Kidney Health and Conditions Quiz
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Questions and Answers

The ______ are the number 1 factor to renal failure.

diabetes mellitus and hypertension

The number one factor contributing to kidney failure can be explained by a sedentary lifestyle.

False (B)

Which of these options are the primary causes of renal failure? (Select all that apply)

  • Not working out
  • Diabetes mellitus (correct)
  • Hypertension (correct)
  • Eating red meat
  • Drinking soda
  • What is the medical management for the patient after a renal transplant?

    <p>Administer immunosuppressive drugs and make sure there is urine output after.</p> Signup and view all the answers

    The best donor for a renal transplant is a living donor.

    <p>True (A)</p> Signup and view all the answers

    What does the National Kidney & Transplant Institute handle in the Philippines?

    <p>Offers services for kidney transplant (B)</p> Signup and view all the answers

    Which of these is NOT a symptom of chronic kidney disease?

    <p>Low uric acid levels</p> Signup and view all the answers

    The functional unit of the kidney that produces urine is called a ______.

    <p>nephron</p> Signup and view all the answers

    Which of the following is NOT a waste product produced by the kidney?

    <p>Glucose (D)</p> Signup and view all the answers

    The glomerulus is a part of the nephron that filters waste products from the blood and produces urine.

    <p>True (A)</p> Signup and view all the answers

    What is the normal GFR rate?

    <p>More than 90ml/min</p> Signup and view all the answers

    When the GFR is less than 15 ml/min, it is considered ______ stage.

    <p>end</p> Signup and view all the answers

    What happens to the electrolyte levels and fluid balance in the body with a decreased GFR?

    <p>Increases (C)</p> Signup and view all the answers

    Hyperphosphatemia can cause hypocalcemia in CKD.

    <p>True (A)</p> Signup and view all the answers

    What are the possible causes of CKD?

    <p>Diabetes mellitus including uncontrolled high blood pressure, infections, nephrotoxic drugs, and polycystic kidney disease.</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Hemolysis = The breakdown of red blood cells Creatinine = A waste product of muscle breakdown Urea = A waste product of protein breakdown GFR = The rate at which blood is filtered by the glomeruli of the kidneys Metabolic acidosis = Build up of acid in the blood due to the kidney's inability to excrete acid Hyperkalemia = High levels of potassium in the blood Hypocalcemia = Low levels of calcium in the blood Hyperphosphatemia = High levels of phosphate in the blood</p> Signup and view all the answers

    Hyperkalemia in CKD is caused by the reduced ability of the kidneys to excrete potassium.

    <p>True (A)</p> Signup and view all the answers

    The symptoms of CKD will only appear when the kidneys have already been severely damaged.

    <p>False (B)</p> Signup and view all the answers

    What is the primary function of the kidneys in removing waste?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the medical management for patients with CKD in early stages?

    <p>Controlling blood pressure and blood sugar levels. Patients will also be prescribed medications like ACE inhibitors, ARBs, and diuretics to manage CKD.</p> Signup and view all the answers

    Patients with CKD should have a low protein diet to avoid further straining the kidneys.

    <p>True (A)</p> Signup and view all the answers

    What is the term for excess fluid build-up in the body due to CKD?

    <p>Fluid overload</p> Signup and view all the answers

    Which of these is NOT a sign or symptom of fluid overload in CKD?

    <p>Reduced breath sounds (B)</p> Signup and view all the answers

    CKD patients should take vitamin D supplements because their kidneys are not able to activate vitamin D.

    <p>True (A)</p> Signup and view all the answers

    The medication ______ helps in correcting hyperphosphatemia.

    <p>Phosphate binders</p> Signup and view all the answers

    Uremia, a condition characterized by a buildup of waste products in the blood, is a common complication of CKD.

    <p>True (A)</p> Signup and view all the answers

    The buildup of ______ in the blood can cause itching in CKD patients.

    <p>urea</p> Signup and view all the answers

    What are the possible causes of sepsis?

    <p>Bacteria or viruses entering the body, trauma, and compromised immune systems can cause sepsis.</p> Signup and view all the answers

    Septic shock is a life-threatening condition where the body's blood pressure drops significantly, and the organs start to fail.

    <p>True (A)</p> Signup and view all the answers

    Stress hyperglycemia can occur in sepsis due to the release of hormones such as cortisol, glucagon, and adrenaline.

