| A | B |
|---|
| kidney produces 3 | renin for BP, erythropietin for RBC, Vit D |
| big risk for renal biopsy | bleeding - 25% cardiac output |
| creatinine normals | .06-1.5 |
| glomerulonephritis is | inflammation but noninfectious w/widespread kidney damage |
| one major s/s of glomerulonephritis is | big eyes - periorbital edema |
| ARF - three categories | prerenal, intrarenal, postrenal disorders |
| hormone produced by kidney | erythropoietin |
| creatinine is | substance result from break down of amino acid waste |
| what causes acute glomerulonephritis | upper R infect, STREP, impetigo mumps, HebB |
| chronic glomerulonephritis is ____ damage | irreversible to nephrons |
| treatment for chronic glomeru | bedrest, sodium restrict, antibotics, vit & iron - dylasis |
| 2 types of renal failure | ARF - CRF |
| 4 phases of ARF | initiation, oliguric, diuretic, recovery |
| most common type of renal failure | acute |
| ARF - 3 types | prerenal, intrrenal, postrenal |
| most common causes of ARF - prerenal | fluid volume loss - surgery, trauma, burns HF sepsis |
| intrarenal is what | conditions w/n kidney itself that destroys nephrons |
| postrenal is | obstructive problems below kidneys - stones, tumor prostate, foley |
| S/S for both ARF and CRF | high BP, wt gain, low urine output |
| CRF - fluid volume and BP | renin released then angiotensin is converted by renin, BP and thirst |
| renagel | GIVE WITH FOOD - binds to phosphorus in GI tract |
| epogen | stimulates RBC |
| dialysis - what is it | procedure for cleaning and filtering blood |
| dialysate - what is it | solution used during dialysis |
| hemodialysis | transporting blood from pt thru dialyzer |
| 2 ways for hemodialysis | arteriovenous fistula or graft |
| arteriovenous fistula | vessels joined - better patent w/few complications |
| arteriovenous graft | uses tube of synthetic material - connect vein & artery in upper arm or leg |
| nursing management dialysis | s/s over fistula infection, color nail beds, wash skin, avoid puncture to same site |
| most important nursing management dialysis | palpate for THRILL, BRUIT - NO INJECTIONS 2 hrs after |
| teaching hemodialysis | no carry heavy objects, loose sleeve clothes, sleep, no BP or punctures on side |
| what should dialysis pt do daily | wash site, listen for thrill and bruit |
| peritoneal dialysis | uses peritoneum, osmotic effect - drained by cath |
| peritoneal dialysis RISKS | peritonitis - s/s acute pain, rigid board like abd, fever |
| all renal pt need strict ___ and ___ | I&O and daily weight |
| breast blood and lymph | ax lymp nodes & internal nodes drain venous blood from breasts |
| PSA | prostate specific antigen - |
| sentinel lymph mapping leaves | normal lymph nodes in tack and decreases lymphedemia |
| BPH | benign prostatic hyperplasia |
| when you have BPH, it is hard | to start the flow of urine |
| BPH - s/s | gradual, then more effort to void, urge to void more often |
| BPH is usually found by | DRE |
| TURP | transurethral incision of prostate |
| what can happen after TURP | semen deposited n bladder-sterile, temp or perm incontience |
| bladder irrigation - what should we assess for | light pink urine, palpate bladder, no kinks in cath |
| tumor markers | alphafetoprotein and bHCG |
| 3 pathogens for vaginitis | gardnerella, trichomonas, candida |
| how to prevent vaginitis | wipe f 2 b, cotton undies, wet swim, change pads often |
| mastectomy - simple | all breast tissue, no lymph |
| can not take viagra if taking | nitrates |
| torsion | twisted sperm cord - EMERGENCY |
