Hondros Nur 212 Exam 2 Questions and Answers Graded A+

Hondros Nur 212 Exam 2 Questions and Answers Graded A+ Normal creatinine levels? ✔✔Male: 0.6 -1.2 Female: 0. 5-1.1 Normal GFR? ✔✔90-120ml/min At which GFR level does dialysis begin? ✔✔15 S/S of acute glomerulonephritis? ✔✔Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria S/S of chronic glomerulonephritis? ✔✔Proteinuria and hematuria Lab findings for glomerulonephritis? ✔✔Increased BUN, CR Decreased albuminin Common s \e of hemodialysis? ✔✔Hypotension due to all of the blood and fluids leaving the body Nephrotic syndrome s\s ✔✔SEVERE proteinuria MASSIVE edema Hypertension, foamy urine, anasarca, ascites Why might medication doses be decreased for a patient with kidney issues? ✔✔Due to medications not being excreted through kidneys Prerenal causes ✔✔Due to decreased blo od flow to kidneys Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe vasoconstriction Intrarenal causes ✔✔Due to damage to the gumeruli, interstitial tissue or tubules (parynchymal damage) Acute tubular n ecrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric complications, and malignant hypertension Post renal causes ✔✔Obstruction to the urine collecting system BPH Phases of AKI ✔✔Oliguric Diuretic Recovery (if not then CKD may develop) Oliguric Phase ✔✔Urinary changes (output less than 400ml/day) Lasts 10 -14 days Neck veins distended, bounding pulse, edema, hypertension Increased potassium (causing heart issues!) Diuretic Phase ✔✔Daily urine output 1 -3 liters may reach 5L or more Monito r for hyponatremia, hypokalemia, and dehydration as well as hypotension This phase may last 1 -3 weeks Why would calcium gluconate be given to a patient with AKI? ✔✔Due to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur the refor protecting the heart