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Exam (elaborations)

AACN PCCN REVIEW RENAL QUESTIONS AND VERIFIED ANSWERS

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AACN PCCN REVIEW RENAL QUESTIONS AND VERIFIED ANSWERS

Institution
PCCN
Course
PCCN

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RF: Low Calcium


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Hypocalcemia
Calcium Carbonate
Calcium Gluconate
Phosphate Binding Agents Dialysis




Acute Kidney Disease


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, A sudden deterioration in renal function usually associated with the loss of
the kidney's ability to concentrated urine, as well as the retention and
accumulation of nitrogen wastes.




Hyperkalemia Treatment: Shift Potassium into Cell


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Shift K+ into the Cell:
1 amp Sodium Bicarbonate (raises pH)
5-10U Regular Insulin (pulls glucose and K into cell)
50ml Bolus 50% Dextrose (replaces sugar loss from insulin)

Albuterol 10 - 20mg inhalation or intravenous (beta2 adrenergic agent -
stimulates
B2 receptor in the pancreas to release more insulin).




Symptoms of low sodium


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Fluid excess or sodium deficit

Neurological
Headache
Fatigue
Apathy
Seizures
Confusion
Coma

Respiratory
Respiratory Distress

, Cardiovascular
Orthostatic Hypotension
Drop in CVP


GI
Anorexia
Wt Loss
N/V
Abd Cramps

Muscle Weakness




POST RENAL


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Urethra
Bladder
Trauma

Urethral: Stricture, Prostatic Hypertrophy
Urethral: fibrosis, calculi, blood clots
Bladder: neurogenic problems, neoplasms/cancer, BPH, obstruction
Trauma




Total Body Water


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60% of body weight (approximately 40L) is fluid

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Institution
PCCN
Course
PCCN

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