Telemetry / PCU Exam- Swedish
Medical Center| Questions SOLVED
with 100% Correct Answers
Acute renal failure (know the different types and how to distinguish them) - ✔✔*Pre-renal:
happens when blood flow TO kidneys is reduced
*hypovolemia
*hypotension
-BUN (10-20)
-Crit (0.6 - 1.2)
-ratio > 10:1 may exceed 20:1
IntraRenal: Happens due to factors associated with kidneys
* damage to nephrons
* acute tubular necrosis
*injury to kidney *blood
clot in kidney
* cancer
Post-renal: happens downstream from the filtering function of the kidneys, obstruction in urine flow
*kidney stones
*kidney or bladder tumors
*blood clot in urinary tract
,*enlarged prostate
*tumors in the urinary tract
SYMPTOMS:
-low UO
-Swelling in BLE
-fatigue
-weakness
-nausea
-SOB
-chest pain
-confusion
-seizures
TREATMENT:
address underlying cause
-Imaging tests are helpful in diagnosing- renal ultrasound, KUB x ray, CT scan, MRI, Renal angiogram
**watch for metformin, stop 24 hrs before contrast
**ELECTROLYTE Imbalances are the HALLMARK PRESENTATION
**renal replacement therapies = PD, HD,
treatment of symptomatic bradycardia - ✔✔HR < 60 bpm
-ATROPINE (1mg IV push, may repeat every 3-5 mins up to 3mg)
, if not effective...
-transcutaneous pacing
-dopamine or epi
Liver failure labs - ✔✔Elevated:
(Hepatocellular injury:)
ALT (4-36)
AST (0-35)
LDH (100-190)
Bilirubin (0.3-1.0) (shows increased cellular injury in liver or obstruction to bile flow)
Increased protein = autoimmune disease
Decreased protein = liver injury or disease
AFP = plasma protein in fetal development, increased = liver failure, liver cancer in pts with cirrhosis
PT and PTT= increased (the liver's ability to produce clotting factors)
Lipase= increase means pancreatitis
TLDR:
Decreased: albumin, sodium, potatssium, platelet count
Medical Center| Questions SOLVED
with 100% Correct Answers
Acute renal failure (know the different types and how to distinguish them) - ✔✔*Pre-renal:
happens when blood flow TO kidneys is reduced
*hypovolemia
*hypotension
-BUN (10-20)
-Crit (0.6 - 1.2)
-ratio > 10:1 may exceed 20:1
IntraRenal: Happens due to factors associated with kidneys
* damage to nephrons
* acute tubular necrosis
*injury to kidney *blood
clot in kidney
* cancer
Post-renal: happens downstream from the filtering function of the kidneys, obstruction in urine flow
*kidney stones
*kidney or bladder tumors
*blood clot in urinary tract
,*enlarged prostate
*tumors in the urinary tract
SYMPTOMS:
-low UO
-Swelling in BLE
-fatigue
-weakness
-nausea
-SOB
-chest pain
-confusion
-seizures
TREATMENT:
address underlying cause
-Imaging tests are helpful in diagnosing- renal ultrasound, KUB x ray, CT scan, MRI, Renal angiogram
**watch for metformin, stop 24 hrs before contrast
**ELECTROLYTE Imbalances are the HALLMARK PRESENTATION
**renal replacement therapies = PD, HD,
treatment of symptomatic bradycardia - ✔✔HR < 60 bpm
-ATROPINE (1mg IV push, may repeat every 3-5 mins up to 3mg)
, if not effective...
-transcutaneous pacing
-dopamine or epi
Liver failure labs - ✔✔Elevated:
(Hepatocellular injury:)
ALT (4-36)
AST (0-35)
LDH (100-190)
Bilirubin (0.3-1.0) (shows increased cellular injury in liver or obstruction to bile flow)
Increased protein = autoimmune disease
Decreased protein = liver injury or disease
AFP = plasma protein in fetal development, increased = liver failure, liver cancer in pts with cirrhosis
PT and PTT= increased (the liver's ability to produce clotting factors)
Lipase= increase means pancreatitis
TLDR:
Decreased: albumin, sodium, potatssium, platelet count
