  • Mental health support 

400

pt education for Prednisone

  • Avoid vaccines

  • Avoid sun

  • Take with food

- Avoid OTC pain meds

 (Used to decrease inflammation)


400

What safety considerations for a patient with CKD

  • Adequate fluids

  • Avoid nephrotoxic meds

  • Monitor BP regularly

  • ↓ Na

  • ↓ high-intensity workouts

  • Avoid protein overload

  • Avoid NSAIDs

Prompt response to hypervolemia


500

How to prevent (Diet)

  • Increase fluids

  • DASH diet 

500

How does it work

 shunts  blood from the body through a dialyzer and back into circulation .

500

Cyclophosphamide and what affects does it cause on the bladder, and education when taking med

  • Cyclophosphamide can burn or irritate the bladder because of a toxic chemical it releases.

  • The nurse should instruct the client to take the oral medication early in the morning and drink an adequate amount of fluids for at least 72 hr after therapy is completed. The client needs to be instructed to urinate often and to report any blood in the urine to their health care provider.