    <p>True (A)</p> Signup and view all the answers

    Which of these organs is the first to be affected in the progression of SIRS to MODS?

    <p>Lungs (A)</p> Signup and view all the answers

    Ventricular dilation, decreased systolic contractile function, and myocardial depression are some of the cardiovascular complications related to MODS.

    <p>True (A)</p> Signup and view all the answers

    The dysfunctional gastrointestinal barrier in MODS causes bacterial ______ into the blood stream, leading to further complications.

    <p>translocation</p> Signup and view all the answers

    Which of these is usually the main cause of DIC?

    <p>Severe infection (A)</p> Signup and view all the answers

    DIC is considered a primary disease.

    <p>False (B)</p> Signup and view all the answers

    Flashcards

    What are 6 things that can damage your kidneys?

    1. Excessive red meat consumption: High protein intake overworks kidneys. 2. High salt intake: Reduces kidney filtering efficiency and raises blood pressure. 3. Overuse of painkillers: Can damage kidney function. 4. Dehydration: Water is crucial for kidney function. 5. Consuming colored colas: High sugar and phosphorus content can strain kidneys over time. 6. Sedentary lifestyle: Causes unknown, but linked to kidney failure.

    What are the end products of red meat consumption?

    Urea is the primary end product of red meat breakdown.

    Excess protein intake

    Increases the workload on the kidneys.

    What happens when you consume too much salt?

    Salt reduces kidney efficiency in filtering waste and can lead to high blood pressure.

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    What is the role of water in kidney function?

    Water is essential for kidney function. It helps dilute waste products and flushes them out.

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    How do colored colas affect the kidneys?

    Colored sodas contain high amounts of sugar and phosphorus, which can damage kidney function over time, especially with consistently high blood sugar levels like in diabetes.

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    What are the effects of kidney failure?

    Kidney failure can result from diabetes, hypertension, obesity, and pyelonephritis. It significantly impacts the body's ability to filter waste, leading to complications like increased blood pressure, retinopathy, ascites, decreased urine output, proteinuria, hematuria, hyperuricemia, metabolic acidosis, gastrointestinal issues, and cardiovascular problems.

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    What is retinopathy?

    Blood vessels in the eyes dilate to improve blood flow, but over time, this worsens damage and can lead to vision problems.

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    How do you check for ascites?

    You can assess ascites by checking for fluid waves (more than 1 liter) or shifting dullness when changing positions.

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    What is azotemia?

    Azotemia occurs when damaged kidneys fail to remove toxins effectively, leading to toxin buildup in the blood.

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    What is proteinuria?

    Proteinuria is the presence of protein in the urine, a sign of damaged basement membranes, which are responsible for reabsorbing protein for tissue repair and regeneration.

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    What is hematuria?

    Hematuria refers to red blood cells in the urine, indicating potential damage to the kidneys.

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    Hyperuricemia: What contributes to it?

    Hyperuricemia is high uric acid levels in the blood. It's primarily caused by: 1. Urea from meat protein breakdown. 2. Uric acid from food. 3. Creatinine from muscle breakdown.

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    Where does uric acid accumulate?

    High uric acid levels tend to accumulate in the coldest area of the body, farthest from the heart, like the big toe.

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    What is oliguria?

    Oliguria refers to a decreased urine output, a symptom of kidney damage.

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    What are the causes of metabolic acidosis?

    Metabolic acidosis occurs when the kidneys fail to produce enough bicarbonate to neutralize acids. This results in waste product buildup, a shift of hydrogen ions into cells, and potassium ions out, leading to hyperkalemia.

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    What are the cardiovascular manifestations of kidney failure?

    Kidney failure can lead to hyperkalemia (high potassium), dysrhythmia (irregular heartbeat), and increased heart rate due to anemia.

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    How does hyperkalemia occur in kidney failure?

    Hyperkalemia happens due to the kidneys' inability to filter potassium effectively, leading to its accumulation in the blood.

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    What are some ways to reduce potassium levels in the blood?

    You can reduce potassium levels by decreasing potassium intake, using diuretics, undergoing dialysis, or administering insulin to shuttle potassium into cells.

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    How does sodium bicarbonate help in kidney failure?

    Sodium bicarbonate helps balance acid levels in the body, leading to potassium moving into cells and lowering blood potassium levels.

