Patient Assessment Renal 3

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Patient Assessment Renal 3
2013-11-30 13:21:02
Patient Assessment Renal
Patient Assessment Renal 3
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  1. Decreases in what biomarkers indicate Chronic Renal Failure?
    Ca, Hgb/HCT
  2. Does edma usually occur with chronic kidney failure?
  3. What are the Symptoms of Chronic Kidney Failure?
    Anorexia, Flank pain, N/V, Lethargy, Muscle cramps & weakness, Altered skin pigment, Pruritus, Depression, Anxiety, SOB
  4. How many stages of chronic kidney failure are there?
  5. What is the GFR of a patient with Stage 1 Chronic Kidney Disease?
    > or = 90
  6. What is the GFR of a patient with Stage 2 Chronic Kidney Disease?
  7. What is the GFR of a patient with Stage 3 Chronic Kidney Disease?
  8. What is the GFR of a patient with Stage 4 Chronic Kidney Disease?
  9. What is the GFR of a patient with Stage 5 Chronic Kidney Disease?
    < 15
  10. Describe the characteristics of Stage 1 Chronic Kidney Disease:
    Kidney damage with normal or ↑ GFR
  11. Describe the characteristics of Stage 2 Chronic Kidney Disease:
    Kidney Damage with mild ↓ GFR
  12. Describe the characteristics of Stage 3 Chronic Kidney Disease:
    Moderate ↓ GFR
  13. Describe the characteristics of Stage 4 Chronic Kidney Disease:
    Severe ↓ GFR
  14. Describe the characteristics of Stage 5 Chronic Kidney Disease:
    Kidney Failure, ESRD and Dialysis
  15. What diseases are associated with Chronic Kidney Disease?
    Hypertension, Diabetes, Glomerulonephritis, Polycystic Kidney Disease, Interstitial nephritis
  16. Is there a cure for chronic kidney disease?
  17. Does blood ever appear in the urine with a UTI?
    Yes, can occur
  18. What is an Uncomplicated UTI?
    Typically caused by bacteria
  19. What is a Complicated UTI?
    Caused by structural impedance to clearing urine
  20. Who should be screened for asymptomatic bacteriuria?
    Pregnant women between 12-16 weeks or patients undergoing urologic surgery
  21. How are Complicated UTIs treated?
    Catheter placement
  22. Are recurrent UTIs a symptom of Complicated or Uncomplicated UTI?
  23. What is asymptomatic bacteriuria?
    Significant UTI without any symptoms
  24. What is Cystitis?
    Lower Urinary Tract infection, bladder, ureter
  25. What is the most common type of UTI?
    Cystitis/Lower urinary tract infection
  26. What is Pylonephritis?
    Upper urinary tract infection, ureter/kidney
  27. What is the most common bacteria associated with urinary tract infections?
    E. coli
  28. What are the risk factors for urinary tract infections?
    Extremes of ages, Female, Pregnancy, Catheterization, Neurologic dysfunction, Renal disease, Urinary obstruction
  29. Should kidney function naturally decrease with age?
  30. Are UTIs common in pediatrics?
  31. What group of eldery patients have increased UTIs?
  32. What symptoms would you expect with BPH?
    Increased frequency, urgency, dribbling and hesitancy in male urination
  33. How do renal stones form?
    Urine becomes supersaturated with insoluble products, crystals form which become renal stones
  34. What is the most common composition of renal stones?
    Calcium salts
  35. What three things are most renal stones made of?
    Calcium salts, uric acid and struvite
  36. What are the risk factors for developing renal stones?
    Idiopathic hypercalciuris, Hyperuricosuria, Gout, Primary hyperparapthyroidism and dehydration
  37. What are the symptoms of renal stones?
    Can be asymptomatic, dysuria, hematuria, urgency and changes in frequency, pain in flank areas that increases over 20-60 minutes
  38. How can renal stones be treated?
    Lithotripsy and cystoscopy
  39. Urinary incontinence can be caused by medications (True/False)