,PRN 1409
QUESTION
Protection mechanisms of the respiratory tract
Answer:
*the pleura (membrane that covers the lungs)
-visceral pleura (covers lungs) -parietal
pleura (covers chest wall *serous fluid
that prevents friction
QUESTION
Diuretics- side Effects, when to take
Answer:
*side effects:
-dehydration
-hypotension
-increases blood glucose
-hypokalemia
-constipation
*administer in morning if possible; if a second dose, administer mid-afternoon to avoid sleep
interference
QUESTION
Hyperkalemia interventions
Answer:
monitor cardiovascular, respiratory, neuromuscu- lar, renal, and gastrointestional status; place
on cardiac monitor
Discontinue IV and hold oral potassium supplements
potassium restricted diet
,administer potassium excreting diurects if renal function is not impaired
QUESTION
Indications for a Foley catheter
Answer:
Retention/obstruction
Immobilized pt's
Measure urine output in critically ill
Short term: pre-op, clot irrigation, hypothermia warming
QUESTION
Bladder scan
Answer: an ultrasound machine used to estimate the amount of urine in
the bladder
QUESTION
acute glomerulonephritis
Answer:
inflammation of the capillary loops of the renal glomeruli
QUESTION
Kidney stones
Answer:
Solid crystalline masses formed in the kidney, resulting from an excess of insoluble salts or uric
acid crystallizing in the urine; may become trapped anywhere along the urinary tract.
QUESTION
Chronic anemia of renal failure
, Answer:
-corrected with erythropoietin
-failure to increase erythropoietin in response to decrease numbers of eythrocytes
-damage to kidneys affects secretion of erythropoietin
QUESTION
uremic syndrome
Answer:
increase in nitrogeneous wastes in the blood, marked fluid and electrolyte abnormalities, nausea,
vomiting, headache, coma, and convulsions
QUESTION
Care of an AV fistula
Answer:
*check site and protect from injury
*observed at least 4 times a day
*palpate for a thrill (vibration in the vessel)
QUESTION
Kidney transplant after-care
Answer:
*transferred to critical care or specialty units after surgery
*closely monitored for signs of rejection
-fever, ‘ BP, and pain over iliac fossa where kidney was placed
*monitor for signs of renal failure
QUESTION
Renal diet
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