Disorders Of Urinary System Flashcards
What are the 5 inflammatory disorders of the urinary system?
Acute pyelonephritis
Chronic pyelonephritis
Urethritis
Urethral diverticula
Interstitial Cystitis ( painful bladder syndrome ( PBS )
What is acute Pyelnophritis?
An inflammation of the renal parenchyma & collecting system including renal pelvis
The most common bacterial infection of acute pyelonephritis is?
E.coli
Protozoa
Klebsiella
Enterobacteriales
What does urospesis mean?
And how does that effect acute pyelonephritis ?
Systemic infection arising from urologic source
It causes septic shock and death unless treated
( from the bacteria that can cause inflammation of parenchyma )
Etiology and Pathophysiology of
Acute pyelnoephritis
How does it happen?
Colonization and infection from lower urinary tract from Urethra and goes up!
Which bacteria from the GI, like E.Coli, Klebsiella, enterobactor go up
Not only can bacteria travel up the urthrea and cause acute pyelonephritis, we also contain preexisting factors that can play a huge role in causing this inflammation of the renal parenchyma like what? (2)
Define each or examples
Vesicourecteral reflex
( which urine goes backwards from lower to upper )
Or dysfunction of lower urinary
( obstruction, stones, stricture )
Another two issues that can potentially cause acute pyelonephritis are?
CAUTI
Pregnancy
Where does acute pyelnophritis start and spreads throughout in the body?
Renal medulla
Spreads to cortex
What are clinical manifestations of acute pyelonephritis? (10)
Think of the N in phelpneprhtis ( Nancy! )
Fever
Chills
Nausea
Vomiting
Malaise
Flank pain (CVA)
Dysuria
Urgency
Frequency
Costovertebral angle tenderness CVA)
What’s an anagram to help me remember acute Pyelonephritis manifestations? (10)
Feels
Cold
Nancy
Vomits
Macaroons
Flies
Drinks
Urine
Frequently
Cocky
What are the diagnostic studies we can do for acute pyelnoephritis? (5)
Explain each one
Urinalysis
( pyuria -^ WBC )
( Bacteriuriax hematuria ( bacteria & blood )
Urine culture & sensitive
( specific bacteria )
Blood culture
( maybe bacterial blood )
BUN & Creatinine
( Decreased kidney function tests )
Ultrasound/CT scan
( more ct tho )
Interprofessional care
Care for mild symptoms associated to acute pyelonephritis
What are we going to do or tell our patients? (5)
Fluids
NSAIDS
Follow up culture & Imaging
Antibiotics oral 7-14 days
IV to oral 14-21 days
Interprofessional care for severe symptoms of acute pyelonephritis (3)
IV fluids until oral is tolerated
Combination of parenteral antibiotics
Also includes mild symptoms
You always what to monitor and prevent this when doing care for someone with acute pyelonephritis?
Urosepsis
Prevent septic shock
What are 4 symptoms of Urosepsis ?
Low blood pressure
High respiratory rate
Difficulty breathing
Rapid heart rate
What is some subjective data we want to ask our patient for acute pyelnophritis ? (8)
Past health
Medications
Surgery
Health perception
Nutritional
Elimation
Cognitive
Sexual
What are 3 objectives data to see?
General
Urinary
Diagnostic findings
What is the 3 nursing diagnosis for acute pyelnoephritis!
Impaired urinary system
Acute pain lack of knowledge
What is 5 planning goals for acute pyrlonphritis ?
Normal renal function
Normal body temp
No complications
Relief of pain
No recurrence
Nursing implementation
What will we say or help improve our patient for acute pyelonephritis? (8)
This is the one with rest & 8 fluids!! Think of those!!
Early treatment
Patient teaching
Disease process
Take medications
Follow up
Signs and symptoms
Adequate fluid intake ( 8 glasses/daily)
Rest
The expected outcomes for the patient with acute pyelonephritis is? (3)
Have normal urinary elimination patterns
Report relief of bothersome urinary tract symptom
State knowledge of treatment plan
What is chronic pyelonephritis?
Kidneys are continually inflamed
Chronic pyelonephritis ; since the kidneys are inflamed this will cause ____ and leading to ____
Scarring ( fibrosis )
Loss of renal function & renal atrophy
Chronic pyelonephritis is the result from? (2)
Anatomical abnormalities
( vesicoureteral reflux )
Or
Recurrent infections of upper UTI
