NRSG 2500 - Exam #2 (3&4) NRSG 2500 - Exam #2 (3&4) Patient Centered Care Weber State University Questions With Complete Solution

NRSG 2500 - Exam #2 (3&4) NRSG 2500 - Exam #2 (3&4)
Patient Centered Care Weber State University Questions
With Complete Solution


RASS System Overiew

____________ in Liver

- ______ Release

- Angiotension I

- Converting Enzyme in ______

- Angiotensin __

Renal atuoregulation
- ________ arterioles constrict
- _____ maintained

Increased Blood Pressure
- Vasoconstriction
- Increased _______ contractility
- _________ release

Increased circulation volume
- ________ release
- Sodium and water reabsorption

,- ________ excretion
- ADH release
angiotensinogen
renin
lungs
II

efferent
GFR

myocardial
prostaglandin

aldosterone
potassium
Mechanisms that are involved in regulation homeostasis

-R
-A
-A
- Renin-angiotensin system
- Aldosterone
- Antidiuretic Hormone (ADH)
Assessment of Kidney Function, Perfusion, and fluid balance
•VS, (MAP)
•I&O

,•Lungs, LOC, pulses, urine, kidneys, abdomen, edema, CMS,
color, flank pain, skin
•Labs: Specific gravity, creatinine & GFR, BUN, potassium,
sodium
•______ (most accurate indicator of fluid loss or gain in acutely
ill patient)
–Accurate daily weight must be obtained and recorded.
– A ____ Kg weight gain is equal to _____ mL of retained fluid.
–____ pound is about ____ ml of retained fluid
Weight
1 kg
1000
one
450
Diagnostic Tests for Renal Failure

Renal Concentration
Specific Gravity :
1.010-1.025
Diagnostic Tests for Renal Failure

Renal Concentration
Urine Osmolality 24 hour :
Urine Osmolality Random Sample :

, 250-900
50-1200
Diagnostic Tests for Renal Failure

Serum
Creatinine Level :
0.6-1.2
Diagnostic Tests for Renal Failure

Serum
BUN :
BUN <60 :
7-18
8-20
Diagnostic Tests for Renal Failure

Serum
BUN To creatinine Ratio :
about 10:1
Diagnostic Tests for Renal Failure

A measure of the degree of concentration of the urine
Specific Gravity
Diagnostic Tests for Renal Failure