Maria Leik Flashcard (AGNP) Exam
Questions With Correct Answers
Acute Renal Failure Symptoms
| | |
Oliguria, edema, weight gain, lethargy, nausea, loss of appetite
| | | | | | | |
Are serum creatinine and eGFR accurate in acute renal failure?
| | | | | | | | |
Not necessarily
|
Which hormones are secreted by the kidneys and what are their
| | | | | | | | | | |
functions ? |
Erythropoeitin (RBC production), renin & bradykinin (b/p),
| | | | | | |
prostaglandins (renal perfusion), calcitriol/vitamin D3 (bones)
| | | | |
,Which hormones reabsorb water back into body?
| | | | | |
ADH and aldosterone
| |
What are some waste products of the kidneys?
| | | | | | |
Water-soluble products (creatinine, urea, uric acid)
| | | | |
What is the average daily urine output?
| | | | | |
1500mL
What is oliguria?
| |
<400mL daily |
Serum creatinine definition & levels
| | | |
,Male 0.7-1.3mg/dL, Female 0.6-1.1mg/dL
| | |
Product of creatine metabolism, primarily from muscle so falsely
| | | | | | | | |
decreased in people with low muscle volume (elderly)
| | | | | | |
What raises serum creatinine?
| | |
-A decrease in renal function such as renal failure or damage,
| | | | | | | | | | |
nephrotoxic drugs |
Which individuals may have higher serum creatinine levels without
| | | | | | | | |
renal disease?
|
Individuals males and individuals with more muscle mass such as
| | | | | | | | | |
African Americans |
What is creatinine clearance (24-hr urine) used for?
| | | | | | |
Detect proteinuria, albuminuria and microalbuminuria
| | | |
, What is the relative relationship of creatinine clearance (24 hr urine) to
| | | | | | | | | | | |
GFR?
Creatinine clearance is doubled for every 50% reduction in GFR
| | | | | | | | |
Is 24 hour urine (creatinine clearance) better than serum creatinine?
| | | | | | | | |
Yes, more sensitive because reflects 24hr period so relatively constant
| | | | | | | | | |
and not affected by fluid status, diet or exercise
| | | | | | | |
eGFR definition
|
Amount of fluid filtered by glomerulus within a certain unit of time,
| | | | | | | | | | | |
used to evaluate renal function
| | | |
Which test is used to stage chronic kidney disease?
| | | | | | | |
eGFR, normal >90mL/min, stage 5 (renal failure <15mL/min)
| | | | | | |
Questions With Correct Answers
Acute Renal Failure Symptoms
| | |
Oliguria, edema, weight gain, lethargy, nausea, loss of appetite
| | | | | | | |
Are serum creatinine and eGFR accurate in acute renal failure?
| | | | | | | | |
Not necessarily
|
Which hormones are secreted by the kidneys and what are their
| | | | | | | | | | |
functions ? |
Erythropoeitin (RBC production), renin & bradykinin (b/p),
| | | | | | |
prostaglandins (renal perfusion), calcitriol/vitamin D3 (bones)
| | | | |
,Which hormones reabsorb water back into body?
| | | | | |
ADH and aldosterone
| |
What are some waste products of the kidneys?
| | | | | | |
Water-soluble products (creatinine, urea, uric acid)
| | | | |
What is the average daily urine output?
| | | | | |
1500mL
What is oliguria?
| |
<400mL daily |
Serum creatinine definition & levels
| | | |
,Male 0.7-1.3mg/dL, Female 0.6-1.1mg/dL
| | |
Product of creatine metabolism, primarily from muscle so falsely
| | | | | | | | |
decreased in people with low muscle volume (elderly)
| | | | | | |
What raises serum creatinine?
| | |
-A decrease in renal function such as renal failure or damage,
| | | | | | | | | | |
nephrotoxic drugs |
Which individuals may have higher serum creatinine levels without
| | | | | | | | |
renal disease?
|
Individuals males and individuals with more muscle mass such as
| | | | | | | | | |
African Americans |
What is creatinine clearance (24-hr urine) used for?
| | | | | | |
Detect proteinuria, albuminuria and microalbuminuria
| | | |
, What is the relative relationship of creatinine clearance (24 hr urine) to
| | | | | | | | | | | |
GFR?
Creatinine clearance is doubled for every 50% reduction in GFR
| | | | | | | | |
Is 24 hour urine (creatinine clearance) better than serum creatinine?
| | | | | | | | |
Yes, more sensitive because reflects 24hr period so relatively constant
| | | | | | | | | |
and not affected by fluid status, diet or exercise
| | | | | | | |
eGFR definition
|
Amount of fluid filtered by glomerulus within a certain unit of time,
| | | | | | | | | | | |
used to evaluate renal function
| | | |
Which test is used to stage chronic kidney disease?
| | | | | | | |
eGFR, normal >90mL/min, stage 5 (renal failure <15mL/min)
| | | | | | |