Flashcards in Adult Health - Module 10 Deck (18):
BUN, Creatinine. Look at them together, and ratio should be 10:1-15:1.
Urinalysis (Dip stick),
Straight/foley cath (should be clear with pH 4.0-8.0),
urine culture (UTI),
Creatine Clearance (start with 1st void then collect urine for 24 hours to determine kidney function and waste removal. keep urine on ice).
Composite urine collection (takes urine residual. >50 ml indicates retention).
Xray of abdomin/pelvis to view stones and structure of Kidneys/Ureter/Bladder.
Takes a picture of kidney to find stones/tumors/masses.
Finds tumors/masses and administer contrast medium (iodine allergy).
Magnetic picture. Must obtain screening form, EXPLAIN PROCEDURE, and check for metal.
Intravenous Pyelogram (IVP)
Visiualizes KUB and uses IV contrast medium (iodine/shellfish allergy). NOT FOR BAD RENAL FUNCTION (low BUN/creat). Also requires bowel prep and increase fluid to flush out contrast
Urinary tract X-ray with contrast medium (iodine allergy)
Renal blood vessels with contrast medium (iodine sensitivity and bowel prep) and bedrest.
Looks at the inside of the bladder for calculi, lesions/masses/tumors, or biopsy. Must obtain consent (invasive)
Evaluate bladder muscle tone/pressure. Catheter is inserted, so consent (invasive) is needed.
Check coagulation blood labs, hold anticoagulants, and obtain consents. Bed rest for 24 hours after.
Polycystic Kidney Disease (PKD)
Cysts form bilaterally in the kidney and enlarge which causes tissue destruction and compresison.
Assessment: Pain, Palpable kidney, Hemturia, HTN
Treatment: Blood pressure (ACE/ARB), analgesics, fluid restriction/low protein (bad kidneys), and possible nephroctomy.
Severe inflammation of kidneys
Assessment: Fever, chills, NV, pain, tenderness, and lead to urine problems (leukocytosis/hematuria/bacteria).
Treatment: Analgesics (or NSAIDS), Antibiotics (Flagyl/Cipro), increase fluids,
Assessment: Abdominal/flank pain, Hematuria, N/V, Renal colic (increased urine peristalsis).
Treatment: Increase fluid, ambulate (for stone), analgesics or Toradol, Restrict purines and calcium oxalates.
Peeing when you laugh, cough, or sneeze
Can't get to the bathroom in time