Flashcards in Test 3 Deck (24):
Acute glomerulonephritis : S/S
2. facial edema
3. fluid overload
Acute glomerulonephritis : DX
1. GFR - glomerular filtration rate
2. ASO titer - strep bacteria blood testing
Acute glomerulonephritis : TX
2. prevention of complications
Chronic glomerulonephritis : S/S
3. Occasional edema
Chronic glomerulonephritis: DX
1. U/A (urinalysis)
2. decreased kidney function
Chronic glomerulonephritis: TX
1. diet + drug therapy management of hyperphosphatemia/ kalemia
2. Amphogel - phosphate binder
Acute pyelonephritis: S/S
1. flank/back pain
6. costovertebral tenderness
Acute pyelonephritis: DX
U/A ( WBSs, C&S - culture and sensitivity)
Acute pyelonephritis: TX
2. Fluid intake
Chronic pyelonephritis: S/S
2. Na excretion
Chronic pyelonephritis: DX
same as acute + KUB ( scarring, atrophy)
Chronic pyelonephritis: TX
2. pyelolithotomy ( camera - pelvis)
Urinary calculi - Urolithiasis
presence of calculi (stones) in the urinary tract
Urinary calculi : Patient care
1. finish antibiotics ( prevent UTI)
2. depending on the type of stones you had - diet may be restricted
3. drink at least 3 L of fluid a day to dilute potentially stone-forming crystals;
4. monitor urine pH ( 3 times a day)
most common type; loss of small amounts of urine during coughing, sneezing, jogging or lifting ; patients cannot tighten urethra sufficiently to overcome the increased detrusor pressure.
perception of an urgent need to urinate as a result of bladder contractions regardless of the volume of urine in the bladder; often leak large amounts of urine at this time.
combination of urge, stress and overflow incontinence
occurs when the detrusor muscle fails to contract and the bladder become overdistended ; some urine must leak out to prevent bladder rupture
result of factor other than the abnormal function of the bladder and urethra ; E: loss of cognitive function in dementia patients.
Aluminum hydroxide gel ; phosphate binder; lower serum phosphate levels by binding phosphorus present in food - high P cause hypocalcemia and osteodystrophy; take with meals, separate from Digoxin 2 hr; take stool softener, watch for hypophosphatemia : muscle weakness, slow or irregular pulse, confusion.
sulfonamides; reduces bacteria in the urinary tract by direct killing and by inhibiting bacterial reproduction; sulfa allergies ?; full glass of water with each dose, 3L daily; keep out of the sun; complete drug regimen even if symptoms disappear.
quinolones ; reduce bacteria in the urinary tract by direct killing and inhibiting bacterial reproduction ; do not crush or chew; 2 hr within taking antacid; take pulse - cardiac dysrythmias; keep out of the sun ; complete regimen.
bladder analgesic; reduces bladder pain and burning on urination; will not treat , just relieve symptoms; take with food - reduces GI disturbance; urine will turn red or orange.