Renal Disorders

Question 1

List 5 things about UTI

Answer 1

caused by bacteria in the urinary tract, which usually originates from the bowel - E.coli most common (80-90%)

complications:
acute UTI
acute cystitis 
pre term labour
acute pyelonephritis (can cause septicaemia)

MSU at every antenatal appointment - is symptomatic or leucocytes in urine sent to lab

advice:
compliance with antibiotic regime
empty bladder after intercourse
drink 2L of fluid a day
wipe front to back

if UTI in labour commence antibiotics and monitor fetal wellbeing

advise analgesia

Question 2

list 5 things about chronic kidney disease

Answer 2

longstanding kidney problems often associated with loss of excretory function

classified according to estimated glomerular filtration rate

complications: 
hypertension
fluid retention
anaemia
proteinuria
UTI's

due to risk of hypertension - advise women on signs of preeclampsia, assess symptoms

renal function should be carefully monitored in immediate postpartum period

ensure adequate hydration - prone to dehydration