Patient Assessment Renal 1

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Author:
kyleannkelsey
ID:
249824
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Patient Assessment Renal 1
Updated:
2013-11-30 13:18:31
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Patient Assessment Renal
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Patient Assessment Renal 1
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  1. The renal system has what major functions?
    Regulates ion conc. in plasma, blood volume and pressure, toxic subsatnces in blood, blood pH, synthesizes calcitrol (Vit D), regulates blood cell production
  2. What is normal urine output?
    1,000 to 1,500 ml/day
  3. What constitutes Oliguria?
    100-400 mL/day
  4. What constitutes Polyuria?
    >2500 mL/day
  5. What constitute Anuria?
    No urine output or <50 mL/day
  6. What is a normal specific gravity for urine?
    1.010-1.020
  7. What is a normal pH for urine?
    5-6
  8. What is Hematuria?
    RBCs in the blood
  9. What is pyuria?
    Pus, WBCs in the urine
  10. Are epithelial cells a concern when found in the urine?
    No, considered a contaminant
  11. What is evaluated in the urine during a laboratory test?
    Color, pH, specific gravity, Protein, Glucose/ketones, bacteria and Urine sediments
  12. What medications effect urine?
    Iron, Pyridium, Rifampin, Propofol, Nitrofurantoin, phenytoin
  13. Describe urine color changes associated with Iron use:
    Dark brown or red
  14. Describe urine color changes associated with Pyridium use:
    Orange to red
  15. Describe urine color changes associated with Rifampin use:
    Orange to red
  16. Describe urine color changes associated with Propofol use:
    Green
  17. Describe urine color changes associated with Nitrofurantoin use:
    Brown
  18. Describe urine color changes associated with Phenytoin use:
    Pink, red or red-brown
  19. What is a negative Urinary dipstick evaluation for proteinuria?
    <10 mg/dL
  20. What is a positive Urinary dipstick evaluation for proteinuria?
    > or = to +1 or >30 mg/dL
  21. What is considered “trace” for a Urinary dipstick evaluation for proteinuria?
    10-20 mg/dL
  22. What does a 2+ for Urinary dipstick evaluation for proteinuria mean?
    100 mg/dL (positive)
  23. What does a 3+ for Urinary dipstick evaluation for proteinuria mean?
    300 mg/dL (positive)
  24. What does a 4+ for Urinary dipstick evaluation for proteinuria mean?
    >1000 mg/dL (positive)
  25. What constitutes clinical proteinuria?
    >200 mg/g total protein: creatinine ratio
  26. What constitutes clinical microalbuminuria?
    >30 mg/g albumin: creatinine ratio
  27. What is a normal range for Serum Creatinine?
    0.7-1.3 mg/dL
  28. What is a normal range for blood urea nitrogen (BUN)?
    8-21 mg/dL
  29. How is Creatinine primarily eliminated?
    By Glomerular filtration
  30. As SCr rises __________ and ___________ decreases.
    GFR and CrCl
  31. (True/False) SCr alone should not be used to assess the level of kidney function.
    True
  32. (True/False) SCr can be influenced by many factors.
    True
  33. (True/False) GFR can be measured easily.
    False, need prediction equations
  34. (True/False) GFR prediction equations are usually validated in renal failure patients.
    False, usually validated on normal kidney function patients
  35. What is Cockroft-Gault equation for CrCl in adults:
    • Men: Cl = (140-age)*kg/(72 x SCr)
    • Women: 0.85 * CrCl (male)
  36. What is the Modification of Diet in Renal Disease equation used for?
    Estimate GFR for staging of CKD patients
  37. Use actual body weight for the C-G equation unless____________________________, then use adjusted body weight (AdjBW)
    the patient weighs > 20% above their ideal body weight (IBW)
  38. What is Male IBW?
    50 kg + 2.3 (inches over 5 ft tall)

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