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Kidney Failure and DialysisMedical-Surgical Nursing-7th edition

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What type of renal failure is caused by Lupus, Acture Tubular Necrosis, Acute Glomerulonephritis, or toxemia? Prerenal, Intrarenal or Postrenal?
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What is the major side effect of Kayexalate?
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Diarrhea. You must monitor the patient for sodium and water retention.
What is the target blood pressure for patients with chronic kidney disease?
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How does uremia contribute to the development of anemia in patients with chronic kidney disease?
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Uremia inactivates erythropoietin which is needed to stimulate RBC release from bone marrow. It also shortens the lifespan of RBCs.
_______ is released in response to decreased blood flow to the kidneys. It triggers vasoconstriction and fluid retention to increase blood pressure.
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Renin (released from juxtaglomerular cells)
What antihypertensives are typically prescribed for diabetics with chronic kidney disease?
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ACE inhibitors (Capoten/Vastotec), ARBs (Cozaar). They decrease proteinuria, delaying progression of chronic kidney disease. Monitor for decreased glomerular filtration rate and increased potassium.
What are the two most common causes of acute tubular necrosis?
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Ischemia and nephrotoxins
The development of an S3 heart sound in a patient with chronic kidney disease is indicative of?.
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Fluid overload
What condition causes 90% of all intrarenal cases of acute renal failure?
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Acute tubular necrosis (ATN)
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