NUR 265 Exam 1 - Elimination (Liver, Pancreas, Kidneys)
Study online at https://quizlet.com/_ey952k
1. What is the most reliable indicator of fluid gain and loss?: weight
2. Acute Kidney Injury (AKI): rapid loss of renal function due to damage to the kidneys; formerly called
acute renal failure
3. Diagnosis of AKI: Increased creatinine & decreased urine output
4. Labs for AKI: BUN
Creatinine
GFR
Potassium
Sodium
Phosphate
Calcium
Magnesium
Urine specific gravity
5. BUN lab value: 10-20 "BUNS"
6. Creatinine lab value: 0.6-1.2 mg/dL
7. Which lab is an important sign of kidney damage if it increases?: Creatinine
8. GFR (glomerular filtration rate) lab value: 90-120
9. Potassium lab value: 3.5-5.0 mEq/L "bananas"
10. Urine Specific Gravity lab value: 1.005-1.030
11. Sodium lab value: 135-145 mEq/L
12. Phosphate lab value: 3.0-4.5 "fossils"
13. Calcium lab value: 9-10.5 glasses of milk
14. Prerenal AKI: before the kidney (outside)
15. What is prerenal aki related to?: Decreased blood flow, poor perfusion to the kidneys
16. Causes of prerenal AKI: MI
Dehydration
Bleeding
Burns
17. What should you assess in prerenal AKI?: LOC
18. Intrarenal AKI (intrinsic): Direct damage to the kidneys (inside)
19. causes of intrarenal AKI: Blood clots in nearby veins and arteries
• Cholesterol deposits that block blood flow in the kidneys
1/9
, NUR 265 Exam 1 - Elimination (Liver, Pancreas, Kidneys)
Study online at https://quizlet.com/_ey952k
• Glomerulonephritis
• Hemolytic uremic syndrome
• Local infection (pyelonephritis)
• Lupus
Pharmaceuticals, such as certain chemotherapy agents, antibiotics, iodinated or hyperosmolar contrast media used
during imaging tests
20. Diagnosis of intrarenal AKI: injury to glomeruli, nephrons, tubules
21. Complications of intrarenal AKI: Tubular necrosis
22. Postrenal AKI: Urine flow obstruction
23. Causes of postrenal AKI: • Bladder cancer
• Cervical cancer
• Colon cancer
• Prostate cancer
• Enlarged prostate • Kidney stones
• Nerve damage involving the nerves that control the bladder • Blood clots in the urinary tract
24. MAP range: 70-90
25. What MAP is needed to obtain adequate perfusion to the kidneys?: A MAP of 65
or higher
26. Manifestations of postrenal AKI: Oliguria
Fluid overload
Labs (BUN, Creatinine, Urine specific gravity)
27. When should you hold Metformin?: Up to 24 hours before & after the use of IV contrast
28. What does an SpO2 below 88% indicate?: potential hypoxemic or ischemic damage to kidney
tissue
29. A 62-year-old client was admi: B. Serum potassium 6.9 mEq/L (mmol/L)
30. Nephrotoxic substances examples: Antibiotics
NSAIDS
Aminoglycoside antibiotics (-mycin)
Contrast media
Metformin
Acetaminophen
2/9
Study online at https://quizlet.com/_ey952k
1. What is the most reliable indicator of fluid gain and loss?: weight
2. Acute Kidney Injury (AKI): rapid loss of renal function due to damage to the kidneys; formerly called
acute renal failure
3. Diagnosis of AKI: Increased creatinine & decreased urine output
4. Labs for AKI: BUN
Creatinine
GFR
Potassium
Sodium
Phosphate
Calcium
Magnesium
Urine specific gravity
5. BUN lab value: 10-20 "BUNS"
6. Creatinine lab value: 0.6-1.2 mg/dL
7. Which lab is an important sign of kidney damage if it increases?: Creatinine
8. GFR (glomerular filtration rate) lab value: 90-120
9. Potassium lab value: 3.5-5.0 mEq/L "bananas"
10. Urine Specific Gravity lab value: 1.005-1.030
11. Sodium lab value: 135-145 mEq/L
12. Phosphate lab value: 3.0-4.5 "fossils"
13. Calcium lab value: 9-10.5 glasses of milk
14. Prerenal AKI: before the kidney (outside)
15. What is prerenal aki related to?: Decreased blood flow, poor perfusion to the kidneys
16. Causes of prerenal AKI: MI
Dehydration
Bleeding
Burns
17. What should you assess in prerenal AKI?: LOC
18. Intrarenal AKI (intrinsic): Direct damage to the kidneys (inside)
19. causes of intrarenal AKI: Blood clots in nearby veins and arteries
• Cholesterol deposits that block blood flow in the kidneys
1/9
, NUR 265 Exam 1 - Elimination (Liver, Pancreas, Kidneys)
Study online at https://quizlet.com/_ey952k
• Glomerulonephritis
• Hemolytic uremic syndrome
• Local infection (pyelonephritis)
• Lupus
Pharmaceuticals, such as certain chemotherapy agents, antibiotics, iodinated or hyperosmolar contrast media used
during imaging tests
20. Diagnosis of intrarenal AKI: injury to glomeruli, nephrons, tubules
21. Complications of intrarenal AKI: Tubular necrosis
22. Postrenal AKI: Urine flow obstruction
23. Causes of postrenal AKI: • Bladder cancer
• Cervical cancer
• Colon cancer
• Prostate cancer
• Enlarged prostate • Kidney stones
• Nerve damage involving the nerves that control the bladder • Blood clots in the urinary tract
24. MAP range: 70-90
25. What MAP is needed to obtain adequate perfusion to the kidneys?: A MAP of 65
or higher
26. Manifestations of postrenal AKI: Oliguria
Fluid overload
Labs (BUN, Creatinine, Urine specific gravity)
27. When should you hold Metformin?: Up to 24 hours before & after the use of IV contrast
28. What does an SpO2 below 88% indicate?: potential hypoxemic or ischemic damage to kidney
tissue
29. A 62-year-old client was admi: B. Serum potassium 6.9 mEq/L (mmol/L)
30. Nephrotoxic substances examples: Antibiotics
NSAIDS
Aminoglycoside antibiotics (-mycin)
Contrast media
Metformin
Acetaminophen
2/9
