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Kidney, Malpractice, Prof conduct
Q9 Quiz 4
93
Anatomy
Professional
03/06/2013

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Term
1.     _____ is the clinical condition resulting from various pathologic processes that lead to insufficiency of renal excretory and regulatory function.
Definition
CHRONIC RENAL FAILURE
Term
2.     Chronic renal failure is much more common in the _____.
Definition
ELDERLY
Term
3.     4 of the most common renal disorders of the elderly.
Definition
1) GLOMERULONEPHRITIS, 2) RENAL ARTERY STENOSIS, THROMBOSIS, OR EMBOLISM, 3) ACURE OR CHRONIC RENAL FAILURE, 4) NEPHROTIC SYNDROME
Term
4.     6 chronic illnesses that predispose the elderly to chronic renal failure.
Definition
1) DIABETES, 2) HYPERTENSION, 3) URINARY TRACT OBSTRUCTION, 4) HYDRONEPHROSIS, 5) ATERIAL OBSTRUCTION, 6) LONG TERM USE OF NSAIDS AND CERTAIN ANALGESICS
Term
5.     A dipstick analysis is a good test for these 3 conditions.
Definition
1) DIABETES, 2) KIDNEY PROBLEMS, 3) LIVER PROBLEMS
Term
6.     12 s/s of kidney problems.
Definition
1) FATIGUE, 2) URINARY ISSUES, 3) SWELLING OF LOWER EXTREMITY, FEET, FACE, OR HANDS, 4) PERSON WILL HAVE A ROTTEN SMELL AND THEIR SKIN WILL TURN BROWNISH, 5) SKIN RASH/ITCHING, 6) METALLIC TASTE IN MOUTH/AMMONIA BREATH, 7) NAUSEA AND VOMITING, 8) SHORTNESS OF BREATH, 9) FEELING COLD, 10) DIZZINESS AND TROUBLE CONCENTRATING, 11) LEG/FLANK PAIN, 12) RADIATING PAIN FROM FLANK TO PUBIS
Term
7.     7 changes in urination that may occur if a patient has kidney issues.
Definition
1) PATIENT HAS TO GET UP AT NIGHT TO URINATE, 2) URINE MAY BE FOAMY OR BUBBLY, 3) INCREASED FREQUENCY, 4) PALE URINE, 5) DECREASED URINARY FREQUENCY OR AMOUNT, 6) BLOOD IN URINE, 7) FEELING OF PRESSURE OR DIFFICULTY URINATING
Term
8.     Swelling of the _____ is a big indication of kidney issues.
Definition
LOWER EXTREMITY
Term
9.     Patients with kidney issues will have a _____ smell, and their skin will turn _____.
Definition
ROTTEN; BROWNISH
Term
10.  The most general symptom of a kidney/bladder problem is _____.
Definition
FATIGUE
Term
11.  What causes the fatigue associated with kidney problems?
Definition
THE KIDNEYS PRODUCE A HORMONE CALLED ERYTHROPOETIN WHICH STIMULATES RBC PRODUCTION. A DECREASE IN THIS HORMONE WILL DECREASE RBC PRODUCTION WHICH WILL LEAD TO ANEMIA, THEN HHYPOXIA THEN FATIGUE
Term
12.  The fatigue associated with kidney issues is a result of a condition called _____.
Definition
ANEMIC HYPOXIA
Term
13.  If a patient has _____, the doctor should look at the kidneys and GI tract.
Definition
NONDESCRIPTIVE ANEMIA
Term
14.  Kidneys remove wastes from the bloodstream, and when the kidneys fail, the buildup of wastes in the blood can cause severe _____.
Definition
ITCHING
Term
15.  Kidney conditions will cause a metallic taste in the mouth/ammonia breath due to _____, which is a buildup of wastes in the blood. Patients may also lose weight because of this due to a loss of taste and appetite.
Definition
UREMIA
Term
16.  Uremia can also cause _____ with a loss of appetite and weight loss.
Definition
NAUSEA AND VOMITING
Term
17.  2 causes of shortness of breath associated with kidney issues.
