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Chapter 21
Medical: Gentourinary and Renal Emergencies
44
Medical
Not Applicable
09/26/2016

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Cards

Term
What drug may be ordered by medical direction to correct the underlying electrolyte imbalance in hyperkalemia
Definition
sodium bicarbonate 1mEq/kg IV
Term
What physiologic problem makes patiends in renal failure more susceptible to hypoxia?
Definition
anemia
Term
which patient may develop acute renal failure related to prerenal disease?
Definition
hypovolemic burn shock
Term
what physical finding should you expect when you assess a patiend who has untreated chronic renal failure
Definition
bilateral crackles in the lungs
Term
which is a characteristic dialysate fluid for peritoneal and hemodialysis must have compared with blood so water is removed from the vascular space?
Definition
hypertonic
Term
what is a life-threatning risk of fournier gangrene
Definition
sepsis
Term
what is a risk of benign prostatic hypertrophy if it is untreated
Definition
chronic renal failure
Term
which of the following testicular masses is potentially lethal
Definition
testicular cancer
Term
which genitourinary emergency requires treatment within 4 hours to prevent irreversible damage?
Definition
testicular torsion
Term
which of the following is a prerenal cause of acute renal failure?
Definition
shock
Term
how is prehospital care affected if the patiend has a dialysis fistula or shunt?
Definition
bp should be done on opposite arm
Term
you are caring for a patiend with a temperature who is continuous peritoneal dialysis. what is a common cause of fever in patients undergoing this treatment?
Definition
peritonitis
Term
Where are the kidneys located?
Definition
behind the peritoneum
Term
what are the three causes of renal failure classified as?
Definition
prerenal, intrarenal, and postrenal
Term
what is prerenal disease?
Definition
occurs before the kidney is reached. characterized by inadequate blood flow to the kidneys.
Term
What is intrarenal disease?
Definition
refers to disease or damage within the kidney.
Term
what is postrenal disease
Definition
refers to disease that blocks the system that collects urine.
Term
what is oliguric
Definition
excrete less that 500 ml a day
Term
what is nonoliguric
Definition
these patients excrete more that 500 ml a day
Term
What is dialysis?
Definition
machine that works as your kidneys for filtration
Term
what is the urinary system made up of?
Definition
two kidneys, two ureters, the urinary bladder, and the urethra.
Term
How big are the kidneys?
Definition
about the size of a fist
Term
What is Pyelonephritis?
Definition
kidney infection
Term
what is polydipsia?
Definition
thirst
Term
what is polyuria
Definition
increase of urinations
Term
what is hematuria
Definition
bloody urine
Term
what is anuria
Definition
no urine production
Term
what is ouguria
Definition
decreased urine production
Term
what is uremia
Definition
excess of urea and other nitrogenous wastes in the blood.
Term
what is urea
Definition
A nitrogen-containing waste product
Term
what is creatinine
Definition
a chemical waste molecule generated by muscle metabolism
Term
what are the signs of uremia
Definition
-Pasty, yellow skin discoloration and thin extremities
from protein wasting
-Uremic frost caused by urea crystals that form on skin
(late finding)
Term
personality changes in CRF
Definition
- Fatigue
• Mental dullness
• Confusion
Term
What drug do you push with hyperkalemia
Definition
calcium and sodium bicarbonate during resuscitation
Term
What is cystitis
Definition
inflammation of the urinary bladder and ureters
Term
what is urethritis
Definition
inflammation of the urethra
Term
What is pyelonephritis
Definition
inflammation of the kidney parenchyma (upper urinary tract)
Term
what is a urinary calculi?
Definition
(kidney stones) that are pathological concretions that originate in the renal pelvis
Term
what is dysuria?
Definition
painful urination
Term
what is epididymitis?
Definition
inflammation of the epididymis, a tubular section of the male reproductive system that carries sperm for tom the testicle to the seminal vesicles.
Term
what is phimosis?
Definition
tightness of the foreskin
Term
what is prepuce?
Definition
foreskin
Term
What is a priapism?
Definition
an erection that lasts 4 hours or longer and occurs without sexual stimulation.
Term
What is testicular torsion?
Definition
a testicle (usually the left) twists on its spermatic cord, disrupting the blood supply of the testicle.
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