Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/22

Click to flip

22 Cards in this Set

  • Front
  • Back
2nd most common bacterial disease
UTI
exposure to bacteria for UTI comes from
introduction via urethra
blood stream or lymph
catheterization
sexual intercourse
use of diaphragm, jellies, condoms, feminine hygiene products, tampons, etc
chemical composition of urine
holding it, not emptying, BPH
hygiene practice-too much, too little, wiping back to front
s/s UTI
frequency, urgency, dysuria
pain, foul smell
pyuria (pus), hematuria
flank pain, n/v, fever
Elderly-c/o malaise, abd. discomfort, incr in confusion
diagnosis of UTI
UA, UA C&S
care for UTI
antimicrobial therapy
urinary analgesics (Urised, Pyridium)
fluids, 2-3 L/day
care for uncomplicated UTI
antibiotic for 1-3 days (Bactrim, Septra, Macrodandin)
incr fluid intake
urinary analgesics
pure cranberry juice or pills
no caffeine, alcohol, OJ choc, spicy foods
teaching for UTI
take all antibiotics
appropriate hygiene
emptying bladder before & after sex
fluid intake
avoid harsh soaps
inflammation of renal pelvis & parechyma by bacteria, fungi, protozoa, or viruses from ascending infection of lower tract
pyelonephritis
causes of pyelonephritis
congenital
bladder tumors
BPH
stricture
stones
pregnancy
urosepsis
s/s pyelonephritis
mild fatigue to chills
fever
vomiting
malaise
flank pain, CVA tenderness on affected side, pyuria
bacteriuria
left shift
care for pyelonephritis
no IVP or CT - contrast could spread it
watch for urosepsis
prevent septic shock
treat empirically @ first, then go with C&S
Bactrim, Septra, Cipro, Floxin
Fluids, NSAIDs, urinary analgesics, repeat C&S
UA & blood cultures
inflammation of kidney due to immunologic process
glomerulonephritis
s/s of glomerulonephritis
edema
hematuria
HTN
oliguria, proteinuria
pain, CVA tenderness
fatigue
occurs mostly in children & young adults 3 wks after untreated or inadequately treated strep infection of skin or pharynx
acute post streptococcal glomerulonephritis (APSGN)
s/s APSGN
edema (initially eyes then ascites or peripheral edema)
smoky urine due to bleeding
proteinuria
HTN
flank pain
COULD BE ASYMPTOMATIC
diagnosing APSGN
UA (incr RBC & proteinuria)
CBC, BUN, serum creatinine, albumin
elevated ASO titer
renal bx to confirm
treatment of APSGN
rest
restrict NA & fluid intake
give diuretics
restrict protein if elevated BUN
antibiotics if strep still present
antihypertensives
prevention of APSGN
good personal hygiene for cutaneous infections
treat sore throats promptly with full antibiotic course
clinical course assoc w/ numerouse diseases (primary glomerular disease, DM, lupus, syphilis, hepatitis, HIV, malaria, Hodgkin's leukemias
Nephrotic syndrome
s/s Nephrotic syndrome
peripheral edema
massive proteinuria
hyperlipidemia-fat bodies in urine
hypoalbuminemia
altered immune response
hypercoagulability w/thromboembolism-40% chance
hypocalcemia
proteinuria with edema, ascites, anasarca (gen body swelling)
tx for nephrotic syndrome
relieve edema & cure or control primary disease
steroids
DM management
anticoagulant x6 months
nsg mgmt for nephrotic syndrome
daily weight
I&O
measure abdominal girth or extremity size
avoid trauma (lift sheets)
maintain nourishment
serve small, freq meals
avoid exposure to infection
reverse isolation