Term
| inflammation of the kidneys? |
|
Definition
|
|
Term
| pyelonephritis what is caused by bacteria? |
|
Definition
|
|
Term
| pyelonephritis that is not caused by bateria, but usually reflex? |
|
Definition
|
|
Term
|
Definition
- chills/fever
- malaise
- n/v
- flank pain
- frequency
- dyuria
- nocturia
- hemoturia
- cloudy urine
- ammonia smell
- polyuria |
|
|
Term
| How to diagnosis pyelonephritis? |
|
Definition
- urinalysis
- urine c&s or gram stain of urine
- CBC
- IVP
- cystscopy |
|
|
Term
| Treatment of pyelonephritis? |
|
Definition
- antibodics
- cramberry juice |
|
|
Term
| What medication is a urinary analgesic? |
|
Definition
| Phenazopyridine (Pyridium) |
|
|
Term
|
Definition
- turns body fluids orange or red
- take with meals
- watch for yellow-tinged sclera or skin |
|
|
Term
| Chronic inflammation of the bladder lining? |
|
Definition
|
|
Term
| Treatment for interstitial cystitis? |
|
Definition
- no steroid antinflammation meds
- cystectomy in very severe cases |
|
|
Term
| How to diagnosis interstitial cystitis? |
|
Definition
- a UTI that won't go away
- cystoscopy |
|
|
Term
| Fluid filled sacs (cysts) affect nephrons They cause enlargement in the kidneys. Blood vessels and nephrons are compressed. Functional tissue is destroyed and eventually the kidney will atrophy |
|
Definition
| polycystic kidney disease |
|
|
Term
| Facts about polycystic kidney disease? |
|
Definition
- massive kidney enlargement
- herditary
- develops by age 40-50
- increased risk of cyst formation elsewhere |
|
|
Term
| Polycystic kidney disease pt's are at risk for? |
|
Definition
|
|
Term
| S?S of polycystic kidney disease? |
|
Definition
- flank pain
- hematuria
- proteinuria
- polyuria
- noturia
- UTI
- calculi
- HTN |
|
|
Term
| Treatment for polycystic kidney disease? |
|
Definition
- increase fluids
- ace inhibitors
- avoid nephrotoxic drugs
- dialysis or transplant
* restrict fluid until HTN and CHF is under control |
|
|
Term
| Stones in the urinary tract? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| stone that forms in the kidney? |
|
Definition
|
|
Term
| Stone that forms in the kidney but moves to the bladder? |
|
Definition
|
|
Term
| Risk factors for urinary calculis? |
|
Definition
- history
- dehydration
- increase calcium, oxalate, proteins
- gout
- hyperparathyroidism |
|
|
Term
| Stone formed by calcium and or phospahte? |
|
Definition
|
|
Term
| What is the most common stone? |
|
Definition
|
|
Term
| What stones form in alkaline urine (high pH) |
|
Definition
|
|
Term
| This stone is formed by uric acid? |
|
Definition
|
|
Term
| What two things increase the risk of getting uric acid stones? |
|
Definition
- gout
- acidic urine ( low pH) |
|
|
Term
|
Definition
- flank pain
- hematuria
- frequency/ urgency
- dysuria
- N/V |
|
|
Term
| With someone with stones what should you do with their urine? |
|
Definition
|
|
Term
| Distention of renal pelvis and kidneys? |
|
Definition
|
|
Term
| Hydronephrosis with colicky pain on affected side? |
|
Definition
|
|
Term
| Hydronephrosis with dull ache in back or flank? |
|
Definition
|
|
Term
|
Definition
- hematuria
- signs of UTI |
|
|
Term
| Treatment for acute hydronephrosis? |
|
Definition
- analgesia
- hydration
- antispasmodics
- antibodics if infection is present |
|
|
Term
| Sound or shock waves that crush stones? |
|
Definition
| Extracorporeal shock wave lithrotripsy |
|
|
Term
| What is done for a lithrotrispy? |
|
Definition
- x-ray is done to find stone
- IV or PO sedation
Post-OP
- frequent VS
- bright red urine (24hours)
- monitor cath patency |
|
|
Term
| Post-op lithrotrispy: pain? |
|
Definition
- NSAIDS
- Antispasmodics
- encourage fluid |
|
|
Term
| Post-op lithritrispy: impaired urinary elimination? |
|
Definition
- monitor amt and character of urine
- strain all urine for stones
- monitor for hdryonehrosis
- be alert for renal failure signs |
|
|
Term
|
Definition
- hematuria
- dysuria
- oluria |
|
|
Term
| Surgical removal of the bladder? |
|
Definition
|
|
Term
| Removal ilium form small intestines. One side of the ilium will be connected to the ureters the other do the abdomen creating a sac? |
|
Definition
|
|
Term
| Ileal conduit have a high risk for what? |
|
Definition
|
|
Term
| Same as ileal conduit but making a flap to actually hold urine. These pt's will have to strait cath to every 2-3 hours? |
|
Definition
| Continent urinary diversion |
|
|
Term
| Nursing care for post-op urinary diversions? |
|
Definition
- monitor I&O q1h for 24hours
- call if output is less then 30ml/h
- assess stoma q2h for 24hours
- monitor labs |
|
|
