Alterations in GU functions 2 Flashcards
Acute renal failure
sudden loss of adequate renal function
> kidneys cant clear metab wastes + regulate homeostasis as well
Acute renal failure is at risk for ___ + ___ and is treated with ____ + ______ + _____
hyperkalemia + acidosis;
Ca gluconate + kayexalate (removes k) + dialysis
CHRONIC renal failure
initial findings
no symptoms usually
CHRONIC renal failure
late (ESRD) findings
- uremic breath odor
- uremic frosts
-confusion, tremors, pulmo edema, CHF
acute vs chronic renal failure
chronic is irreversible
> can manage thru meds + diet
common complication of peritoneal dialysis
peritonitis
hemodialysis
nursing mgmt
- monitor for hypotension, rapid changes in fluid + electrolyte
- check VS
- check BP Q30 MIN DURING DIALYSIS
transplant
education
- timing done to optimize quality of life
- lifetime immunosuppressants
- avoid rigorous activities
- non-adherence to med is common w kids
Hemolytic-Uremic Syndrome
- most common cause of acute renal failure in kids
- usually caused by e.coli in undercooked meat, unpasteurized food
Hemolytic-Uremic Syndrome
findings
- hemolytic anemia
- thrombocytopenia
- acute renal failure
Testicular Torsion
testis rotates on spermatic cord
>cuts off blood supply
Testicular Torsion
treatment
emergency surgical repair ASAP!
90-100% chance of saving testicle in first 6 hours
consider ___ for anyone w STI
ABUSE
Pelvic Inflammatory Disease
infection of upper genital tract
>spread of organism in cervix + vagina thru fallopian tubes during menses
Pelvic Inflammatory Disease is often a compliation of…
gonorrhea or chlamydia
