NUR 265 Midterm Study Notes: Renal & Cardiovascular Overview| 2026 UPDATED | WITH COMPLETE SOLUTIONS

Airway
ABC
m 9
m 9




m 9 Breathing Cr. 0.5-1.2 m 9



Circulation
m 9



m9
BUN 10-20 m 9




INR
Cardiac
m9

Na 135- m 9
Platelets 150,000 - 200,000 m9 m9




145 WBC 5-10mm

properly

Not enough blood perfusion to Kidneys
m9 m9 m9 m9 m9




(Constricts Vessels) m9




No? Angio 1 converts Angio 2 m9 m9 m9 m9




ABOVE 70+
m9

Renin is Activated m9 m9
Aldosterone hormone activated m 9 m 9




(Holds onto fluid) m9 m9




provide more blood supply to kidneys
m9 m9 m9 m9 m9




Edema? m9 m9 m9 m9 m9 m9 m9




more frothy sputum cough
m9 m9 m9
Bumex
restlessness Furosemide
Diet IV Morphine (used to relax muscle -
m9 m 9 m9 m9 m9 m9




m9 Protein so heart does not have to work as
m9 m9 m9 m9 m9 m9 m9 m9




m9 restriction Na m9 hard)
m9




m9 restriction
No dialysis? 1-3
m9 m9 m9 m9 m9

m9 m9




g Dialysis? 2-4
RENAL
m9 m9 m9




g
1458
m9




m9 SUBSTANCES

NSAIDS
Tylenol
Metformin
m9



Cr is morem9 m9

Clindamycin
m9


indicative

GFR
Contrast
m9




of Kidney
m9 m9
m9

(If someone already has a decreased
m9 m9 m9 m9 m9
** Kidney problems can lead to
m9 m9 m9 m9 m9




function
m9
Dye GFR, IV fluids can be administered
m9 m9 m9 m9 m9 m9
secondary Hypertension**
m9 m9




before and after contrast dye to help
m9 m9 m9 m9 m9 m9 m9




1.2 20
90%-120%
kidneys) m9




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, m9 m9 m9 m9
30ml per hour usually correct
m9 m9 m9 m9




m9 m9 m9




AKI


Rapid reduction of Kidney function (kidneys not gettin rid of toxins)
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9




Serum Creatinine+ m9
m9 m9 m9 m9 m9 m9 m9




Do it when body not responding to diuretics
Less Urine (< 0.5ml x Kilo per hr per 6hrs)
m9 m
9 m9 m
9 m9 m9 m9 m
9 m
9
m9 m9 m9 m9 m9 m9 m9




Does not cure the patient
GFR at least 65
m9 m9 m9 m9 m9


m9 m9 m9 m9




1462

Happens slowly over 24 hrs
CONTINUOUS KIDNEY m9




Pre-Renal
m 9 m 9 m9 m9 m9




Removes about 1L of Fluids per hour
m
9




Pre& Post =activates Renin
m 9
m 9 m9 m9 m9 m9 m9 m9




Intra-Renal ONLY IN ICU
m
9 m
9 m
9 m
9 m
9 m9


m 9 m9 m9




m 9 Post-Renal m 9




m 9 Tumors 1. Onset Phase: what causes the start of the
m9 m9 m
9 m9 m
9 m9 m
9




m 9 BPH problem, like a parasite
m9 m9 m9 m9




m 9 Calculi

m9 m9 Treat the problem m9 m9
2. Oliofturic phase: Less than 400 ml a day. (SOB/
m9 m9 m
9 m9 m
9 m
9 m9 m
9




Edema / Labs ++). Fluid overload symptoms
m9 m
9 m9 m
9 m9 m
9 m
9




Monito NA & K+ m9 m9 m9 3. Diuretic phase: 1000-2000 per day m 9 m 9 m9 m9




4. Recovery phase: 3-12 months to get back to m9 m9 m9 m
9 m9 m
9 m
9




before the problem.
m9 m9 m9




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, m9




HR+
1456 Pericarditis MAP >65 without contrast
1457
m9



Diuretics
m9




Heart Issues Bolus
m9 m9




Assess UO x hour after surgery
m9



Anemia
m9
m9 m9 m9 m9 m9


Fluids




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