ATI Unit 2 - Genitourinary and Reproductive Disorders (Josh)

Question 1

Recent URI or Strep infection can lead to which renal disorder?

Answer 1

AGN

• remember it’s cause by a streptococcal

Question 2

Risk Factor for AGN:

What is APSGN

Answer 2

Acute Poststreptococcal Glomerulonephritis

• antibody-antigen disease taht occurs as a result of certain strains of the Group A beta-hemolytic streptococcal infection

Question 3

Medications for Renal Disorders

Answer 3

Corticosteroids

Furosemide

25% Albumin

Cyclophosphamde (for those who can’t take prednisone)

Question 4

Nursing considerations w/ Corticosteroids

Answer 4

hirsutism

slowed linear growth

HTN

GI bleeding

infection

hyperglycemia

Question 5

Why would a throat culture be necessary for Acute Glomerulonephritis?

Answer 5

to confirm the strep

though it’s usually negative by time of diagnosis

Question 6

S/S of Nephrotic Syndrome

Answer 6

Weight gain

Facial/Periorbital Edema that decreases thru day

Ascites

Edema in ankles

Anorexia

Diarrhea

Irritability

Lethargy

Decreased FROTHY URINE

Question 7

What is…

• Hyperalbuminemia
• Hemoconcentration

Both of which are complications of Nephrotic Syndrome

Answer 7

Hyperalbuminemia: reduced serum protein (albumin) and increased albumin in urine

Hemoconcentration: elevated Hbg, HCT, and platelets

Question 8

What is AGN?

Answer 8

Acute Glomerluonephritis

• glomeruli of kidney are inflamed, which impairs kidney’s ability to filter

Question 9

What is Cryptochoridism?

Answer 9

inability to palpate testes within the scrotum

Question 10

Enuresis is not diagnosed unless what?

Answer 10

inappropriate urination at least twice a weak for 3 mths

child must be at least 5 yrs old

Question 11

S/S of AGN

Answer 11

Cloudy, tea colored urine

Decreased urine output

Periorbital Edema

Facial Edema (that’s worse in morning) that spreads to periphery and abdomen as day progresses

HTN

Anorexia

Lethargy

Irritability

Vague reports of discomfort (headache, abd. pain, dysuria)

Question 12

— is fluid filled scrotum, making it large.

Answer 12

Hydrocele

• resolves spontaneously

Question 13

What is Nephrotic Syndrome?

Answer 13

alterations in the glomerular membrane allow proteins (albumin) to pass into the urine, resulting in decreased osmotic pressure

Question 14

Common infections in children w/ Nephrotic Syndrome

Answer 14

Pneumonia

Peritonitis

Cellulitis

Question 15

When would an inguinal hernia require surgery?

Answer 15

if it hasn’t closed by 1 yr

Question 16

What is phimosis?

Answer 16

inability to retract foreskin of penis

Question 17

What is Testicular Torsion?

Answer 17

enlargement of affected testicle

sudden, sever onset of pain

IMMEDIATE SURGERY

Question 18

Manifestations of Epispadias

Answer 18

Male

• widening of pubic symphysis
• broad, spadelike penis
• urethra opened on dorsal surface of penis
• possible exstrophy of bladder

Female

• wide urethra
• bifid clitoris
• possible exstrophy of bladder

Question 19

Treatment for Hypospadias / Epispadias

Answer 19

surgery during first year of life

no circumcision

Question 20

Lab tests for AGN

Answer 20

Throat culture

Urinalysis

Renal Function (elevated BUN and creatinine)

Antistreptolysis O (ASO) Titer - inidcates presence of strep antibodies

Antihyaluronidase (AHase), ADNase-B, streptozyme antibodies may be present

Serum Complement (C3) - decreases initially and returns to normal at 8-10 wks

Question 21

Why DDAVP for Enuresis?

Answer 21

Desmopressin Acetate (DDAVP)

• reduces urine vol.
• oral or nasal

Question 22

Why would you give a TCA for Enuresis?

Answer 22

inhibits urination

• monitor for increased suicidal ideation
• administer w/ food
• gradual withdrawal after 6-8 wks
• 1 hr before bedtime