AGACNP
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Terms in this set (614)
Lower uti are called Cystits or urethritis
What are two causes of upper Pylonephritis or renal abscess
What are several symptoms of a uti Dysuria, frequency, nocturia, hematuria,
If a male pt has symptoms of BPh Urinalysis
what is first test ordered?
What urinalysis finding is consistent >10 wbc , nitrates (specific) , esterase detection
with bacterial cystitis (sensitive), colony of bacteria 10^10
Abx treatment of uncomplicated Nitrophentoin (best preg) Tmpx-STC , fosfomycin
cystitis or florqunilones
Symptoms of pyelonephrtits Flank/back pain , fever ms change , n/v
Laboratory urinalysis findings of Whit blood cells , hyaline casts , elevated esr
pylo
Abx for complicated /upper uti Ciproflaxcin( if not complicated) , complicated
levofloxacin or ceftriaxone
What is abx for healthcare Use antipsudomonal , cefepime , ampicillin, mero,
associates Upper UTI tazo, aminoglycosyde
What is renal insufficientcy Decrease of gfr caused by aging HTN DM
,What is an AKI? Sudden increase in creatine * 2 or reduction of
GFR by 50% , or U/O reduction <.5ml/kg for 12 hrs
What is the RIFLE criteria? Allows grading of kidney dysfunction based on
creatinine, GFR and urine output
What is kidney failure as defined by CreTine *3 or GFR <75% , UO < .3 ml/kg for 24 hrs
rifle criteria
What is kidney injury as defined by Scr *3 or GFR>50% /up less than .5ml/kg /hr for
rifle criteria >12 hrs
What is kidney function esrd Complete loss of function for >3hrs
according to RIFLe
What is the serum bun creatinine >10:1 , <20, fena <1 , >1.015 (high)
ratio of pre renal failure as well as
urine sodium and Fena and specific
gravity
What is the serum bun creatinine Normal 10:1 , >40 mil NA, <specific gravity <1.015 ,
ratio of intra renal failure as well as >3 Fena, byline casts
urine sodium and Fena and specific
gravity
What is the serum bun creatinine Similar to intra renal
ratio of post renal failure as well as
urine sodium and Fena and specific
gravity
What is the criteria for dyalsis Acidosis , Electrolytes (k), toxins , volume (pulm
edema) , uremia (pericardial effusion)
What is anuria? Less than 100 cc of urine in 24 hours
,What is oliguria? Less than 400 cc of urine in 24 hours
What is treatment for pre renal vs Expand intravascular volume, reduce obstruction
intra renal vs post of hepatic congestion, stop nephrotoxic drugs,
treat infection , Remove obstruction
What is the most common age for 30 ur male
renal calculi
If pt has a stone what should be Strain urine to differentiate types of stones
done prior to therapy ?
What are types of renal calculi? Struvite stones , uric acid calcium stones , cystine
stones
Calcium stones are ?? Renal calculi Most common , men
Uric acid stones are ?? Common on older men with gout
Struvite stones Form in response to an infection, women most
common (magma/pho's)
Cystine stones a rare cause of kidney stones that occur seen in
children. They are related to cystinuria.
Treatment is hydration and alkalinization of the
urine.
They may also form staghorn calculi.
Symptoms of renal calculi Pain in flank area, nausea, vomiting, decrease in
urine osmolarity , May radiate to testes or cause
frequency or urgency if logged in ureter
What is management of renal Analgesia and hydration
calculi
, What is the preferred analgesic for Morph /hydro /?torodol (ketorlac) replan
renal calculi (metoclamide)
Lithotripsrbisbused for ? Large renal calculi
What is benign prostatic Enlargement of the prostate that occurs in the
hyperplasia? periurethral and transitional zones of the gland.
For men older than 50
Dignostic tests for bph Urinalysis (rule out uti) , PSA >4
What test should be ordered for a Trans recital ultrasound
palpable prostate nodule or
elevated psa
What drugs and their class can be Alpha blockers , Terazosin,dutasteride
used for bph ?
What is TURP? transurethral resection of the prostate
What herbal can be used on BpH Saw palmetto
What meds worsen Bph Benadryl, Sudafed, Ssris, Afrin, diuretics , pain
meds
What percentage does gfr reduce 10%
per decade after 30 ?
