lOMoARcPSD|67691079
Airway
labs
K+ 3.5-5.0
ABC Breathing
Circulation
Cr. 0.5-1.2
Dogoxin 0.5 - 2.0 BUN 10-20
INR 0.9-1.2 (on valve 3-4)
Need % Cardiac Na 135-145 Platelets 150,000 - 200,000
WBC 5-10mm
Output to function Mag 1.7-2.3
properly
Not enough blood perfusion to Kidneys
KIDNEYS
(Constricts Vessels)
SYSTOLIC SHOULD BE
No? Angio 1 converts Angio 2
ABOVE 70+ Renin is Activated Aldosterone hormone activated
(Holds onto fluid)
provide more blood supply to kidneys
AT
MAP
T 65+ Pulmonary Edema?
LEAS
Box 60.8 “How to manage fluid volume”
1. more frothy sputum cough Bumex
2. restlessness Furosemide
Diet IV Morphine (used to relax muscle - so
Protein restriction heart does not have to work as hard)
Na restriction
Cardiac Hypertension = Risk for kidney Dx
No dialysis? 1-3 g
Monitor BP DAILY (more than once)
Dialysis? 2-4 g
K+ restriction
RENAL NEPHROTOXIC Monitor for tall peaked T
1458
NUMBERS SUBSTANCES waves
NSAIDS
Tylenol
Metformin
Cr is more
Clindamycin
indicative of
GFR
Kidney Contrast Dye (If someone already has a decreased ** Kidney problems can lead to
function GFR, IV fluids can be administered secondary Hypertension**
before and after contrast dye to help
0.6-1.2 10-20
90%-120%
kidneys)
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, lOMoARcPSD|67691079
Chapter 60 (1455): Kidney function 30ml per hour usually correct
30 x 8 (shift) = 240ml
240 x 3 (a whole day) = 720ml
AKI
PATHOLOGY
Rapid reduction of Kidney function (kidneys not gettin rid of toxins) HEMODIALYSIS
Serum Creatinine+ Intermittent 3x per week for about 4 hrs
Do it when body not responding to diuretics
Less Urine (< 0.5ml x Kilo per hr per 6hrs)
Does not cure the patient
GFR at least 65
1462
Happens slowly over 24 hrs
CONTINUOUS KIDNEY
Pre-Renal Removes about 1L of Fluids per hour
Pre & Post = activates Renin REPLACEMENT THERAPY
Intra-Renal ONLY IN ICU
Post-Renal Tumors
BPH
1. Onset Phase: what causes the start of the
Calculi
problem, like a parasite
Treat the problem 2. Oliguric phase: Less than 400 ml a day. (SOB/
Edema / Labs ++). Fluid overload symptoms
Monito NA & K+ 3. Diuretic phase: 1000-2000 per day
4. Recovery phase: 3-12 months to get back to
before the problem.
COMPLICATIONS GOALS DRUG THERAPY
Seizures BUN+ HR+ CT SCAN
1456 Pericarditis MAP >65 without contrast
Fever+ 1457 Diuretics
Heart Issues 2-3L fluid x day
Bolus Fluids
Anemia Assess UO x hour after surgery
messages.downloaded_by
Airway
labs
K+ 3.5-5.0
ABC Breathing
Circulation
Cr. 0.5-1.2
Dogoxin 0.5 - 2.0 BUN 10-20
INR 0.9-1.2 (on valve 3-4)
Need % Cardiac Na 135-145 Platelets 150,000 - 200,000
WBC 5-10mm
Output to function Mag 1.7-2.3
properly
Not enough blood perfusion to Kidneys
KIDNEYS
(Constricts Vessels)
SYSTOLIC SHOULD BE
No? Angio 1 converts Angio 2
ABOVE 70+ Renin is Activated Aldosterone hormone activated
(Holds onto fluid)
provide more blood supply to kidneys
AT
MAP
T 65+ Pulmonary Edema?
LEAS
Box 60.8 “How to manage fluid volume”
1. more frothy sputum cough Bumex
2. restlessness Furosemide
Diet IV Morphine (used to relax muscle - so
Protein restriction heart does not have to work as hard)
Na restriction
Cardiac Hypertension = Risk for kidney Dx
No dialysis? 1-3 g
Monitor BP DAILY (more than once)
Dialysis? 2-4 g
K+ restriction
RENAL NEPHROTOXIC Monitor for tall peaked T
1458
NUMBERS SUBSTANCES waves
NSAIDS
Tylenol
Metformin
Cr is more
Clindamycin
indicative of
GFR
Kidney Contrast Dye (If someone already has a decreased ** Kidney problems can lead to
function GFR, IV fluids can be administered secondary Hypertension**
before and after contrast dye to help
0.6-1.2 10-20
90%-120%
kidneys)
messages.downloaded_by
, lOMoARcPSD|67691079
Chapter 60 (1455): Kidney function 30ml per hour usually correct
30 x 8 (shift) = 240ml
240 x 3 (a whole day) = 720ml
AKI
PATHOLOGY
Rapid reduction of Kidney function (kidneys not gettin rid of toxins) HEMODIALYSIS
Serum Creatinine+ Intermittent 3x per week for about 4 hrs
Do it when body not responding to diuretics
Less Urine (< 0.5ml x Kilo per hr per 6hrs)
Does not cure the patient
GFR at least 65
1462
Happens slowly over 24 hrs
CONTINUOUS KIDNEY
Pre-Renal Removes about 1L of Fluids per hour
Pre & Post = activates Renin REPLACEMENT THERAPY
Intra-Renal ONLY IN ICU
Post-Renal Tumors
BPH
1. Onset Phase: what causes the start of the
Calculi
problem, like a parasite
Treat the problem 2. Oliguric phase: Less than 400 ml a day. (SOB/
Edema / Labs ++). Fluid overload symptoms
Monito NA & K+ 3. Diuretic phase: 1000-2000 per day
4. Recovery phase: 3-12 months to get back to
before the problem.
COMPLICATIONS GOALS DRUG THERAPY
Seizures BUN+ HR+ CT SCAN
1456 Pericarditis MAP >65 without contrast
Fever+ 1457 Diuretics
Heart Issues 2-3L fluid x day
Bolus Fluids
Anemia Assess UO x hour after surgery
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