Ch. 25 & 27 Disorders of Renal Function Flashcards Preview

Pathophysiology Exam 3 > Ch. 25 & 27 Disorders of Renal Function > Flashcards

Flashcards in Ch. 25 & 27 Disorders of Renal Function Deck (49)
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1

What are the most common cause of obstruction which develop in the kidneys and are excreted un urine?

Urinary Calculi/urolithiasis (Renal Calculi)

2

What are the manifestations of renal calculi?

-*PAIN*
-Hematuria

3

What type of pain does renal calculi cause?

-Acute, intermitting, excruciating
-Flank, upper and outer abdominal quadrant
-Worsens with increase of fluid intake

4

Which pain medication is a wonder drug for renal calculi?

Toradol

5

Renal calculi can be passed in urine if it is what size?

<5mm

6

To treat renal calculi what should be encouraged?

Fluid intake (or IV)

7

What is one of the number one causes of UTI?

E.coli from vaginal or perianal areas

8

What is a nosocomial infection?

An infection the people providing care caused.

9

What is urethrovesical?

urine from urethra moves into bladder (UTI)

10

What is vesicoureteral?

urine from bladder moves into ureters

11

What is the problem with UTI obstruction?

Urine remains in urinary tract and acts as a medium for bacterial growth

12

What are UTI manifestations?

-Frequency
-Urgency
-Dysuria
-Lower abdominal/back discomfort
-cloudy/foul smelling urine

13

How can a UTI be diagnosed?

-U/A
-Culture and sensitivity
-leukocytes

14

What is the treatment for a UTI?

-Antibiotics 3-7 days
-Cranberry juice
-Increase fluid intake

15

What is the leading sign of a UTI in the elderly?

AMS

16

Acute Pyelonephritis (kidney infection) is what type of disorder?

Tubulointerstitial

17

Infection and inflammation of the tubules is what?

Acute Pyelonephritis

18

Bacteria ascending from the lower urinary tract causes what?

Acute Pyelonephritis

19

Does acute pyelonephritis cause fever and chills?

Yes

20

Does acute pyelonephritis cause headache, flank pain, and CVA (costovertebral) tenderness?

Yes

21

Similarly to a UTI does acute pyelonephritis also cause dysuria, frequency, and urgency?

Yes

22

Does acute pyelonephritis cause malaise?

Yes

23

What is the treatment for acute pyelonephritis?

-Antibiotics (typically IV)
-Fluids (oral or IV)
-Tylenol for fever

24

Chronic Pyelonephritis (progressive) is what type of disorder?

Tubulointerstitial

25

What is the most common cause of Chronic Pyelonephritis?

Reflux

26

Inflammation, scarring, deformation of renal chalices and pelvis is caused by what tubulointerstitial disorder?

Chronic Pyelonephritis

27

What is Chronic Pyelonephritis?

A bacterial infection with obstructive abnormality or reflux.

28

Chronic pyelonephritis can have s/s of an acute infection or what else?

Can be insidious

29

What are the manifestations of chronic pyelonephritis?

-Polyuria
-Nocturia
-Mild proteinuria

30

Chronic Pyelonephritis is the cause of 10-20% of what?

Renal failure patients