Definition
1) EXTRA FLUID CAN BUILD UP IN THE LUNGS, 2) ANEMIA HYPOXIA CAN LEAVE THE BODY OXYGEN STARVED AND SHORT OF BREATH
Term
18.  Anemia can cause the person to feel _____ all the time, even when in a warm room.
Definition
COLD
Term
19.  The brain requires _____% of the body’s oxygen.
Definition
20.00000%
Term
20.  _____ can result in the brain not getting enough oxygen for normal function, which results in memory problems, trouble concentrating, and dizziness.
Definition
ANEMIC HYPOXIA
Term
21.  _____ is a condition that causes large, fluid filed cysts on the kidneys and sometimes the liver and causes pain.
Definition
POLYCYSTIC KIDNEY DISEASE
Term
22.  The cysts of polycystic kidney disease can be seen on a _____.
Definition
MRI
Term
23.  If a patient complains of radiating pain from the flank to pubis, the doctor should be thinking of _____.
Definition
KIDNEY STONES
Term
24.  _____ is bone disease related to kidney failure that affects 90% of dialysis patients. It causes bones to become thin and weak or malformed, and affects both children and adults.
Definition
RENAL OSTEODYSTROPHY
Term
25.  There is an increased risk of renal osteodystrophy in _____ and _____.
Definition
OLDER PATIENTS AND WOMEN WHO HAVE GONE THROUGH MENOPAUSE
Term
26.  _____ is a condition common in people who have been on dialysis for more than 5 years. It develops when proteins in the blood deposit on joints and tendons causing pain, stiffness, and fluid in the joints.
Definition
AMYLOIDOSIS
Term
27.  _____ offers choices in treating advanced and permanent kidney failure, and first became a practical and widespread treatment for kidney failure in the 1980’s.
Definition
PERITONEAL DIALYSIS (PD)
Term
28.  The health care team for peritoneal dialysis is these 5 people.
Definition
1) NEPHROLOGIST, 2) DIALYSIS NURSE, 3) TECHNICIAN, 4) DIETITIAN, 5) SOCIAL WORKER
Term
29.  3 steps in how peritoneal dialysis works.
Definition
1) A CATHETER IS USED TO FILL THE ABDOMEN WITH DIALYSIS SOLUTION, 2) THE PERITONEUM OF THE ABDOMEN ALLOWS WASTE PRODUCTS AND EXTRACELLUAR FLUID TO PASS FORM YOUR BLOOD INTO THE DIALYSIS SOLUTION, 3) THE WASTES AND FLUID THEN LEAVE THE BODY WHEN THE DIALYSIS SOLUTION IS REMOVED
Term
30.  In peritoneal dialysis, the dialysis solution contains a sugar called _____ which will pull wastes and extracellular fluid into the abdominal cavity.
Definition
DEXTROSE
Term
31.  In peritoneal dialysis the period the dialysis solution is in the abdomen is called _____.
Definition
DWELL TIME
Term
32.  A typical peritoneal dialysis calls for _____ exchanges a day.
Definition
4
Term
33.  The most common form of peritoneal dialysis is called _____, and does not require a machine. The patients are able to walk around with the dialysis solution in their abdomen.
Definition
CONTINUOUS ABULATORY PERITONEAL DIALYSIS (CAPD)
Term
34.  Other forms of peritoneal dialysis require a machine called a _____ to fill and drain your abdomen, usually while the patient is asleep.
Definition
CYCLER
Term
35.  CAPD uses _____ to fill and empty the abdomen.
Definition
GRAVITY
Term
36.  Typically CAPD requires _____ exchanges during the day, and _____ evening exchange with a long overnight dwell time while you sleep.
Definition
3-4; 1
Term
37.  _____ is a dialysis machine that uses an automated cycler to perform 3-5 exchanges during the night while the patient sleeps. In the morning the patient begins one exchange with a dwell time that lasts the entire day.
Definition
CONTINUOUS CYCLER-ASSISTED PERITONEAL DIALYSIS (CCPD)
Term
38.  _____ is a dialysis treatment like CCPD, only the number of overnight exchanges is greater (6+) and there is no exchange during the day.
Definition
NOCTURNAL INTERMITTED PERITONEAL DIALYSIS (NIPD)
Term
39.  _____ is usually reserved for patients who peritoneum is able to transport waste products very rapidly or for patients who still have substantial remaining kidney function.
Definition
NIPD
Term
40.  A _____ can help improve your dialysis and your health, and will increase the value of the dialysis treatments.
Definition
HEALTHY DIET
Term
41.  _____ is the most common dialysis that is used.
