NUR 265 Exam 1
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What is normal for Cardiac index?
Choose an answer
1 5-7 2 10-15
3 0.5-1 4 2-4
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What is nephrotic syndrome? A condition of increased glomerular permeability that allows larger molecules to
pass through the membrane into the urine and then be excreted.
, What are key features of nephrotic syndrome? -
Massive proteinuria
-Hypoalbuminemia
-Edema (facial and periorbital)
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is 3.5g in 24 hours
greater than what?
What is nephrotic syndrome treated with? -immunosuppressant agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
Describe Prerenal AKI. Give examples. Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
-Renal artery stenosis
-MI or HF resulting in low ejection fraction and low cardiac output
-Blood/ fluid loss
Describe Intrarenal AKI. Give examples. Tissue damage to the actual kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
Describe Postrenal AKI. Give examples. Obstruction that occurs after the kidney.
-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
How do you determine the mean arterial pressure Systolic + (Diastolic*2) /3
(MAP)?
What is the MAP needed to perfuse the kidneys? 65 mmHg
What are examples of nephrotoxic drugs? -NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
During the diuretic phase of AKI, what needs to be Watch for dehydration and make sure output is greater than input
monitored?