Patient Assessment Renal 2

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Author:
kyleannkelsey
ID:
249825
Filename:
Patient Assessment Renal 2
Updated:
2013-11-30 13:20:08
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Patient Assessment Renal
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Description:
Patient Assessment Renal 2
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  1. What is Female IBW?
    45.5 kg + 2.3 (inches over 5 ft tall)
  2. What is Adjusted Body Weight?
    [0.4 x (Actual BW – IBW)] + IBW
  3. When is eGFR not very accurate?
    When GFR >60 mL/min/1.73 m2
  4. What are the units of eGFR?
    mL/min/1.73 m2
  5. If a patient is very large or small, how should you adjust the eGFR?
    Multiply by the patients BSA/1.73 to get units of mL/min
  6. When prescribing drugs with a narrow therapeutic index, how should you assess kidney function?
    Through measured CrCl or measured GFR
  7. What are the normal units for creatinine clearance?
    mL/min
  8. What is a normal Creatinine Clearance for Males?
    97-137 mL/min
  9. What is a normal Creatinine Clearance for Females?
    88-128 mL/min
  10. How does Renal insufficiency differ from acute renal/kidney failure?
    Renal impairment is an insufficiency whereas Renal Failure is a RAPID decline in function that can be reversible
  11. How does Chronic Kidney Disease differ from acute renal/kidney failure?
    CKD is a GRADUAL progressive decline in function whereas Renal Failure is a RAPID decline in function that can be reversible
  12. What change is SCr would be noticeable in a patient with acute renal failure?
    > 0.5 mg/dL from normal SCr OR > 1mg/dL for patients with previous CKD
  13. Can volume depletion cause acute renal failure?
    Yes
  14. Can elevated intake of dried fruit cause acute renal failure?
    No
  15. Can CHF cause acute renal failure?
    Yes
  16. Can psychomotor diseases cause acute renal failure?
    No
  17. Can Hypotension/Shock cause acute renal failure?
  18. Yes
  19. Can Renal artery stenosis cause acute renal failure?
    Yes
  20. Can excessive exercise cause acute renal failure?
    No
  21. Can Renal artery or vein thrombosis cause acute renal failure?
    Yes
  22. Can Glomerulonephritis cause acute renal failure?
    Yes
  23. Can Pyelonephritis cause acute renal failure?
    Yes
  24. Can Orthostatic Hypotension cause acute renal failure?
    No
  25. Can Malignant Hypertension cause acute renal failure?
    Yes
  26. Can Calculi cause acute renal failure?
    Yes
  27. Can Medications cause acute renal failure?
    Yes
  28. What are the signs and symptoms of acute renal failure?
    Proteinuria, ↑BUN, SCr, K and BP, ↓ urine output, peripheral edema
  29. What are the three phases of acute renal failure?
    Oliguric, Diuretic and Recovery
  30. Describe the Oliguric phase of acute renal failure:
    1st stage: Lasts several days to weeks: ↓ urine output, ↑ BUN and SCr
  31. Describe the Diuretic phase of acute renal failure:
    2nd stage: Lasts several days: BUN and SCr remain high
  32. Describe the Recovery phase of acute renal failure:
    3rd stage: Lasts weeks to months: Gradual decline in SCr and BUN
  33. What drugs may cause acute renal failure?
    ACEI, ARB, NSAID, Loop Diuretics, Aminoglycosides, Amphotericin B, Contrast Dye, Antineoplastics, Immunosuppressants
  34. What Antineoplastics may cause acute renal failure?
    Cisplatin, Methotrexate and Mitomycin
  35. What Immunosuppressants may cause acute renal failure?
    Tacrolimus and cyclosporine
  36. What is the variable in choosing a treatment for acute renal failure?
    Depends on the cause
  37. What are the major treatment options for acute renal failure?
    Discontinue offending agent, Hydration and Support (like Hemodialysis)
  38. Increases in what biomarkers indicate Chronic Renal Failure?
    K, Mg, Phosphate, pH of blood, BUN/SCr, BO

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