NR507- Advanced Pathophysiology Final Exam CORRECT 100%
2 views 0 purchase
Course
NR507
Institution
NR507
Acute renal failure - ANSWER Reversible
Determining prognosis- kidneys respond to diuretic with good output; this indicates that kidneys are functioning well
Acute Pyelonephritis - ANSWER Diagnosing by clinical symptoms alone can be difficult; can be similar to cystitis
Diagnosis established...
Determining prognosis- kidneys respond to diuretic with good output; this indicates that kidneys are
functioning well
Acute Pyelonephritis - ANSWER Diagnosing by clinical symptoms alone can be difficult; can be similar to
cystitis
Diagnosis established by:
-Urine culture
-Urinalysis (WBC casts indicates pyelonephritis, but may not always be present)
-Signs/Symptoms
-Complicated pyelonephritis requires blood cultures and urinary tract imaging
Renal Calculi (Renal Stones) - ANSWER Goals of Treatment:
Manage acute pain
Promote passage of stone
Reduce size of stone
Prevent new stone formation
Chronic Renal Failure - ANSWER Chronic Kidney Disease (CKD) is a progressive loss of renal function
associated with systemic disease such as hypertension, diabetes mellitus (most significant risk factor),
systemic lupus erythematosus or intrinsic kidney disease
CKD stage is determined by estimates of GFR and albuminuria
, Who is a candidate for dialysis? - ANSWER End-stage renal disease (ESRD) is the final stage of CKD with
the number one cause being diabetes mellitus combined with hypertension. At this point, the patient is
completely dependent on dialysis to survive.
CKD is classified into five stages and is based on the patient's GFR rather than symptoms.
Patients will need dialysis when the following symptoms are present:
--Metabolic acidosis.
--Hyperkalemia: Hyperkalemia in the presence of EKG changes (peaked T-waves) is an indication for
dialysis. --Hyperkalemia by itself is not an indication for dialysis.
--Drug toxicity: Drug toxicity due to the following drugs is an indication for dialysis and include
salicylates, Lithium, Isopropanol, Methanol and Ethylene glycol).
--Fluid volume overload that is not responsive to diuretics.
--Uremic symptoms due to nitrogenous wastes in the blood stream.
Stage I CKD - ANSWER There is kidney damage with normal or elevated GFR
90-120
Stage II CKD - ANSWER There is kidney damage with mild decrease in GFR
60-89
Stage III CKD - ANSWER There is a moderate decrease in GFR
30-59
Stage IV CKD - ANSWER There is a severe decrease in GFR
15-29
Stage V CKD - ANSWER Kidney failure- End-stage renal disease
<15 (dialysis) Once Stage IV is reached, progression to Stage V is inevitable as well as dialysis or kidney
transplant
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 Lecchris. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
