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Renal

  1. What condition presents with chills, fever, dysprosium, and flank pain? May have history If recent UTI.
    Acute Pylonephritis
  2. If a patient has (urge) incontinence what BP Med should they not be prescribed?
    HCTZ
  3. Oliguria is defined as less than how many ml per day of urine?
    Less than 400 ml
  4. Normal Serum Cr?
    • Male: .7 - 1.3
    • Female: .6 - 1.1
  5. Who may you see falsely low Cr levels in?

    Who may you see falsely high Cr levels in?
    Elderly (low muscle volume)

    Body Builders (males - large muscle mass)
  6. What should never be in your urine- Nitrates or Nitrites?
    Nitrites.... Nitrates are A OK
  7. What do nitrites suggest in a UA?
    That Bacteria is present and the patient has a UTI
  8. Midstream Clean Catch UA must have how many organisms for you to think there is an infection present?
    >100,000

    (>1,000 for Cathed specimen)
  9. Most common etiology of bacteria UTI?
    E. Coli
  10. First line for uncomplicated UTI?
    Nitrofurantoin (Macrobid)
  11. How long should you treat an uncomplicated UTI for in a healthy female?
    3 days
  12. How long should you treat a UTI for in pregnant pts, males? (complicated UTI)
    7-10 days
  13. If symptoms persist 48-72 hours after initiating ABX for person with UTI, what should you order?
    Culture & Sensitivity
  14. What may you also give patients besides ABX to reduce resistance rates in UTIs?
    Antispasmodic

    Phenazopyridine (Pyridium) or Flavoxate (Ursispas)
  15. Physical Exam finding in patients with Pylonephritis?
    • CVA tenderness
    • Chills
    • High fever
  16. WBC casts & proteinuria are present with what urinary condition?
    Acute Pylonephritis
  17. Which kidney sits lower than the other & why?
    Right kidney sits lower because it is displaced by the liver
  18. Large number of epithelial cells in a UA indicate what?
    Contamination
  19. Normal amount of neutrophils in a WBC?
    50-75%

    (>80% - shift to the left - leukocytosis)
  20. If bands (immature WBC) are present in a CBC with urinary symptoms you need to be concerned about what?
    A serious infection such as Pylonephritis
  21. What is the best measure of renal function?
    Serum Cr

    (eGFR also considered good in primary care)
  22. What should you always make sure of if you have a patient with hematuria?
    Make sure it clears because 85% of renal carcinoma our bladder cancer begin with hematuria
  23. eGFR greater than what is normal?
    >60 ml/min
  24. Kidney function declines with age true or falsejQuery1124006218799330741187_1551673234009
    True
Author
Brt25874
ID
345726
Card Set
Renal
Description
Renal
Updated

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