2345 Peds Genitourinary 3/5

Front 1

What are other names for the primary disease known as Nephrotic syndrome?

Back 1

Nephrosis

Front 2

What may cause the basement membrane of the glomeruli to become increasingly permeable to protein?

Back 2

infection

Front 3

What is the clinical state characterized by nephrotic syndrome/nephrosis- Massive-?, Hypo-?, Hypo-?, Hyper-? and ?

Back 3

massive proteinuria,
hypoalbuminemia,
hypovolemia,
hyperlipidemia,
edema

Front 4

What may parents or children report as signs of edema?

Back 4

Clothes and shoes fitting tight,
legs/feet swelling,
PERIORBITAL EDEMA

Front 5

What is the hallmark for diagnostic testing of nephrotic syndrome?

Back 5

U/A- massive protein urea

Front 6

Complications of nephrotic syndrome include -
Anemia and slowed ?,
Peritonitis & ?,
Pneumonia & susceptibility to ?,
Hypercoaguability and susceptibility to ?

Back 6

growth,
cellulitis,
infection,
thromboembolism

Front 7

BOLDED: Why should body temp be carefully monitored and what else may be indicated for tx of Nephrosis/Nephrotic syndrome?

Back 7

raised temp is a sign of infection;
Prednisone rx to reduce inflamation;
albumin rx to replace it;
lasix;
pain meds

Front 8

BOLDED: Why should the abdominal girth be measured and how often?

Back 8

to monitor for improvement of increased swelling;
at least once a shift

Front 9

Why should children with nephrotic syndrome/nephrosis be weighed daily and repostioned q2h?

Back 9

to monitor fluid status, it is the best indicator of wgt gain or loss,
prevent skin break down

Front 10

Why should children with nephrotic syndrome/nephrosis be on a no added salt diet?

Back 10

to prevent them from reatining more water

Front 11

BOLDED: Why should urine be tested for protein and specific gravity once per shift?

Back 11

to check for change/improvement

Front 12

BOLDED:What is the first line therapy for nephrotic syndrome/nephrosis and is considered the gold standard of tx? What should we teach about this type of medicine?

Back 12

Prednisone(steroid),
Take as prescribed, don't discontinue abruptly,
No live vaccines until 3 months after therapy,
Increased BG, Increased risk for infection, Increase Ulcers

Front 13

What is considered complete remission of nephrotic syndrome/nephrosis?

Back 13

Zero or trace of protein in urine after 5-7 days

Front 14

What should parents and children be taught about relapses of nephrotic syndrome/nephrosis?

Back 14

Keep away from sick people

Front 15

BOLDED: The triad for Hemolytic Uremic Syndrome a disorder that causes ? anemia is ? renal failure, Anemia, and ?

Back 15

hemolytic,
Acute renal failure,
Anemia,
Thrombocytopenia

Front 16

How do children with HUS become infected?

Back 16

E.coli from raw meat, unpasterized apple cider

Front 17

Why is a child with HUS at risk for injury:
Anemia creates a ? risk.
Thrombocytopenia creates a risk for?
Acute renal failure increases risk for ?,?

Back 17

fall risk,
bleeding,
High BP, azotemia

Front 18

What safety measures need to be in place for a child with HUS ?

Back 18

fall precaution, always wear shoes and sox, use soft toothbrush, use electric shaver, pad corners of tables and no contact sports

Front 19

With acute renal failure what are possible causes ?

Back 19

Hypovolemia, HTN, dehydration

Front 20

What laboratory findings would we expect to see with ARF?

Back 20

Azotemia, Metabolic acidosis, ^K+, ^phos, ↓Na+,↓Ca+

Front 21

Nursing intervention for Edema ?
Nsg intervention for Possible skin breakdown?
Nsg intervention for HTN?
Nsg intervention for Anemia?

Back 21

lasix,
Rotate q2, pad boney prominences,
Aces/Arbs,
Give epogen or procrit

Front 22

BOLDED: Nsg intervention for pulmonary edema and inspiratory crackles, give ? as ordered, and for risk for pneumonia?

Back 22

Lasix,
try to prevent