Urinary Flashcards
(53 cards)
What is the most common type of uti
E Coli
/what are risk factors for UTIS
Urinary stasis
Therefore: completely & repeatedly empty bladder
Foreign bodies (calculi)
Anatomical abnormalities
kinks in ureter
Bladder compression
constipation, pregnancy
Vesicoureteral Reflux
flow of bladder urine into the ureters
How is uti diagnosed
clean catch and culture
What is used if we keep getting them for diagnosis of UTI’s
intravenous pyelogram (IVP) or scans to identify anatomic abnormalities contributing to UTI or kidney changes from recurrent infection
What is hydronephrosis
back up of fluid into the kidney
What are manifestations for hydronephrosis
back pain
Match these Chordee (e) 2. Epispadias ( c) 3. Hydrocele (a) 4. Hypospadias (f) 5. Inguinal hernia (d) 6. Phimosis (b)
A. fluid in scrotum
B. narrowing (stenosis) of preputial opening
C. dorsal meatal opening
D. abdominal contents through inguinal canal
E. ventral penis curvature
F. urethral opening anywhere along ventral surface
What are some symptoms of UTI’s I havent memorized
Lethargy
Low grade fever
Hematuria
Abdominal flank pain/tenderness (if upper UTI))
Enuresis (urinary incontinence may be intentional or involuntary, not due to a physical disorder).
Nocturia (excessive urination at night)
Pyuria
What is a big sign that indicates a UTI in children
new urinary incontinence
What are some nursing interventions for UTI
Force fluids (Up to 3000 ml/day)
Monitor intake and output
Assess urine for odor, hematuria & sediment.
Administer medications
Monitor S/S of yeast inf in women (cheesy discharge, perineal itching & swelling)
Avoid bubble baths & tight clothing.
Provide a warm sitz bath for comfort
pyridium
What are the teaching points for UTI’s
Stress the importance of adequate hydration.
voiding (q 2 – 3 hrs)
Voiding after sexual intercourse
Need for F/U urine cultures to determine recovery
Explain the importance of completing the entire course of antibiotic therapy (from 7 to 10 days),
Pyridium- decreases spasms will cause bright orange colored urine.
What are the S/S of cystitis
Pain during sex
Pain worsening during menstruation
What is pylonephritis
an inflammation of the renal pelvis and renal tissues
What is a common prob before gettign pyelonephritis
cystitis from E Coli
What is Glomerulonephritis
an allergic rx
antigen-antibody rx
What is glomneph usually from
strep
What is an acute tubular necrosis
usu from a lack of perfusion so think of an MI
What are the signs and symps of pyeloneph
all of general UTI’s
plus pain Costovertebral Angle
possible systemic complications
What is a complciated UTI
involves kidney
What viruses can cause glomeruloneph
Hep B
Rubella (measles)
Who is more likely to get glomeruloneph
6-7yr old boys
About how long does the glomeruloneph lasts, what is likely given, and what is the nurse doing
14 days of antibiotics for strep inf
watching the patients conditions, reacting to changes
What is a differnce between pyeloneph and glomneph
glom affects both kidneys from the start and pyelo will start with only one in the beginning
What are the signs and symps of Glomneph
Possible abdominal/flank pain Oliguria ↑ urine specific gravity Dark colored urine Proteinuria Hematuria Complement - the pieces of damaged tissue Azotemia like ↑ serum BUN and creatinine ↓H & H (depending on blood loss) Edema of the face & peri-orbital area (hallmark sign) secondary to oliguria Hypertension Headache Weight Gain Fever- Low Grade Lethargy/Malaise/Fatigue
