ATI Unit 2 - Genitourinary and Reproductive Disorders (Josh) Flashcards Preview

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Flashcards in ATI Unit 2 - Genitourinary and Reproductive Disorders (Josh) Deck (22):
1

Recent URI or Strep infection can lead to which renal disorder?

AGN

- remember it's cause by a streptococcal

2

Risk Factor for AGN:

What is APSGN

Acute Poststreptococcal Glomerulonephritis

- antibody-antigen disease taht occurs as a result of certain strains of the Group A beta-hemolytic streptococcal infection

3

Medications for Renal Disorders

Corticosteroids

Furosemide

25% Albumin

Cyclophosphamde (for those who can't take prednisone)

4

Nursing considerations w/ Corticosteroids

hirsutism

slowed linear growth

HTN

GI bleeding

infection

hyperglycemia

5

Why would a throat culture be necessary for Acute Glomerulonephritis?

to confirm the strep

though it's usually negative by time of diagnosis

6

S/S of Nephrotic Syndrome

Weight gain

Facial/Periorbital Edema that decreases thru day

Ascites

Edema in ankles

Anorexia

Diarrhea

Irritability

Lethargy

Decreased FROTHY URINE

7

What is...

- Hyperalbuminemia

- Hemoconcentration

Both of which are complications of Nephrotic Syndrome

Hyperalbuminemia: reduced serum protein (albumin) and increased albumin in urine

Hemoconcentration: elevated Hbg, HCT, and platelets

8

What is AGN?

Acute Glomerluonephritis

- glomeruli of kidney are inflamed, which impairs kidney's ability to filter

9

What is Cryptochoridism?

inability to palpate testes within the scrotum

10

Enuresis is not diagnosed unless what?

inappropriate urination at least twice a weak for 3 mths

child must be at least 5 yrs old

11

S/S of AGN

Cloudy, tea colored urine

Decreased urine output

Periorbital Edema

Facial Edema (that's worse in morning) that spreads to periphery and abdomen as day progresses

HTN

Anorexia

Lethargy

Irritability

Vague reports of discomfort (headache, abd. pain, dysuria)

12

--- is fluid filled scrotum, making it large.

Hydrocele

- resolves spontaneously

13

What is Nephrotic Syndrome?

alterations in the glomerular membrane allow proteins (albumin) to pass into the urine, resulting in decreased osmotic pressure

14

Common infections in children w/ Nephrotic Syndrome

Pneumonia

Peritonitis

Cellulitis

15

When would an inguinal hernia require surgery?

if it hasn't closed by 1 yr

16

What is phimosis?

inability to retract foreskin of penis

17

What is Testicular Torsion?

enlargement of affected testicle

sudden, sever onset of pain

IMMEDIATE SURGERY

18

Manifestations of Epispadias

Male
- widening of pubic symphysis
- broad, spadelike penis
- urethra opened on dorsal surface of penis
- possible exstrophy of bladder

Female
- wide urethra
- bifid clitoris
- possible exstrophy of bladder

19

Treatment for Hypospadias / Epispadias

surgery during first year of life

no circumcision

20

Lab tests for AGN

Throat culture

Urinalysis

Renal Function (elevated BUN and creatinine)

Antistreptolysis O (ASO) Titer - inidcates presence of strep antibodies

Antihyaluronidase (AHase), ADNase-B, streptozyme antibodies may be present

Serum Complement (C3) - decreases initially and returns to normal at 8-10 wks

21

Why DDAVP for Enuresis?

Desmopressin Acetate (DDAVP)

- reduces urine vol.
- oral or nasal

22

Why would you give a TCA for Enuresis?

inhibits urination

- monitor for increased suicidal ideation
- administer w/ food
- gradual withdrawal after 6-8 wks
- 1 hr before bedtime