NUR 265 Exam 1
What is nephrotic syndrome? Correct Answer: A condition of increased glomerular permeability that
allows larger molecules to pass through the membrane into the urine and then be excreted.
What are key features of nephrotic syndrome? Correct Answer: -*Massive proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what? Correct Answer: 3.5g in 24
hours
What is nephrotic syndrome treated with? Correct Answer: -immunosuppressant agents (if immunity
based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
Describe the "risk" stage for AKI Correct Answer: creatinine x 1.5 of normal, and GFR reduced by 25%
Describe the "injury" stage for AKI Correct Answer: creatinine x2 & GFR reduced by 50%
Describe the "failure" stage for AKI Correct Answer: creatinine x3 normal, & GFR reduced by 75% (Cant
fix)
Describe Prerenal AKI. Give examples. Correct Answer: Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
-Renal artery stenosis
-MI or HF resulting in low ejection fraction and low cardiac output
-Blood/ fluid loss
Describe Intrarenal AKI. Give examples. Correct Answer: Tissue damage to the actual kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
Describe Postrenal AKI. Give examples. Correct Answer: Obstruction that occurs after the kidney.
, -Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
How do you determine the mean arterial pressure (MAP)? Correct Answer: Systolic + (Diastolic*2) /3
What is the MAP needed to perfuse the kidneys? Correct Answer: 65 mmHg
What are examples of nephrotoxic drugs? Correct Answer: -NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
During the diuretic phase of AKI, what needs to be monitored? Correct Answer: Watch for dehydration
and make sure output is greater than input
What are the dietary restrictions for an AKI patient? Correct Answer: -Low protein
-Low sodium
-Fluid restriction: 1000-1500mL day (for anything except perfusion problem)
What are the 2 most common causes of CKD? Correct Answer: -HTN
-Uncontrolled diabetes
What is azotemia? Correct Answer: Nitrogenous waste build up
What are manifestations of uremia? Correct Answer: •Metallic taste in mouth
•Anorexia
•Nausea/vomiting
•Muscle cramps
•Uremic frost on skin
•Itching
•Fatigue and lethargy
•Hiccups
•Edema
•Dyspnea
•Paresthesia's
What effects can CKD have on the cardiac system Correct Answer: -HTN
-Heart failure (major problem. Call the doctor)
-Pericarditis
What effects can CKD have on the Integumentary system Correct Answer: -Uremic frost
What are the dietary restrictions on CKD? Correct Answer: -Protein (restrict early in disease process to
preserve kidney function)
-Potassium
What is nephrotic syndrome? Correct Answer: A condition of increased glomerular permeability that
allows larger molecules to pass through the membrane into the urine and then be excreted.
What are key features of nephrotic syndrome? Correct Answer: -*Massive proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what? Correct Answer: 3.5g in 24
hours
What is nephrotic syndrome treated with? Correct Answer: -immunosuppressant agents (if immunity
based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
Describe the "risk" stage for AKI Correct Answer: creatinine x 1.5 of normal, and GFR reduced by 25%
Describe the "injury" stage for AKI Correct Answer: creatinine x2 & GFR reduced by 50%
Describe the "failure" stage for AKI Correct Answer: creatinine x3 normal, & GFR reduced by 75% (Cant
fix)
Describe Prerenal AKI. Give examples. Correct Answer: Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
-Renal artery stenosis
-MI or HF resulting in low ejection fraction and low cardiac output
-Blood/ fluid loss
Describe Intrarenal AKI. Give examples. Correct Answer: Tissue damage to the actual kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
Describe Postrenal AKI. Give examples. Correct Answer: Obstruction that occurs after the kidney.
, -Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
How do you determine the mean arterial pressure (MAP)? Correct Answer: Systolic + (Diastolic*2) /3
What is the MAP needed to perfuse the kidneys? Correct Answer: 65 mmHg
What are examples of nephrotoxic drugs? Correct Answer: -NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
During the diuretic phase of AKI, what needs to be monitored? Correct Answer: Watch for dehydration
and make sure output is greater than input
What are the dietary restrictions for an AKI patient? Correct Answer: -Low protein
-Low sodium
-Fluid restriction: 1000-1500mL day (for anything except perfusion problem)
What are the 2 most common causes of CKD? Correct Answer: -HTN
-Uncontrolled diabetes
What is azotemia? Correct Answer: Nitrogenous waste build up
What are manifestations of uremia? Correct Answer: •Metallic taste in mouth
•Anorexia
•Nausea/vomiting
•Muscle cramps
•Uremic frost on skin
•Itching
•Fatigue and lethargy
•Hiccups
•Edema
•Dyspnea
•Paresthesia's
What effects can CKD have on the cardiac system Correct Answer: -HTN
-Heart failure (major problem. Call the doctor)
-Pericarditis
What effects can CKD have on the Integumentary system Correct Answer: -Uremic frost
What are the dietary restrictions on CKD? Correct Answer: -Protein (restrict early in disease process to
preserve kidney function)
-Potassium
