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NU 608 3 study guide with complete solutions

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NU 608 3 study guide with complete solutions Glomerular filtration rate normal: - Answer-120-130 GFR definition: - Answer-rate at which fluid filters from the blood into the Bowman's capsule GFR is dependent on: - Answer-Renal blood flow, cardiac output, microvascular resistance GFR is affected by: - Answer-Cardiac output Best measurement of GFR: - Answer-Creatinine Acute glomerulonephritis- what causes it and what is it? - Answer-Intrinsic renal failure. Injury of the glomerulus. Caused by streptococcus, syphilis, virus, hep B, mono, mumps/measles. Glomerulonephritis: what & S+S - Answer-Inflammation of the glomeruli of the kidney. Most commonly streptococcus infection causes it. Hematuria, edema, htn, renal insufficiency. Antigen-antibody complexes and complement are depostied into the glomerulus, which triggers inflammation and glomerular injury. Acute renal failure: categories, GFR/BUN/Cr, and what? - Answer-Loss of water and electrolyte hemostasis EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 2/11 -decrease in GFR -decreased urine output -increase in BUN & Cr. Pre-renal, intrinsic, post-renal. Pre-renal: what? from? - Answer-decreased blood flow to kidney, hypoperfusion of a normal kidney. Kidneys unable to filter waste. -Na+ and water is retained from- hypovolemia, hypotension, and hypoxemia due to dehydration, GI losses, bleeding, shock, heart failure. Correction of hypoperfusion leads to resolution. Intrinsic: what? from? - Answer-Damage to kidney structure, Tubule epithelial cells separate from the basement membrane and slough into the lumen. ATN!!! ischemia, toxic insult, obstruction, glomerulonephritis, pyelonephritis, cystic dysplasia. Post-reanl: what? from? - Answer-Impaired elimination of urine from the kidney. From an obstruction at the level of the ureter, bladder, or urethra. Urine is being produced but there is an issue with elimination. From- renal stones, BPH, strictures, spasms, neurogenic bladder, horseshoe kidney. Renal carcinoma: two types, tx, risk factors, S+S - Answer-Two types- clear cell and wilms tumor (kids). Risk factors- smoking, obesity, exposure to petroleum products, heavy metals, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 3/11 asbestos. Silent condition at the beginning stages then hematuria, flank pain, palpable flank mass. High likelihood of lung and bone mets. Tx- nephrectomy. Chronic pyelonephritis: - Answer-Common cause of intrinsic renal failure. Progressive process with scarring, deformation of the renal calyces, and pelvis. Recurrent bacterial infection and reflux. SIADH: ADH? Urine? Lytes? S+S? From? - Answer-Too much ADH! -high reabsorption rate, low urine outpu

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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024




NU 608 3 study guide with complete
solutions

Glomerular filtration rate normal: - Answer✔✔-120-130


GFR definition: - Answer✔✔-rate at which fluid filters from the blood into the Bowman's

capsule


GFR is dependent on: - Answer✔✔-Renal blood flow, cardiac output, microvascular resistance


GFR is affected by: - Answer✔✔-Cardiac output


Best measurement of GFR: - Answer✔✔-Creatinine


Acute glomerulonephritis- what causes it and what is it? - Answer✔✔-Intrinsic renal failure.

Injury of the glomerulus. Caused by streptococcus, syphilis, virus, hep B, mono,

mumps/measles.


Glomerulonephritis: what & S+S - Answer✔✔-Inflammation of the glomeruli of the kidney. Most

commonly streptococcus infection causes it. Hematuria, edema, htn, renal insufficiency.

Antigen-antibody complexes and complement are depostied into the glomerulus, which triggers

inflammation and glomerular injury.


Acute renal failure: categories, GFR/BUN/Cr, and what? - Answer✔✔-Loss of water and

electrolyte hemostasis

Page 1/11

, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


-decrease in GFR


-decreased urine output


-increase in BUN & Cr.


Pre-renal, intrinsic, post-renal.


Pre-renal: what? from? - Answer✔✔-decreased blood flow to kidney, hypoperfusion of a normal

kidney. Kidneys unable to filter waste.


-Na+ and water is retained


from- hypovolemia, hypotension, and hypoxemia due to dehydration, GI losses, bleeding, shock,

heart failure.


Correction of hypoperfusion leads to resolution.


Intrinsic: what? from? - Answer✔✔-Damage to kidney structure, Tubule epithelial cells separate

from the basement membrane and slough into the lumen. ATN!!! ischemia, toxic insult,

obstruction, glomerulonephritis, pyelonephritis, cystic dysplasia.


Post-reanl: what? from? - Answer✔✔-Impaired elimination of urine from the kidney. From an

obstruction at the level of the ureter, bladder, or urethra. Urine is being produced but there is

an issue with elimination. From- renal stones, BPH, strictures, spasms, neurogenic bladder,

horseshoe kidney.


Renal carcinoma: two types, tx, risk factors, S+S - Answer✔✔-Two types- clear cell and wilms

tumor (kids). Risk factors- smoking, obesity, exposure to petroleum products, heavy metals,


Page 2/11

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