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AKI/CKI & Hemodialysis

Kate Fetter MSN, RN, EMT-P
Across
______ _____ is the most reliable predictor of kidney function
Any condition that decreases blood flow, blood pressure, or kidney perfusion before arterial blood reaches the renal artery that supplies the kidney may be anatomically described as _______ AKI
_____ ______ can be treated temporarily by intravenous administration of insulin and glucose. An infusion of 50 mL of 50% dextrose accompanied by 10 units of regular insulin forces potassium out of the serum and into the cells.
For a lactate greater to or equal to four or a client with hypotension from sespsis, administer ______ (word not number) ml/kg crystalloid fluid
The normal urinary specific gravity is 1.005 to 1.025. So if it is 1.000 the kidney are not __________ urine
Normally 5-12mmhg, if 4 it indicated fluid volume _______
When the serum osmolality level increases, ______ _______ hormone is released from the posterior pituitary gland and stimulates increased water reabsorption in the kidney tubules.
__________ separates and removes from the blood excess electrolytes, fluids, and toxins by means of a hemodialyzer. It would be the first choice for managing this patient with medication toxicity.
Any condition that produces an ischemic or toxic insult directly at parenchymal nephron tissue places the patient at risk for development of ______ AKI
To prevent gut issues in clients this nutritional is started within 48 hours of admission.
____________ are used to decrease afterload, and diuretics are used to decrease
___________ is a common medication given in septic shock to keep MAP above 65
Normally 5-12mmhg, if 13 it indicated fluid volume _______
Down
Patient-related complications of continuous renal replacement therapy (CRRT) include dehydration, hypotension, electrolyte imbalances, acid–base imbalances, blood loss, hemorrhage, hypotension, and __________.
Assessment of a fistula should include gentle palpation to feel a ____
The fluid that is removed each hour is not called urine; it is known as _________
One liter of fluid (1000ml) equals 1 kg, which is 2.2 lb; So... Client on day one weighed 180 and on day 2 weighed 188 and cannot breath how many mL's is the client holding? (use words like fourtytwotwentyone)
PAWP 5, BP is 80/50, cardiac index 1.8, urine output 20ml/hr, BUN 40, Creatinine 3.3, lungs CTA and no edema. The treatment is normal saline. So.... What is the problem?
________ __________ ventilation reduces blood flow to the kidney, lowers the glomerular filtration rate (GFR), and decreases urine output. These effects are intensified with the addition of positive end-expiratory pressure (PEEP).
An _ _ _ _ (abbreviation) stimulation test should not be used to identify patients who need hydrocortisone.
Any obstruction that hinders the flow of urine from beyond the kidney through the remainder of the urinary tract may lead to ______ AKI
Clinical manifestations of ________ shock include heart rate greater than 100 beats/min; cool, pale, moist skin; weak, thready pulse; and increased right atrial pressure and pulmonary artery occlusion pressure.
Urinary sodium greater than 40 mEq/L (in the presence of an elevated serum creatinine and the absence of a high salt load) suggests _______ damage has occurred
Urinary sodium less than 10 mEq/L (low) suggests a _______ condition
____ (abbreviate) represents the left atrial pressure required to fill the left ventricle. When the left ventricle is full at the end of diastole, this represents the volume of blood available for ejection.
_ _ _ _ (abbreviate)is indicated when the patient’s clinical condition warrants removal of significant volumes of fluid and solutes.