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robbypowell's version from 2017-05-01 00:47

Renal

Question Answer
Acute Renal Failure.. how is urine flow affected?results in Oliguria or Anuria (very little urine or none at all)
What two increased blood levels are associated with Acute Renal Failure?BUN (blood urea nitrogen) & serum Creatinine
List 6 drugs/types of drugs associated with Acute Renal FailureStatins, NSAIDs, Aminoglycoside Antibiotics, Cocaine, Acyclovir, & Penicillin
T/F: Uremic Syndrome (elevated BUN) can occur in both acute and chronic renal diseaseTrue
T/F: Uremic Syndrome (elevated BUN) occurs only in acute renal diseaseFalse (can occur in both acute & chronic)
T/F: Renal Osteodystrophy occurs only in chronic renal diseaseTrue
T/F: Renal Osteodystrophy can occur in both acute and chronic renal diseaseFalse (only chronic)
T/F: Uremic Peripheral Neuropathy occurs only in chronic renal diseaseTrue
T/F: Uremic Peripheral Neuropathy can occur in both acute and chronic renal diseaseFalse (only chronic)
define: state with a build up of nitrogenous waste producs in the bloodUremia
A patient presents with symptoms of renal disease... and an ultrasound is done. the kidney is a normal size... what can this tell you about their condition?condition is Acute
A patient presents with symptoms of renal disease... and an ultrasound is done. the kidney is smaller than the normal size... what can this tell you about their condition?condition is Chronic
T/F: Chronic Kidney Disease (CRF or CKD) is a preventable end-stage diseaseTrue
What is the major cause of death for people with Chronic Kidney Disease (CKD)?Heart Failure
What value is the best estimate for quantification of Kidney function?GFR (Glomerular Filtration Rate)
T/F: Hypertension causes Chronic Kidney Disease & Chronic Kidney Disease can cause HypertensionTrue
Persistent Proteinurea indicates what about kidney disease?condition is Chronic
List 3 (non-racial) groups that are at high risk for Chronic Kidney Diseasepts with Diabetes, Hypertension & Family History (of CKD)
What are 5 demographics that are at increased risk for CKD? (4 ethnic, one age-related)African Americans, Hispanics, Native Americans, Pacific Islanders, & Senior Citizens
What 3 simple tests can detect Chronic Kidney Disease?Blood Pressure, Urine Albumin (urinalysis), & Serum Creatinine (metabolic panel)
What are the Big 3 causes of Chronic Kidney Disease in order from most to least common?Diabetes > Hypertension > Chronic Glomerular Nephritis
What symptoms of Chronic Kidney Disease could be apparent in the dental chair?Ammonia breath (leading to increased salivary pH and less caries risk)
A GFR of ____ mL/min or below indicates Kidney Failure<15 mL/min
Chronic Kidney Disease is defined as either "kidney damage" (pathologic abnormalities or markers of damage) OR a GFR < ____ mL/min<60
What two findings from a urinalysis test would suggest Chronic Kidney Disease (or renal disease)Hematuria & Proteinuria (blood or albumin in urine)
_____ clearance tests & _____ clearance tests are common renal function testsCreatinine & Inulin
What are 6 elevated blood levels consistent with Chronic Kidney Disease?Creatinine, BUN, Albumin, PTH, K, Calcium (confused about the calcium b/c it also says that hypocalcemia is a result of CKD... i think its hypocalcemia which causes the PTH elevation and K elevation as a correction)
T/F: Seizures can result from Chronic Kidney DiseaseTrue
How often do patients on hemodialysis receive treatment and how long does each treatment take?3x/week; 3-4 hours
Name of condition where mouth is dry and it looks like frost is on tissue in mouth b/c of urea crystalsUremic Frost
How does CKD affect salivary function?Xerostomia & Retrograde Parotits (both resulting from diminished salivary function)
During what stages of Chronic Kidney Disease does Renal Osteodystrophy become apparent?End-stage and Dialysis (probably Stage 4 & 5)
Radiolucent Giant cell tumors are associated with renal ______osteodystrophy
for dental management of Renal Disease... what are 5 concerns beyond the oral manifestations?Bleeding, Hypertension, Anemia, Drug effects, Infection (more susceptible)
what microbe accounts for 9% of Infective Endocarditis in Dialysis patients?Strep. Viridans
Which should you change for a patient with Renal Disease ... when giving drugs excreted by the kidney... Dose Interval or Dose?Dose Interval
memorize

GFR's and their corresponding stages of Chronic Kidney Disease (which stage?)

Question Answer
GFR greater than or equal to 90 (mL/min)Stage 1 (normal or increased GFR)
GFR 60-89 (mL/min)Stage 2 (kidney damage with mild drop in GFR)
GFR 30-59 (mL/min)Stage 3 (moderate drop in GFR)
GFR 15-29 (mL/min)Stage 4 (sever drop in GFR)
GFR <15 (mL/min)Stage 5 (kidney failure)
memorize

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