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    What are the respiratory manifestations of kidney failure?

    Kidney failure can cause increased respiratory rate (RR), with Kussmaul respiration (rapid and deep breathing) as a compensatory mechanism for metabolic acidosis. Crackles may also be present and PaO2 levels can decrease.

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    How does kidney failure affect the gastrointestinal system?

    Kidney failure can cause anorexia (loss of appetite) due to a metallic taste from toxins, as well as nausea and vomiting.

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    What is the relationship between the kidneys and uric acid?

    Uric acid is filtered by the kidneys, but due to kidney damage, the kidneys slow down uric acid elimination. This can lead to hyperuricemia.

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    How can kidney failure be prevented?

    Preventing kidney failure involves managing diabetes, hypertension, and obesity, as these are major contributors to kidney damage.

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    What is the national kidney and transplant institute?

    The National Kidney and Transplant Institute is the only hospital in the Philippines that specializes in kidney transplants and care for patients with chronic kidney diseases.

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    What are the statistics associated with kidney failure in the Philippines?

    In the Philippines, one person develops chronic kidney disease (CKD) every 40 minutes, with a total of 7 million people living with CKD

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    What is the impact of aging on kidney function?

    As people age, kidney function declines, with a 50% decrease in blood flow to the kidneys by the age of 50.

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    What are some food and beverage items to limit to manage uric acid levels?

    To manage uric acid levels, limit your intake of coffee, canned juice, red meat, purines, and vegetables high in uric acid, such as asparagus, cauliflower, mushrooms, and spinach.

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    Study Notes

    Kidney Damage

    • Eating excessive red meat, too much salt, and overuse of painkillers can strain the kidneys.
    • Excess salt increases blood pressure, affecting kidney filtration.
    • Colored sodas contain high phosphorus, which damages kidney vessels.
    • A sedentary lifestyle (lack of exercise) contributes to kidney failure.

    Renal Failure

    • Diabetes and hypertension are the leading causes of kidney failure.
    • Obesity also contributes to renal failure.
    • Pyelonephritis (infection) can affect kidney function.
    • Polycystic kidney disease results in multiple cysts damaging kidney function.

    Integumentary Manifestations

    • Bruising, pruritus, dry skin, and brittle hair may indicate uremia (buildup of toxins in the blood).
    • Grayish skin or paleness also signals decreased blood flow.

    Respiratory Manifestations

    • Kussmaul respiration (rapid, deep breaths) is a compensatory mechanism for metabolic acidosis.
    • Increased RR, and crackles may signal respiratory distress.

    Cardiovascular Manifestations

    • Increased heart rate compensates for decreased oxygen-carrying capacity (anemia).
    • Abnormal heart sounds indicate possible damage.
    • Potassium imbalance (hyperkalemia) can cause dysrhythmias as kidneys eliminate potassium.
    • Diuretics, insulin, and dialysis help regulate potassium levels.
    • Sodium bicarbonate helps balance acid levels.

    Renal Replacement Therapy (RRT)

    • Hemodialysis uses arteries and veins for filtering.
    • Peritoneal dialysis (CAPD) uses a catheter and peritoneal membrane for filtration, performed routinely.
    • Both methods filter waste and excess fluids.

    Metabolic Acidosis

    • Kidneys regulate acid-base balance.
    • Accumulation of toxins leads to metabolic acidosis.
    • Frequent deep, rapid breathing compensates for excess acidity.

    Nursing Interventions

    • Patients with kidney issues need proper hydration and avoid colored sodas and high-salt foods.
    • Implement careful monitoring of fluid intake and output to maintain balance.
    • Dietary changes (low phosphorus, low potassium, and high protein/low protein) must be monitored.
    • Frequent weight checks and monitoring of potassium levels are crucial.

    Medical Management

    • Medications prescribed often include ACE inhibitors and ARBS for blood pressure control.
    • Dialysis is used for advanced kidney disease.
    • Kidney transplantation is sometimes an option.
    • It is crucial to monitor vital signs (BP, RR, HR, and O2 sat) and fluid/electrolyte balance.

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    Description

    Test your knowledge on kidney health, including factors contributing to kidney damage, renal failure, and associated physical manifestations. This quiz covers essential topics relevant to maintaining kidney function and understanding related diseases.

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