NUR 265 Midterm Study Notes: Renal &
tr tr tr tr tr tr
t r Breathing
Circulation
Cr. t r 0.5-1.2
t r
BUN t r 10-20
Cardiovascular Overview
tr tr
tr
INR
Na t r 135- Platelets 150,000 tr-
ABC 145 tr200,000
WBC 5-10mm
Cardiac
tr
properly
Not trenough trblood trperfusion trto trKidneys
(Constricts trVessels)
No? Angio tr1 trconverts trAngio tr2
ABOVE Renin tris trActivated Aldosterone t r hormone
70+ activated
(Holds tronto trfluid)
provide trmore trblood trsupply trto trkidneys
tr Edema? tr tr tr tr tr tr
more trfrothy trsputum
Bumex
trcough
Furosemide
restlessness
IV trMorphine t r (used trto trrelax trmuscle tr-
Diet trso trheart trdoes trnot trhave trto trwork
trProtein tras trhard)
trrestriction trNa
tr tr tr tr
trrestriction
No trdialysis? tr1-3
RENAL trg trDialysis? tr2-
1458
tr SUBSTANCES 4 trg
NSAIDS
Tylenol
trMetformin
Cr tris trmore
trClindamycin
trindicative
trContrast
trof trKidney (If trsomeone tralready trhas tra ** trKidney trproblems trcan trlead
trfunction Dye messages.downloaded_by
trdecreased trGFR, trIV trfluids trcan trbe
, to trsecondary
trHypertension**
GFR
90%-120%
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, tr tr tr tr 30ml trper trhour trusually trcorrect
tr tr tr
AKI
Rapid trreduction trof trKidney trfunction tr(kidneys trnot trgettin trrid trof
toxins)
Serum trCreatinine+ tr tr tr tr tr tr tr
Less trUrine tr(< tr0.5ml trx trKilo trper trhr trper tr6hrs) Do trit trwhen trbody trnot trresponding trto trdiuretics
trDoes trnot trcure trthe trpatient
trGFR trat trleast tr65
1462
Happens trslowly trover tr24 trhrs
CONTINUOUStrKIDNEY tr tr
Pre-Renal t r Removes trabout tr1L trof trFluids trper trhour
Pretr&trPosttr=tractivatestrRenin
t r
tr
t r Intra-Renal ONLY trIN trICU
t r Post-Renal t r
tr Tumors 1. Onset trPhase: trwhat trcauses trthe trstart trof
t r BPH trthe trproblem, trlike tra trparasite
t r Calculi
1457 tr/ 2. Oliofturic trphase: trLess trthan tr400 trml tra trday.
Treat trthe
tr1461 trproblem
tr(SOB/ trEdema tr/ trLabs tr++). trFluid troverload
trsymptoms
Monito trNA tr& trK+ 3. Diuretic t r phase: t r 1000-2000 t r per t r day
4. Recovery trphase: tr3-12 trmonths trto trget trback
trto trbefore trthe trproblem.
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