Medical Surgical Adult Health Quiz 2 Study Guide Updated Exam 2023 -2024 Best Copy For Exam Preparation Latest Version

Medical Surgical Adult Health Quiz 2 Study Guide Updated Exam 2023 -2024 Best Copy for Exam Preparation Latest Version Altered Urinary Elimination - Kidney Role - FIlter waste - Control BP - Regular Acid-Base balance - Make Erythropoietin - Activate Vitamin D - Dx/Tests - GFR Best test, tells us how well our kidneys are working, also stages CKD, lower GFR is worser kidney disease - BUN/Creatinine Next best test for kidney function. (CKD = High BUN/Creatinine) - K+ Will be high for CKD/ESR due to problems filtering out K+ - Calcium Will be low b/c of vitamin D - HgB Low b/c of low erythropoietin - Metabolic Acidosis - Fluid Volume Overload/Excess due to organ failure - Urinalysis - First morning void, examine specimen within 1 hour - Creatinine Clearance - Most accurate indicator of renal function - 24 hour urine collection (first one discarded, remainder collected, must be on ice, including the folly bag) - Renal Arteriogram - Checks if blood flow is patent - Avoid shellfish allergies - Hold metformin 48 hours before/after - Concern/Complication = bleeding/neurovascular - Cystoscopy - Think colonoscopy but for kidneys to visualize if masses or bleeding - Concern/Complication = Infection - Acute