Incontinence
What is the type of continence that often occurs in the older population that results from a weakened detrusor muscle?
Urge
How would you describe an AKI?
Sudden loss of kidney function related to ischemic injury
What is an indicator of nephrotic syndrome in the urine?
High protein in the urine
What is the diagnostic for UTI?
Urinalysis and urine culture
Glomerulonephritis is a common cause of.......
End stage renal failure
What is seen with lower urinary tract obstructions, where the bladder keeps getting more full?
Overflow incontinence
What is an example of prerenal acute renal failure?
Something caused before the kidneys (fluid loss, low BP, hemorrhaging, n/v/d)
What will albumin and lipid levels be in someone with nephrotic syndrome?
Low albumin in blood, high lipids in blood
What is the waste product from protein breakdown?
BUN
What are causes of glomerulonephritis?
Direct trauma, secondary to disease processes(lupus)-anti-inflammatory to treat, untreated strep throat (abx to treat)
What is the type of incontinence with a neurological compromise?
Functional
What is an example of intrarenal acute renal failure?
Problem with kidney itself- nephrotoxic drugs
What is the vitamin D in someone with Nephrotic syndrome?
Low because vitamin D is activated in the kidneys (calcium needs vitamin D)
What is the expected value of serum creatinine for those with healthy kidneys?
LOW!
What causes the edema in glomerulonephritis?
Increased permeability and hypoalbuminemia
What kind of incontinence is seen in postpartum women?
Stress
What is an example of postrenal acute renal failure?
Urinary obstruction, kidney stone, etc.
What will the heartrate be in someone with nephrotic syndrome typically?
high
What does a healthy person want for their GFR?
High GFR! Filter water and solutes quickly!
Why does hypertension worsen with glomerulonephritis?
Renin is released increasing BP further
What are patients at risk for if they have incontinence?
Skin breakdown and infection
What are s/s of an AKI (labs)
Decreased GFR, elevated BUN and creatinine
What will the fluid status be in a patient with nephrotic syndrome?
Hypotension, fluid loss into the interstitial space(protein loss contributes to this)
What is the difference between serum and clearance in creatine values?
Clearance is in the urine and getting rid of it like we should; serum is blood – high serum creatinine is BAD
What is the serum creatinine and creatine clearance going to be?
Increased serum creatinine and reduced creatinine clearance