Exam (elaborations)
NUR 265 Exam 1|107 Questions with Answers
- Course
- Institution
NUR 265 Exam 1|107 Questions with Answers
[Show more]
Seller
Follow
Victorious23
Reviews received
Content preview
NUR 265 Exam 1|107 Questions withAnswers
What is nephrotic syndrome? - -A condition of increased glomerular
permeability that allows larger molecules to pass through the membrane into
the urine and then be excreted.
-What are key features of nephrotic syndrome? - --*Massive proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
-In nephrotic syndrome, severe protein loss in the urine is greater than
what? - -3.5g in 24 hours
-What is nephrotic syndrome treated with? - --immunosuppressant agents
(if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
-Describe the "risk" stage for AKI - -creatinine x 1.5 of normal, and GFR
reduced by 25%
-Describe the "injury" stage for AKI - -creatinine x2 & GFR reduced by 50%
-Describe the "failure" stage for AKI - -creatinine x3 normal, & GFR reduced
by 75% (Cant fix)
-Describe Prerenal AKI. Give examples. - -Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
-Renal artery stenosis
-MI or HF resulting in low ejection fraction and low cardiac output
-Blood/ fluid loss
-Describe Intrarenal AKI. Give examples. - -Tissue damage to the actual
kidneys.
-Glomerulonephritis or inflammation of the glomeruli
, -Sepsis
-Intrarenal bleeding
-Pyelonephritis
-Describe Postrenal AKI. Give examples. - -Obstruction that occurs after the
kidney.
-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
-How do you determine the mean arterial pressure (MAP)? - -Systolic +
(Diastolic*2) /3
-What is the MAP needed to perfuse the kidneys? - -65 mmHg
-What are examples of nephrotoxic drugs? - --NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
-During the diuretic phase of AKI, what needs to be monitored? - -Watch for
dehydration and make sure output is greater than input
-What are the dietary restrictions for an AKI patient? - --Low protein
-Low sodium
-Fluid restriction: 1000-1500mL day (for anything except perfusion problem)
-What are the 2 most common causes of CKD? - --HTN
-Uncontrolled diabetes
-What is azotemia? - -Nitrogenous waste build up
-What are manifestations of uremia? - -•Metallic taste in mouth
•Anorexia
•Nausea/vomiting
•Muscle cramps
•Uremic frost on skin
•Itching
•Fatigue and lethargy
•Hiccups
•Edema
•Dyspnea
•Paresthesia's
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81298 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now