Shared Flashcard Set

Details

Renal 09
n/a
12
Nursing
Undergraduate 2
08/30/2009

Additional Nursing Flashcards

 


 

Cards

Term
Urolithiasis
Definition
Stones in Urinary Bladder
Term
nephroliathisis
Definition
Stones in Kidney
Term
Polycystic
Definition
Hereditary kidney disease characterized by cyst formation and massive kidney enlargement
Term
Azotemia
Definition
increased blood levels of nitrogenous waste products.
Term

What is pyelonephritis?

 

What are the signs and symptoms?

 

 

Definition

inflammatory disease of affecting the renal pelvis and the functional portion of the kidney. Can become chronic w/ underlying conditions.

 

S/S: chills, fever, FLANK pain, HA, CVA, hematuria & malaise, foul smelling urine.

 

 

Term

A patient is diagnosed with phelonephritis. 

What must the nurse teach the client prior to discharge?

Definition

Client Education:

1. Take full regiment of antibiotic medication

2. Increase fluids to flush out bacteria

3. Rest

4. Symptoms should subside in 48hrs.  Pain/Fever continues or worsen contact your Dr. (2nd infection may exist)

5. RETURN FOR FOLLOW UP CULTURES!!!

Term

A pt arrives in the ER c/o dark - coke colored urine. She states she's been drinking all day but only went to the BR 2 times. H&P reveals Proteinuria and HTN.  What might the nurse ask to determine a possible cause?

 

What dx does the nurse suspect?

Definition

The nurse will ask about any recent infections - specifically strep.

 

DX: Glomerulonephritis

Term

**Glomerulonephritis**

 

What is the typicaly diagnostic tests ordered (and the typical outcomes)?

 

What is the Treatment?

Definition

DX Tests:

UA - proteinuria, hematuria, Incr specific gravity.

BUN - Incr,    Creatinine - Incr,     Sed Rate - Incr

Chronic = Fixed Spec. Gravity (1.010)

 

Treatment:

1. BR till BP, Hematuria, and Proteinuria WNL

2. Restrict Fluid, Sodium, Potassium, & Protein 

3. Diuretics to control HTN

4. ** Dialysis may be indicated. **

Term

What is the defining diagnosis for Nephrotic Syndrome?

 

What are the S/S of Nephrotic Syndrome?

Definition

DX: The presence of > 2.5 g of protein in the urine/day.

 

S/S:

Abd distension, edema, HTN, oliguria.

Labs will show: proteinuria, hypoalbuminemia, hyperlipidemia, Hypercoaguable, Hyperlipidemia.

 

 

Term
Pt arrives at her appt c/o "foamy urine", swollen fingers, and dizziness upon standing.  H&P reveals HTN and abd distension. What dx might the nurse suspect?
Definition

Nephrotic Syndrome

 

Dx:

Proteinuria, hypoalbuminemia, hyperlipidemia, Hypercoaguable, & Edema.

Term

What is the treatment regimen for Nephrotic Syndrome?

 

Definition

TX:

Edema: Bed Rest & Salt Restrictions

 

Hyperlipidemia: Dietary Restrictions, Medication regimen to lower lipids - usually Statin

 

Restrict: Protein, fluids, Sodium

Term

Compare and Contrast:

 

Acute Renal Failure (ARF)

&

Chronic Renal Failure (CRF) 

Definition
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