What is normal male creatine 1.6-2.33
clearance
What is normal female creatine 1.45-2.18
clearene
Save
Terms in this set (614)
Lower uti are called Cystits or urethritis
What are two causes of upper Pylonephritis or renal abscess
What are several symptoms of a uti Dysuria, frequency, nocturia, hematuria,
If a male pt has symptoms of BPh Urinalysis
what is first test ordered?
What urinalysis finding is consistent >10 wbc , nitrates (specific) , esterase detection
with bacterial cystitis (sensitive), colony of bacteria 10^10
Abx treatment of uncomplicated Nitrophentoin (best preg) Tmpx-STC , fosfomycin
cystitis or florqunilones
Symptoms of pyelonephrtits Flank/back pain , fever ms change , n/v
Laboratory urinalysis findings of Whit blood cells , hyaline casts , elevated esr
pylo
Abx for complicated /upper uti Ciproflaxcin( if not complicated) , complicated
levofloxacin or ceftriaxone
What is abx for healthcare Use antipsudomonal , cefepime , ampicillin, mero,
associates Upper UTI tazo, aminoglycosyde
What is renal insufficientcy Decrease of gfr caused by aging HTN DM
,What is an AKI? Sudden increase in creatine * 2 or reduction of
GFR by 50% , or U/O reduction <.5ml/kg for 12 hrs
What is the RIFLE criteria? Allows grading of kidney dysfunction based on
creatinine, GFR and urine output
What is kidney failure as defined by CreTine *3 or GFR <75% , UO < .3 ml/kg for 24 hrs
rifle criteria
What is kidney injury as defined by Scr *3 or GFR>50% /up less than .5ml/kg /hr for
rifle criteria >12 hrs
What is kidney function esrd Complete loss of function for >3hrs
according to RIFLe
What is the serum bun creatinine >10:1 , <20, fena <1 , >1.015 (high)
ratio of pre renal failure as well as
urine sodium and Fena and specific
gravity
What is the serum bun creatinine Normal 10:1 , >40 mil NA, <specific gravity <1.015 ,
ratio of intra renal failure as well as >3 Fena, byline casts
urine sodium and Fena and specific
gravity
What is the serum bun creatinine Similar to intra renal
ratio of post renal failure as well as
urine sodium and Fena and specific
gravity
What is the criteria for dyalsis Acidosis , Electrolytes (k), toxins , volume (pulm
edema) , uremia (pericardial effusion)
What is anuria? Less than 100 cc of urine in 24 hours
,What is oliguria? Less than 400 cc of urine in 24 hours
What is treatment for pre renal vs Expand intravascular volume, reduce obstruction
intra renal vs post of hepatic congestion, stop nephrotoxic drugs,
treat infection , Remove obstruction
What is the most common age for 30 ur male
renal calculi
If pt has a stone what should be Strain urine to differentiate types of stones
done prior to therapy ?
What are types of renal calculi? Struvite stones , uric acid calcium stones , cystine
stones
Calcium stones are ?? Renal calculi Most common , men
Uric acid stones are ?? Common on older men with gout
Struvite stones Form in response to an infection, women most
common (magma/pho's)
Cystine stones a rare cause of kidney stones that occur seen in
children. They are related to cystinuria.
Treatment is hydration and alkalinization of the
urine.
They may also form staghorn calculi.
Symptoms of renal calculi Pain in flank area, nausea, vomiting, decrease in
urine osmolarity , May radiate to testes or cause
frequency or urgency if logged in ureter
What is management of renal Analgesia and hydration
calculi
, What is the preferred analgesic for Morph /hydro /?torodol (ketorlac) replan
renal calculi (metoclamide)
Lithotripsrbisbused for ? Large renal calculi
What is benign prostatic Enlargement of the prostate that occurs in the
hyperplasia? periurethral and transitional zones of the gland.
For men older than 50
Dignostic tests for bph Urinalysis (rule out uti) , PSA >4
What test should be ordered for a Trans recital ultrasound
palpable prostate nodule or
elevated psa
What drugs and their class can be Alpha blockers , Terazosin,dutasteride
used for bph ?
What is TURP? transurethral resection of the prostate
What herbal can be used on BpH Saw palmetto
What meds worsen Bph Benadryl, Sudafed, Ssris, Afrin, diuretics , pain
meds
What percentage does gfr reduce 10%
per decade after 30 ?
What is normal male creatine 1.6-2.33
clearance
What is normal female creatine 1.45-2.18
clearene
