NURS 317 L Quiz 5 Renal Study Guide

Renal System • Excretes toxins • Homeostasis • Helps w/ RBC production (erythropoietin) • Metabolizes electrolytes Kidney Functions • Regulates electrolytes • Maintains acid-base balance • Removes wastes: urea, creatinine, uric acid, meds • Receives hormones • Parathyroid hormones (Pth)  calcium production • Atrial natriuretic peptides (Anp) sodium & water reabsorption • Antidiuretic Hormone (ADH)  retains fluid • Releases hormones • Renin  vasoconstriction (BP) • Erythropoietin • Calcitriol  bone growth *aminoglycosides are toxic* • Nephrotoxic meds  aminoglycosides aka  -mycins (vancomycin & chemo meds) Renal Assessments • Daily weight • Vitals  BP • I&Os • Labs: o BUN o Creatinine (kidney function; anything under 1 = good) o Electrolytes o Specific gravity o Urinalysis If on dialysis