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Flashcards in Urinary Deck (16)
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1

Identify the different abnormalities in the urinalysis test and correlate with possible disease condition that may cause the abnormal result.

pyuria
hematuria
glycosuria
ketonuria
dehydration
proteinuria
appearance of casts

2

What is cystoscopy? what are the indications? what are your nursing responsibilities?

Diagnostic
Therapeutic
Pre- and Post-procedure care

3

What is renal biopsy? what are the indications? what are your nursing responsibilities?

Diagnostic
Pre- and Post-procedure care

4

What are the different imaging studies used to visualize the renal system?

US
CT
MRI
pyelogram
urography
cystography

5

What are the different functions of the kidneys?

form urine
regulate H2O
acid-base
electrolyte
vitamin D synthesis
secretion of prostaglandin, thromboxane, leukotriene
RBC production
BP regulation
excretion of waste products

6

What are the 3 stages of urine production? What are the normal and abnormal components of the urine?

see ppt/book --> urine formation diagram

7

Differentiate Upper UTI from Lower UTI?

anatomy
manifestations

8

What are the factors that increases the risk of UTI in an individual?

Chart 55-2

9

What are your health teachings to reduce the risk of UTI?

fluid intake!
hygiene
medications
avoid urinary tract irritants
regular voiding

10

What are the different types of renal stones?

calcium - most common
struvite
oxalate
cystine/xanthine
uric acid

11

What are the manifestations of a patient with nephrolithiasis?

Pain!
Hematuria
complication: UTI (also, urinary obstruction)

12

What is the immediate objective in managing a patient with nephrolithiasis?

Pain relief!
Then, eradicate the stone and prevent complications

13

For stones < 5mm, what important health teaching will you provide the patient?

increase fluid intake and strain urine as the stone has a very high chance of spontaneously passing out with urine.

14

What are the treatment options available for patients with large renal stones?

ECSWL or percutaneous nephrostomy
health teachings after???

15

Differentiate AGN from Nephrotic Syndrome

AGN: inflammation of glomerulus due to the deposition of Antigen-Antibody complex
Nephrotic Syndrome: constellation of symptoms due to increase glomerular permeability and is manifested by massive proteinuria

16

Management for AGN/Nephrotic syndrome?

Treat specific cause
Anti-hypertensive (ACEI or ARB)/Na-restriction
Steroids
Diuretics
Fluid restrictions as needed
Avoid nephrotoxic medications
Statins if with hyperlipidemia
SCD/compression stockings if with risk for clotting