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Terms in this set (22)
Chronic Kidney Disease (CKD)
-progressive, irreversible loss of kidney function
-decrease in GFR lasting 3 or more months
-Stage 1 is better than stage 5
-all based on the GFR
How do we tell the extent of the failure?
The lower the GFR, worse the renal disease
Risk factors for CKD
How to diagnose CKD?
-24 hour urine
-ultrasound of kidneys
Clinical Manifestations of CKD
-no early signs
-increased BUN and Creatinine
-calcium and phosphate abnormalities
-impaired glucose metabolism
What are the treatment goals of CKD?
-save whatever kidney function is left
-improve quality of life
-treat symptoms/ prevent complications
-decrease cardiac problems
What are causes of AKI (acute kidney injury)?
-spinal cord injury
-decreased blood flow to the kidneys
-decreased cardiac output
What is AKI?
rapid loss of renal function due to kidney failure
What is oliguria?
Decreased or no urine output
Can AKI be reversed?
yes, but patients can die from this
patients with kidney problems can not have?
Patients in end stage renal can not have what in their diet?
What electrolyte imbalance do we worry about with renal problems?
What can hyperkalemia cause?
What electrolyte imbalances can cause seizures?
What should you look at to evaluate the effectiveness of calcium carbonate?
Patient with kidney failure can not have protein in diet except when on hemodialysis because?
protein is being filtered out of the body
What is hemodialysis?
uses a machine to filter the blood outside the body and then put clean blood back in
Why would someone have peritoneal dialysis over hemodialysis?
Because patient can't tolerate the faster rate of fluid removal
what do we worry about with hemodialysis?
infection at the fistula site
why are we constantly checking the fistula?
listening for a bruit