and Answers Latest Version
If there is abdominal pain during hemodialysis what should the nurse do? -
** Decrease the flow rate
What is given to excrete potassium? -
** Kayexelate
What is an important thing to remember for the process of peritoneal dialysis? -
** It must be completely STERILE
What is a major complication from peritoneal dialysis? -
** Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? -
** Slow down the infusion rate
At what temperature is peritoneal dialysis given? -
** Must be warmed to body temperature
What medication can cause an IBS flare up? -
** Sulfasalazine (anti-inflammatory medication)
Treatment goals for CKD? -
** Treat hyperkalemia, HTN, and mineral/bone disease
Potassium enriched foods? -
** Bananas, tomatoes
Why would a patient with CKD have pruritus? -
, ** Due to uremic frost (urea crystallizes on skin)
cure for ulcerative colitis -
** illiostomy, removal of colon, J-pouch
issues for Crohns can happen from where? -
** From mouth to anus
Common signs/symptoms of Crohn's disease and ulcerative Colitis -
** diarrhea, weight loss abdominal pain, fever and fatigue
drug classes used to treat IBD -
@i @i @i @i @i @i @i
@i ** corticosteroids - decreases inflammation
@i @i @i @i
immunosuppressants - suppresses immune response @i @i @i @i
antimicrobials - prevent or treat secondary infection @i @i @i @i @i @i
aminosalicylates - decreases inflammation @i @i @i
indications a illeostomy or other surgical therapy may be needed are -
@i @i @i @i @i @i @i @i @i @i @i @i
@i ** - fistulas
@i @i
- intestinal obstruction
@i @i
- inability to decrease corticosteroids
@i @i @i @i
what may increase your risk for an exacerbation with IBD's? -
@i @i @i @i @i @i @i @i @i @i @i
@i ** -stress
@i
-illness
- infection
@i
Fluid/ electrolyte complications with IBD? -
@i @i @i @i @i @i
@i ** -hypokalemia
@i
-hypovalemia
, In the oliguric phase when may the onset be delayed for as long as a week? -
** when nephrotoxic drugs are involved
Normal creatinine levels? -
** Male: 0.6-1.2
Female: 0.5-1.1
Normal GFR? -
** 90-120ml/min
At which GFR level does dialysis begin? -
** 15
S/S of acute glomerulonephritis? -
** Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria,
hematuria, and oliguria
S/S of chronic glomerulonephritis? -
** Proteinuria and hematuria
Lab findings for glomerulonephritis? -
** Increased BUN, CR
Decreased albuminin
Common s\e of hemodialysis? -
** Hypotension due to all of the blood and fluids leaving the body
Nephrotic syndrome s\s -
** SEVERE proteinuria
MASSIVE edema
Hypertension, foamy urine, anasarca, ascites