ATI Renal 2023 Flashcard

ATI Renal 2023 Flashcard
Lab07Tests:07Serum07Creatinine07-07protein07&07muscle07breakdown

- CKD07is07the07ONLY07CONDITION07that07INCREASES07serum07levels

- kidney07function07loss07of07at07least0750%07causes07increase

- values07remain07constant07in07older07adults07unless07diagnosed07with07KD

Normal07Values:
Males07=070.607-071.207mg/dL
Females07=070.507-071.107mg/dL

Lab07Tests:07BUN07-
07breakdown07of07protein07in07the07liver,07creating07byproduct07urea07nitrogen07excreted0
7by07liver


Factors:
- dehydration
- infection
- chemotherapy
- steroid07therapy
- reabsorption07of07blood07in07the07lover07d/t07tissue07damage

INCREASED07levels07suggest07KD

Normal07Value
s:
707-
072007mg/dL


Lab07Tests:07Urinalysis07-
07evaluates07waste07products07from07the07kidney07&07detects07urologic07disorders


- early07morning07specimen07=07concentrated07sample

- color,07clarity,07specific07gravity,07concentration/dilution,07acidity/alkalinity

- drug07metabolites,07glucose,07ketone07bodies07&07protein07(abnormal)

- culture07&07sensitivity07=07identifies07bacteria07and07type07of07antibiotic07for07tx

- 24/hr07collection07measures07creatinine,07BUN,07sodium,07chloride,07calcium,07catecho
lamines07&07proteins

- 24/hr07collection07measures07CREATININE07CLEARANCE07(GFR07for07px07with0
7impaired07kidney07function)

, Renal07Diagnostic07Procedures:07Radiography07(x-ray)07-
07allows07for07visualization07of07structures07and07detects07renal07calculi,07strictures,07calc
ium07deposits,07or07obstructions

Contraindicated07in07pregnant07women.

Remove07jewelry07&07metal07objects

Renal07Diagnostic07Procedures:07CT07-07Dye07can07cause07AKI

Renal07Diagnostic07Procedures:07MRI07-
07Clients07must07lie07down07and07have07to07remain07still07for07the07test


Cystography,07Cystourethrography,07Voiding07Cystourethrogram07(VCUG)07-
07Detects07urethral07or07bladder07injury07after07instillation07of07contrast07dye07thru07a07uri
nary07catheters07to07provide07an07image07of07the07bladder07&07ureters

- Monitor07for07infection07post077207hr07(UTI07d/t07catheter07placement;07cloudy,07foul07sm
elling07urine)

- Increase07fluid07intake07to07minimize07burning07sensation07upon07urination

- Urine07output07<073007mL/hr,07suspect07trauma

Kidney07Biopsy07-07Complications:

HEMORRHAGE07&07infection

Cytoscopy,07Cystourethroscopy07-
07detect07abnormalities07of07bladder07wall07and/or07occlusion07of07ureter07or07urethra


- anesthesia07is07administered

- monitor07S/S07of07hemorrhage07&07infection

- PRE:07NPO07after07midnight;07laxative07or07enema07prep

- INTRA:07lithotomy07position

- POST:07color07of07urine07(pink-
tinged07OK);07irrigate07catheter07with07NS07if07clots07are07present07or07if07output07is07dimi
nished07or07absent

Excretory07Urography07-
07Detects07obstruction07&07paranchymal07masses07&07assesses07the07size07of07the07kid
neys

PRE:07NPO07after07midnight;07laxative07or07enema07prep