Definition
HEMODIALYSIS
Term
42.  Hemodialysis is performed _____x a week.
Definition
3X
Term
43.  3 main jobs of a hemodialysis machine.
Definition
1) PUMP BLOOD AND MONITOR FLOW FOR SAFETY, 2) CLWAN WASTES FROM BLOOD, 3) MONITOR BP AND THE RATE OF FLUID REMOVAL FROM YOUR BODY
Term
44.  The _____ of the hemodialysis machine is a large canister containing thousands of small fibers through which blood is passed. It contains many fibers which filter the blood.
Definition
DIALYZER
Term
45.  The dialyzer is sometimes called an _____.
Definition
ARTIFICAL KIDNEY
Term
46.  When one receives an organ transplant, they are required to take _____ which means the patient needs to avoid vaccines and illness.
Definition
IMMUNOSURPRESSANTS
Term
47.  The _____ of hemodialysis cleans wastes from blood, and monitors BP and the rate of fluid removal from the body.
Definition
DIALYSIS MACHINE
Term
48.  The dialysis solution of hemodialysis is also known as _____, and it is the fluid in the dialyzer that helps remove waste and extra fluid in the body. It contains chemicals that make it act like a sponge to absorb the wastes and extra fluid.
Definition
DIALYSATE
Term
49.  Most dialysis centers use 2 needles which serve these 2 functions.
Definition
1) ONE TO CARRY BLOOD TO THE DIALYZER, 2) ONE TO RETURN CLEANED BLOOD TO THE BODY
Term
50.  Needles for high-flux or high-efficiency dialysis need to be a little _____ than those used with regular dialyzers.
Definition
LARGER
Term
51.  Hemodialysis removes the harmful wastes and extra salt and fluids from your body, and helps keep the proper balance of chemicals like _____ and _____ in your body.
Definition
SODIUM AND POTASSIUM
Term
52.  Dialysis will remove many of the minerals from blood, which will increase one’s chances of developing _____.
Definition
OSTEOPOROSIS
Term
53.  Can you give supplements to a patient on dialysis?
Definition
NO!!!! HAVE THEM EAT WHOLE FOODS WITH THE CORRECT NUTRITION
Term
54.  _____ is defined as the involuntary loss of urine, and affects 8-34% of the elderly.
Definition
URINARY INCONTINENCE
Term
55.  8 functional causes of urinary incontinence.
Definition
1) MENTAL/MOBILITY, 2) MEDICINES (DIURETICS, MUSCLE REXLAXANTS, PAIN MEDS), 3) UTI, 4) ATROPHIC VAGINITIS/URETHRITIS, 5) DIABETES, 6) FECAL IMPACTION, 7) LOSS OF SENSORY/MOTOR FUNCTION, 8) DEMENTIA
Term
56.  Most _____ and _____ will run a low grade bacterial infection.
Definition
QUAD AND PARAPLEGICS
Term
57.  A patient who has a low grade bacterial infection should have a _____ 2 weeks after taking antibiotics.
Definition
URINE CULTURE
Term
58.  If a patient has urinary incontinence, adjust these 3 places.
Definition
1) T10-12, 2) L3-L4, 3) S2-S4
Term
59.  2 active care exercises for a patient with urinary incontinence.
Definition
1) KEGAL EXERCISES, 2) PELVIC FLOOR RE-EDUCATION
Term
60.  _____ are like a diaphragm at the end of the vaginal tract that helps support the pelvic floor in a patient with urinary incontinence.
Definition
PESSARIES
Term
61.  3-4oz a day of _____ will help coat the urinary tract making it difficult for the bacteria to latch onto the tract.
Definition
CRANBERRY/CRANBERRY JUICE
Term
62.  If a patient has dysuria, increased urinary frequency, flank pain, fever, and/or hematuria, a doc should consider these 3 conditions.
Definition
1) CYSTITIS, 2) UTI, 3) KIDNEY STONE
Term
63.  3 places you should adjust for a patient with kidney stones.
