Update 2024
Ultrafiltration - Correct Answer Forcing fluids across semipermeable membrane via
hydrostatic pressure
Convection - Correct Answer Fluid and solutes being moved through spm during
ultrafiltration
Diffusion - Correct Answer solutes moving from high concentration to low
concentration
Osmosis - Correct Answer Diffusion of water through a selectively permeable
membrane to area of high solute concentration
what are kidneys excretory function? - Correct Answer filtering waste products
normalize electrolytes
provide fluid/nutrition balance
what is the function of acid concentrate? - Correct Answer Provides the
concentration gradient for diffusion
what is the function of bicarbonate? - Correct Answer acts as a buffer, normalizes
body pH
S/S of hyperkalemia - Correct Answer >6.5 mEq, muscle weakness, arrhythmias,
widened QRS, possible cardiac arrest
S/S of hypokalemia - Correct Answer <3.5 mEq, muscle weakness, paralysis,
respiratory failure, cardiac instability, cardiac arrest, arrhythmias
what are kidneys endocrine function? - Correct Answer erythropoesis, secretion of
renin, activation of vitamin D
How do we replace normal endocrine kidney functions? - Correct Answer ACE
inhibitors, phosphorus binders
How much of normal kidney function is replaced by HD? - Correct Answer 15%
What is uremia and what does it affect? - Correct Answer build up of wastes in
blood
affects neuro/psych, cardiovascular, hematologic, muscular, bone, gastro, skin
, what are the most common causes of CKD in the US? - Correct Answer diabetes,
hypertension, polycystic kidney disease
Treatment goals for CKD patient - Correct Answer slow progression, control
comorbidities, manage conditions causing CKD, control symptoms, educate,
encourage pt to participate, minimize effect on pt lifestyle
S/S fluid imbalance - Correct Answer Edema
HTN
Pulmonary edema
CHF
Why is sodium balance important? - Correct Answer increase sodium > water
retention > damage to nephrons > nephrotic syndrome
Treatment for dry itchy skin - Correct Answer fatty bars of soap
treatment for peripheral neuropathy - Correct Answer monitor for changes in motor
function, no walking barefoot
treatment for GI problems - Correct Answer inform RN of any bleeding,
constipation, diarrhea, ER visits
take meds as ordered
treatment for psychological problems - Correct Answer speak to social worker
what does hypertension lead to? - Correct Answer left ventricular hypertrophy
What is pericarditis? - Correct Answer inflammation of the pericardium
treatment for pericarditis - Correct Answer good dialysis, fluids, anti inflammatories,
antibiotics, surgery
Why are dialysis patients anemic? - Correct Answer lack of erythropoietin,
inadequate iron, inadequate dialysis, malnutrition, blood loss
what are four key elements contributing to MBD? - Correct Answer calcium,
phosphorus, parathyroid hormone, vitamin D
what are the symptoms of MBD? - Correct Answer severe itching, calciphylaxis,
muscle weakness, bone pain, fractures, tendon ruptures, compression of vertebrae,
atherosclerosis, heart disease, growth failure (PEDS)
AKI - Correct Answer acute kidney injury, encompasses wide range of kidney
issues