Flashcards in Ch. 25 & 27 Disorders of Renal Function Deck (49)
What are the most common cause of obstruction which develop in the kidneys and are excreted un urine?
Urinary Calculi/urolithiasis (Renal Calculi)
What are the manifestations of renal calculi?
What type of pain does renal calculi cause?
-Acute, intermitting, excruciating
-Flank, upper and outer abdominal quadrant
-Worsens with increase of fluid intake
Which pain medication is a wonder drug for renal calculi?
Renal calculi can be passed in urine if it is what size?
To treat renal calculi what should be encouraged?
Fluid intake (or IV)
What is one of the number one causes of UTI?
E.coli from vaginal or perianal areas
What is a nosocomial infection?
An infection the people providing care caused.
What is urethrovesical?
urine from urethra moves into bladder (UTI)
What is vesicoureteral?
urine from bladder moves into ureters
What is the problem with UTI obstruction?
Urine remains in urinary tract and acts as a medium for bacterial growth
What are UTI manifestations?
-Lower abdominal/back discomfort
-cloudy/foul smelling urine
How can a UTI be diagnosed?
-Culture and sensitivity
What is the treatment for a UTI?
-Antibiotics 3-7 days
-Increase fluid intake
What is the leading sign of a UTI in the elderly?
Acute Pyelonephritis (kidney infection) is what type of disorder?
Infection and inflammation of the tubules is what?
Bacteria ascending from the lower urinary tract causes what?
Does acute pyelonephritis cause fever and chills?
Does acute pyelonephritis cause headache, flank pain, and CVA (costovertebral) tenderness?
Similarly to a UTI does acute pyelonephritis also cause dysuria, frequency, and urgency?
Does acute pyelonephritis cause malaise?
What is the treatment for acute pyelonephritis?
-Antibiotics (typically IV)
-Fluids (oral or IV)
-Tylenol for fever
Chronic Pyelonephritis (progressive) is what type of disorder?
What is the most common cause of Chronic Pyelonephritis?
Inflammation, scarring, deformation of renal chalices and pelvis is caused by what tubulointerstitial disorder?
What is Chronic Pyelonephritis?
A bacterial infection with obstructive abnormality or reflux.
Chronic pyelonephritis can have s/s of an acute infection or what else?
Can be insidious
What are the manifestations of chronic pyelonephritis?