Definition
1) T10-T12, 2) L3-L4, 3) S2-S4
Term
64.  Adjusting these 3 segments will _____ making it easier to pass stones.
Definition
DIALATE URETER
Term
65.  If a patient has kidney stones, they should follow these 6 nutritional recommendations.
Definition
1) 3-4OZ OF CRANBERRY JUICE, 2) 50MG B-6, 3) 400MG MAGNESIUM, 4) ASPARAGUS CAPS, 5) INCREASE WATER, 6) DECREASE CAFFEINE
Term
66.  A patient with a _____ will have increased urinary frequency with some discomfort, and leukocyte casts in urinalysis.
Definition
BLADDER INFECTION
Term
67.  Will a bladder infection respond well to chiropractic?
Definition
YES
Term
68.  A patient with a _____ will have flank pain and hematuria.
Definition
KIDNEY INFECTION
Term
69.  Will a kidney infection respond well to chiropractic?
Definition
NO, THEY NEED ANTIBIOTICS
Term
70.  Hyperthyroidism is also known as _____.
Definition
THYROTOXICOSIS
Term
71.  Hypothyroidism is also known as _____.
Definition
MYXEDEMA
Term
72.  2 types of thyroid nodular diseases.
Definition
1) HASHIMOTO’S DISEASE, 2) ANAPLASTIC CARCINOMA
Term
73.  9 s/s of hypothyroidism.
Definition
1) FATIGUE, 2) INTOLERANCE TO COLD, 3) DRY SKIN AND HAIR, 4) LETHARGY, 5) POOR MEMORY, 6) CONSTIPATION, 7) WEIGHT GAIN, 8) MUSCLE CRAMPS, 9) DEAFNESS
Term
74.  10 s/s of hyperthyroidism.
Definition
1) NERVOUSNESS, 2) IRRITABILITY, 3) PALPITATIONS, 4) HEAT INTOLERANCE, 5) SWEATING, 6) SOB, 7) WEIGHT LOSS, 8) EYE COMPLAINTS, 9) INSOMNIA, 10) BULGING EYES
Term
75.  A patient with _____ should test their basal axillary temp for 10min every morning.
Definition
HYPOTHYROIDISM (WILL LOWER TEMPS)
Term
76.  Men should check their basal axillary temps for _____, while women should check for _____ due to menstrual hormones.
Definition
1 WEEK; 1 MONTH
Term
77.  A thyroid lab exam tests for these 3 hormones.
Definition
1) TSH, 2) T3, 3) T4
Term
78.  Where should you adjust for a patient with thyroid problems?
Definition
C7-T1
Term
79.  3 nutritional recommendations for a patient with thyroid issues.
Definition
1) 1000 MG OF L-TYROSINE, 2) KELP/IODINE, 3) THYROID GLANDULAR
Term
80.  _____ is a thyroid medication that does not have T3 or T4.
Definition
SYNTHYROIN
Term
81.  _____ is a thyroid medication that has T3+T4.
Definition
ARMOUR THYROID
Term
82.  Patients receiving thyroid treatment may not notice changes for 6-8 weeks, but their temp may change in _____ weeks.
Definition
2 WEEKS
Term
83.  _____ % of chiropractors are involved in litigation at one time.
Definition
5-7%
Term
84.  What is the most common claim of malpractice brought against chiro’s?
Definition
ADJUSTMENTS CAUSING INJURY TO DISC
Term
85.  The doctor patient relationship increases one’s chances of developing claims due to _____ of care.
Definition
DEPERSONALIZATION
Term
86.  The best insurance a doctor can have in preventing a malpractice claim is the development of _____.
Definition
POSITIVE HUMAN RELATIONS
Term
87.  _____ is a diagnostic and treatment process that a clinician should follow for a certain type of patient, illness or clinical circumstance. It is how similarly qualified practitioners would have managed the patients care under the same or similar circumstances.
Definition
STANDARD OF CARE
Term
88.  3 major board complaints about professional boundaries.
Definition
1) SEX, 2) LIES, 3) DRUGS
Term
89.  Who are doctors most likely to have an affair with?
Definition
NURSE
Term
90.  Professional boundaries are determined by the _____.
Definition
PATIENT
Term
91.  _____ is sexual contact which occurs within the context of the delivery of healthcare.
Definition
SEXUAL ABUSE
Term
92.  _____ is misuse of the authority and trust placed in a doctor for the purpose of engaging in sexual activity with a patient. This activity can be with current or former patients.
Definition
SEXUAL MISCONDUCT
Term
93.  90% of all sexual misconduct victims are _____.
Definition
FEMALE
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