100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 460 Renal Review Questions and Correct Answers $9.99   Add to cart

Exam (elaborations)

NURS 460 Renal Review Questions and Correct Answers

 5 views  0 purchase
  • Course
  • NURS 460
  • Institution
  • NURS 460

Filtration Remove metabolic waste Maintain concentration of solutes in the extracellular fluid (ECF) Concentrate substances and conserve such as sodium primary roles of kidney Perfusion and blood pressure kidney are highly dependent on (2) >65 normal MAP 80-180 mmhg systolic blood pressure to...

[Show more]

Preview 2 out of 8  pages

  • August 2, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 460
  • NURS 460
avatar-seller
twishfrancis
NURS 460 Renal Review Questions and Correct Ans wers Filtration Remove metabolic waste Maintain concentration of solutes in the extracellular fluid (ECF) Concentrate substances and conserve such as sodium ✅primary roles of kidney Perfusion and blood pressure ✅kidney are highly dependent on (2) >65 ✅normal MAP 80-180 mmhg ✅systolic blood pressure to maintain kidney function Kidneys will vasodilator to allow oxygen and blood flow to all important parts ✅If BP is too low, kidney will... Kidney will vasoconstrict ✅If BP is too high, kidney will... Impaired renal arterial perfusion: Low blood pressure, Narrowing - stenosis, CV impairment Severe dehydration Shock: Distributive (Anaphylactic, Sepsis, Neurogenic), Hypovolemic, Cardiogenic, MODS Acute tubular necrosis (most common): Ischemia Toxins - drugs (prescribed or illicit) Nephritic syndrome - inflammatory injury caused by an antigen Rhabdomyolysis - myoglobin from the muscle breakdown impairs filtration Tumor lysis syndrome Infection - pyelonephritis Obstruction - nephrolithiasis ✅causes of acute kidney injury Aminoglycosides , NSAIDS (ibuprofen), iodine contrast ✅high risk renal medications Pre renal injury ✅result of poor pressure or volume problem; includes impaired renal arterial perfusion, severe dehydration, and shock Intra renal injury ✅result of immune complex mediated problem Post renal injury ✅result of obstruction; includes stones, blood clots, and anything that blocks urine flow Failure to regulate: - Volume (usually gain) - Blood pressure - Acid-base balance Failure to eliminate: - Toxins - Electrolytes ✅acute impairment of the kidneys leads to... R- risk of renal dysfunction - increased Scr > 1.5 x baseline I- injury to the kidney - increased Scr > 2 x baseline F- failure of kidney function - increased Scr > 3 x baseline or > 4mg/ dl L- loss of kidney function - need for RRT > 4 weeks E- end-stage kidney disease - need for RRT > 3 months ✅diagnosis and classification for acute kidney injury (RIFLE) 4 ✅If Scr is great than ___ indicates kidney failure 1. Oliguria 2. Diuresis 3. Recovery ✅stages of AKI Stage 1: oliguria ✅Begins within 24 hours of insult to kidneys Increased BUN and creatinine Fluid overload Hyperkalemia Metabolic acidosis Mild hyponatremia, increased phosphate, decreased calcium Higher specific gravity Stage 2: diuresis ✅Gradual return of normal function Increase in urine output Still increase rise in BUN and creatinine Hypokalemia Hypovolemia Lasts 7 -10 days Stage 3: recovery ✅Lab work stabilizes Lasts 3 -12 months <30ml/hr over 2 hour period <500 ml/day <0.5ml/kg/hr for 6 hrs ✅diminished urine output I/O Daily weight ✅volume measurement

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

73918 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.99
  • (0)
  Add to cart