NURS 642 Exam 3 Questions and Verified Answers/Accurate Solutions

NURS 642 Exam 3 Questions and Verified Answers/Accurate Solutions| Already Graded A+

Symptoms of Interstitial Nephritis Fever, Rash, WBC casts



AKI Workup Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US



AKI Managment Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet



Meds to avoid for AKI NSAIDs
Diuretics
ACE-I
ARBS



AKI Diagnosis Rapid rise in increase serum creatinine


Inability to maintain acid-base balance


Inability to maintain fluid balance

,Inability to maintain electrolyte imbalance


Inability to excrete nitrogenous waste



AKI S&S Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub


Pericardial Effusion


Cardiac Tamponade


Arrhythmias


Abdominal Pain/Ileus


Bleeding d/t platelet dysfunction


Encephalopathy, altered sensorium, asterixis, seizure


oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)



Prerenal AKI DDx Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis

, NSAIDs, ACEIs, ARBs



Postrenal AKI DDx Obstruction (BPH, Bladder Tumor)



Intrinsic Renal Disease DDx ATN: NSAIDS, Antibiotics, Contrast, Rhabdo, Chemo, Multiple
myeloma, hemolysis , hyperuricemia, cyclosporine


Acute Glomerulonephritis: Immune complex, SLE, Endocarditis, AntiGBM, Good pasture
syndrome



AKI Lab Findings Elevated Serum BUN/CREAT


Hyperkalemia


Hyperphosphatemia


hypocalcemia


increased anion gap


acidosis


FENa: <1% prerenal, >1% ATN


BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis


<20:1 ATN, AIN