1. Vaccinations and immunosuppression. 2 keypoints: - give inactive agents instead of live agents - might not work as effectively 2. live virus vaccine types: Virus: - measles - mumps - polio (oral) - rubella - varicella - yellow fever - herpes zoster Bacteria: - typhoid 3. inactive vaccine virus: Virus: - Hep A and B - HPV - influenza - polio (subq) - rabies Bacteria: - anthrax - cholera - diphteria - Lyme - meningococcus - pertussis - plague - pneumococcus - tetanus...

1. Urine culture with UTI: 100.000 colonies in asymptomatic: bacteruria 10 - 10.000 colonies in symptomatic patients but also pyuria pyuria: more than 10 leukocytes elevated erythrocytes with pyelonephritis WBC in urine false positive with tumor, urethritis and poor collection technique Repeat in pregnant women 2. Lower urinary tract UTI and upper urinary tract UTI: bladder and urethra: cystitis/ urethritis/ prostatitis kidney and ureters: pyelonephritis/ renal abcess 3. Uncomplicated ...

1. Stages of CKD: o Stages - 5 stages 80 - 120 ml/min § 1: Kidney damage (protein in the urine) and Normal GFR > 90 § 2: Mild decrease in GFR 60 - 89 § 3a: Mild-Mod. GFR 45 - 59 § 3b: Mod-severe GFR 30 - 44 § 4: Severe decrease GFR 15 - 29 § 5: ESRD GFR < 15, uremia, cardiovascular disease. 2. Prerenal renal failure: Characterized by diminished renal perfusion resulting from a decrease in blood supply to the kidneys: NO NEPHRON damage - Decreased blood supply; intravascular ...

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

NRNP 6550 I-Human: Ken Fowler V5: Advanced Care of Adults in Acute Settings II

1) How can I help you today? "I went to see my doctor this morning because I have been feeling bad for the past few days. I'm tired, with nausea & vomiting. Well, he examined me and ordered some labs, and then told me that "kidneys are failing," something about a big change in my creatinine and that I needed to come to the emergency department. He told me to bring the test results here with me. [Test results today: creatinine 3.2 mg/dL; 1 month ago Test results 1.1 mg/dL; urine protein = 400...

Name: Ken Fowler Age: 70 years Sex: M Ht: 5'10" (178.0 cm) Wgt: 190 lb (86.0 kg) (BMI 27.3) NOTES FROM i-HUMAN ASSESSMENT: 1) Observations: warm and sweaty 2) Chief complaint: Nausea and fatigue QUESTIONS: (ask the patient up to 100 questions) 1) How can I help you today? "I went to see my doctor this morning because I have been feeling bad for the past few days. I'm tired, with nausea & vomiting. Well, he examined me and ordered some labs, and then told me that "kidneys are fa...

QUESTIONS: (ask the patient up to 100 questions) 1) How can I help you today? "I went to see my doctor this morning because I have been feeling bad for the past few days. I'm tired, with nausea & vomiting. Well, he examined me and ordered some labs, and then told me that "kidneys are failing," something about a big change in my creatinine and that I needed to come to the emergency department. He told me to bring the test results here with me. [Test results today: creatinine 3.2 mg/dL; 1 mon...

Urine culture with UTI Correct answer- 100.000 colonies in asymptomatic: bacteruria 10 - 10.000 colonies in symptomatic patients but also pyuria pyuria: more than 10 leukocytes elevated erythrocytes with pyelonephritis WBC in urine false positive with tumor, urethritis and poor collection technique Repeat in pregnant women Lower urinary tract UTI and upper urinary tract UTI Correct answer- bladder and urethra: cystitis/ urethritis/ prostatitis kidney and ureters: pyelonephritis/ renal...