Galen Advanced Med surg Nur265 EXAM 1 with answers
AKI |S/S |- |correct |answer |-oliguria;decreased |urine |output; |azotomia;
fluid |overload |signs- |crackles, |edema, |confusion, |low |spO2 |(88), |tachycardia; |Map |below |65
AKI |in |xray |dx |- |correct |answer |-infiltration |(fluid |in |lungs)
AKI |ABG |results |may |read |- |correct |answer |-respiratory |alkalosis |(spao2 |below |88%)
example |of |pre |renal |AKI |- |correct |answer |-dehydration, |blood |loss, |decreased |cardiac |output, |heart
|failure; |infection; |NG |suction, |sepsis, |V/D
Example |of |intra |renal |AKI |- |correct |answer |-myoglobinuria,BPH, |tubular |necrosis, |nephrotoxocity; |
acute |polynephtiits, |contrast
Example |of |post |renal |AKI |- |correct |answer |-bladder |neck |obstruction, |bladder |cancer; |calculi; |
tumor
Duiretic |phase |(3rd |phase) |of |AKI |- |correct |answer |-Nurse |should |give |3L-6L |per |day; |place |Foley |
Asses |I |and |O |(output=1000-2000mL/day)
replace |fluids |and |monitor |electrolyes
dialysis |may |be |required
Best |Lab |indicator |of |Kindey |function |(AKI |and |CKD) |- |correct |answer |-creatine |(Normal |0.6-1.2)
AKI |increased |1-2 |every |24-48hrs
Normal |urine |output |per |hour |- |correct |answer |-30 |mL/hr
, normal |potassium |levels |- |correct |answer |-3.5-5.0 |mEq/L
Normal |Sodium |levels |- |correct |answer |-135-145 |mEq/L
Diet |for |AKI |patients |- |correct |answer |-mod |protein
high |carb
Complication |of |AKI |- |correct |answer |-Preicarditis
Nephrotoxic |agents |include |- |correct |answer |-contrast
mycin |antibitics |(peak |and |trough)
NSAIDS |(celecoxib, |ibuprophen, |ketorolac, |napraxon)
Diet |: |AKI |patient |w/ |dialysis |- |correct |answer |-protein |40 |g/day
diet:AKI |patient |without |dialysis |- |correct |answer |-protein |1-1.5g/kg
Na |60-90 |mEq/kg
K |restriction |60-70 |mEq/kg
Define |oliguria |- |correct |answer |-decreased |urine |production |
400mL/day |or |less
How |many |stages |of |Kidney |failure |are |there? |- |correct |answer |-5 |stages |( |defined |by |GFR)
stage |1 |(GFR |90 |and |up)
Stage |5 |(GFR |15 |or |less)
signs |of |Chronic |Kidney |Disease |- |correct |answer |-oliguria, |anemia, |azotomia, |hyperkalemia
Diet |for |Chronic |kidney |disease |- |correct |answer |-restrict |K, |restrict |NA, |low |protein
AKI |S/S |- |correct |answer |-oliguria;decreased |urine |output; |azotomia;
fluid |overload |signs- |crackles, |edema, |confusion, |low |spO2 |(88), |tachycardia; |Map |below |65
AKI |in |xray |dx |- |correct |answer |-infiltration |(fluid |in |lungs)
AKI |ABG |results |may |read |- |correct |answer |-respiratory |alkalosis |(spao2 |below |88%)
example |of |pre |renal |AKI |- |correct |answer |-dehydration, |blood |loss, |decreased |cardiac |output, |heart
|failure; |infection; |NG |suction, |sepsis, |V/D
Example |of |intra |renal |AKI |- |correct |answer |-myoglobinuria,BPH, |tubular |necrosis, |nephrotoxocity; |
acute |polynephtiits, |contrast
Example |of |post |renal |AKI |- |correct |answer |-bladder |neck |obstruction, |bladder |cancer; |calculi; |
tumor
Duiretic |phase |(3rd |phase) |of |AKI |- |correct |answer |-Nurse |should |give |3L-6L |per |day; |place |Foley |
Asses |I |and |O |(output=1000-2000mL/day)
replace |fluids |and |monitor |electrolyes
dialysis |may |be |required
Best |Lab |indicator |of |Kindey |function |(AKI |and |CKD) |- |correct |answer |-creatine |(Normal |0.6-1.2)
AKI |increased |1-2 |every |24-48hrs
Normal |urine |output |per |hour |- |correct |answer |-30 |mL/hr
, normal |potassium |levels |- |correct |answer |-3.5-5.0 |mEq/L
Normal |Sodium |levels |- |correct |answer |-135-145 |mEq/L
Diet |for |AKI |patients |- |correct |answer |-mod |protein
high |carb
Complication |of |AKI |- |correct |answer |-Preicarditis
Nephrotoxic |agents |include |- |correct |answer |-contrast
mycin |antibitics |(peak |and |trough)
NSAIDS |(celecoxib, |ibuprophen, |ketorolac, |napraxon)
Diet |: |AKI |patient |w/ |dialysis |- |correct |answer |-protein |40 |g/day
diet:AKI |patient |without |dialysis |- |correct |answer |-protein |1-1.5g/kg
Na |60-90 |mEq/kg
K |restriction |60-70 |mEq/kg
Define |oliguria |- |correct |answer |-decreased |urine |production |
400mL/day |or |less
How |many |stages |of |Kidney |failure |are |there? |- |correct |answer |-5 |stages |( |defined |by |GFR)
stage |1 |(GFR |90 |and |up)
Stage |5 |(GFR |15 |or |less)
signs |of |Chronic |Kidney |Disease |- |correct |answer |-oliguria, |anemia, |azotomia, |hyperkalemia
Diet |for |Chronic |kidney |disease |- |correct |answer |-restrict |K, |restrict |NA, |low |protein
