IVP test. Renal angiography. Peritoneal dialysis. Beta hemolytic
streptococcus is primary cause of glomerulonephritis. Pg 930-931 Immunosuppressive
drugs (life long) for transplants i.e. prograff (tacrolimus). Amphogel-
antacid, also used as a phosphate binder. NO grapefruit juice with meds!!
Lotion in a MUST for CRF and kidney pts
and pts on hypothermia mattress to decrease temp. mattress is hard on skin. Tunnel catheter for long term and infection control non-tunnel cath for short term (few days). Tetracyclines are affective for Chlamydia. CANNOT use Tetracyclines and Azithromycin during pregnancy. Co-infections are possible with STDs, Multiple meds must be administered. Syphilis is highly treatable the one and only sign is a Chancre which eventually goes away, if Syphilis goes untreated it can be deadly. Tincture benzoin-is brown, is used to treat vaneral warts, is very sticky, can also be used with cuts they only require steri strips to hold the strips to the skin. 5-fluorouracil (5FU) used for cancers and warts.
Acute Renal Failure. Prerenal. Common cause of PRERENAL part of acute renal failure?
Cardiovascular shock and decreased cardiac output.
___________accumulation of urea and other nitrogenous substances; causes potential neurologic changes.
Intracellularelectrolytes elevated in Kidney Diesease. BUN, creatinine, potassium, and phosphatelevels are elevated in Diuretic Phase.
What diuretic would the nurse question in acute renal failure?
SATA. Pg 928
S/S of END Stage Renal Disease?
Presence of metabolic acidosis
FIB. ____________ is the med for ion exchange resin to remove excessive potassium?
Sodium polystyrene sulfonate (kayexalate)
Which kidney donor is preferred?
Relative or sibling
Nursing Intervention for pt with CRF?
Daily weights, I&O, VS, lung and heart sounds, jugular vein distention. Labs and prescribed meds.
What lab test is used to evaluate the effectiveness of the treatment?
Potentional complications of peritoneal dialysis?
Five most common STDs?
Who do you report STDS/STIs to?
Local Public Health Agency
Symptoms of Chlamydia?
Sparse, clear urethral discharge.
Many woman are asymptomatic with Gonorrhea. If Nx takes a cultrue, Nx would tell the woman to come back in?
What is a S/S of Gonorrhea?
What comfort measure would you advise for a pt with Herpes?
Loose fitting underwear
What shows that a person understands the
potential complication of Clamydia?
If untreated it may become Pelvic Inflammatory Disease (PID) and may cause sterility
Pg 897. Which person would you want to understand the importance of a yearly/annual PAP smear?
Women with HPV
What drug routes of administration are best for secondary Syphilis?
Intramuscular into the gluteus maximus (Penicillin G)
Pt is crying she found out she has to have hemodialysis, what is the best Nx action?
Pt who has Syphilis, when is the best time to plan their discharge?
What is the best infection control method?
Proper hand washing.
Pt with two prescriptions, 40mg Lasix and 40mg Furosomide
They are the same medications.
Pt with salycilate (aspirin) poisoning, what is the best type of dialysis?
Pt with arterial insufficientcy, what would the Nx tell them to avoid?
Avoid crossing legs and ankles.
Safe administration of medication, what do you do first?
Check name band.
Secrete is going to the blood; Excrete is going to the duct or an exit.
These are the functions of the kidney except?
Which specific lab test would you perform to determine fluid overload?
You just emptied the bed pan of someone in I&Os what do you do next?
Wash your hand thoroughly
Nx is collecting a specimen from a Pts indwelling catheter, what would Nx do?
Use a sterile syringe and needle to aspirate urine.