Question:
S/S of Rhabdomyolysis
Answer:
dark reddish urine, decrease urine, weakness, myalgia
,Question:
how to test for rhabdomyolysis
Answer:
Creatine kinase (CK)
Question:
Treatment of rhabdomyolysis
Answer:
aggressive fluid replacement to washout kidneys
avoid offending agent and/or treat the cause if known
Question:
Cauda Equina Syndrome
Answer:
caused by damage to the lumbar sacral nerve of the cauda equina
S/S: saddle anesthesia and sensory loss of the affected nerve roots
*Must check rectal tone to evaluate
,Question:
Stages of CKD
Answer:
1 GFR >90 - kidney damage with normal or elevated GFR
2 GFR 60-89 - kidney damage with mildly decrease GFR
3 GFR 30-59 - moderate decrease in GFR
4 GFR 15-29 - Severe decrease in GFR
5 GFR <15 - kidney failure
Question:
Hemodialysis
Answer:
Typically 3x weekly (3-4 hrs per day)
Fluid is taken off, urea and other waste products are removed
Electrolytes adjusted during dialysis: Na, Ca, Bicarb, K
Question:
Peritoneal Dialysis
Answer:
Administered nightly at home
Patient with HF often do better with PD
, Question:
glomerulonephritis
Answer:
Inflammation of the glomerulus (filter) of the kidney
*Kidney is NOT infected*
Will not see WBC - Will see RBC
S/S: hematuria, foamy urine, HTN, fluid retention and edema
Question:
Treatment of glomerulonephritis
Answer:
Hydrate
Avoid nephrotoxins - treat cause if known
Question:
Pyelonephritis
Answer:
Infection in the renal pelvis (upper UTI)
May cause urosepsis if untreated
Gram - bacteria
WBCs present
S/S: fever, chills, flank pain, n/v, CVA tenderness
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