Renal Labs
1. A GFR =15-29ml/min
1. What is a patient with end stage 4 chronic kidney disease
An inherited disease with cystic formation and hypertrophy of the kidneys, which leads to cystic rupture, infection, formation of scar tissue, and damaged nephrons; ultimate result is renal failure.
What is polycystic kidney disease?
Released by the kidneys to stimulate bone marrow to produce red blood cells
It's deficiency causes Anemia?
What is erythropoietin?
the peritoneal cavity lining is used as space to exchange fluid and solutes during what?
What is peritoneal dialysis?
Fever, chills, tachycardia, flank pain, tender costal vertebral angle, abdominal pain, nausea vomiting, general malaise, burning with urination, nocturia
What is Acute Pyelonephritis?
This medication raises BP?
What is Procrit?
Causes thickening of the nephron blood vessels resulting in a narrowing of the vessel lumen.
What is nephrosclerosis?
Antibiotics such as Vancomycin, chemotherapy agents, Ibuprofen, cyclosporine, Metformin, and radiographic contrast dye
What are nephrotoxic substances?
Flexible schedule for exchanges, few hemodynamic changes during and following exchanges, and fewer dietary and fluid restrictions.
What are some advantages of peritoneal dialysis?
Pain management, straining or urine, hydration, activity, monitoring BUN and creatinine, & dietary restrictions?
What are nursing interventions for the patient with urolithiasis?
This lab measures the amount of nitrogenous urea, a byproduct of protein metabolism in the liver.
An elevation does not always mean that renal disease is present.
What is blood urea nitrogen (BUN) level?
bacterial infection that causes fever, chills, tachycardia, tachypnea, flank pain, nausea, vomiting and frequency
What is pyelonephritis?
Low protein, low sodium, low potassium, low phosphate diet
What is the appropriate diet for a client with stage 4 chronic kidney disease?
Your patient becomes restless and tells you she has a headache and feels nauseous during hemodialysis. Which complication do you suspect?
What is Disequilibrium syndrome?
A slow, progressive, irreversible loss in kidney function, with a GFR less than or equal to 60mL/min for three months or longer; occurs in stages and results in uremia or end-stage renal disease.
What is chronic renal failure (CRF)?
This is an endogenous waste product of skeletal muscle that is filtered at the glomerulus and excreted with urine
What is Creatinine?
Caused by immunological complexes (antibodies and antigens) collecting in glomeruli
Taking antibiotics for diagnosed streptococcal throat infections should be taken for prevention of this disorder
What is acute glomerulonephritis?
are all treatment of this inflammatory kidney disease.
What is Glomerulonephritis?
Used to assess the patency of an AV fistula
What is bruit and thrill?
This is the rapid loss of kidney function from renal cell damage; occurs abruptly and can be reversible.
What is acute renal failure (ARF)?
When BOTH of these labs are elevated and the ratio between them stay the same kidney dysfunction is likely
What is serum creatinine and BUN?
Microvascular complication of diabetes
What is diabetic nephropathy?
Massive proteinuria, hypoalbuminemia, edema, lipiduria, hyperlipidemia, increased coagulation, renal insufficiency
What is Nephrotic Syndrome?
The most common adverse effect of hemodialysis
What is hypotension & hypokalemia?
Dehydration, hemorrhage, Mi can abruptly cause this
What is acute kidney failure?