Exam 1 Material : Renal Pyelonephritis Flashcards
What is Acute Renal Pyelonephritis?
Inflammation of the kidney and ureters due to an infection.
What type of infection is most common in Acute Pyelonephritis?
Bacterial infection
What risk factors can cause Acute Renal Pyelonephritis?
Renal Calculi
Obstruction
Catheters
Vesicoureteral reflux
Pregnancy
True or false? Most Acute Pyelonephritis starts off as Lower UTI.
True
How can you assess for flank pain?
Percuss at the costovertebral angle ( between the 12th costal rib and the spine at the back of the patient)
What are the clinical manifestations of Acute Pyelonephritis?
Fatigue, Fever, chills, N/V, flank pain and Lower UTI symptoms.
What diagnostic test can be done for Acute Pyelonephritis?
UA
Urine Culture and Specimen
CBC ( to look for elevated WBC)
Blood culture ( to see if infection spread to the blood)
Renal ultrasound
CT
True or false? Lab cultures take at least 48 hours for a definite lab result.
True
What care can be provided for acute pyelonephritis patient?
IV fluids
WATCH FOR SUBLTE CHANGE IN VS = POSSIBLE SEPSIS
Look at their VS trends over time. If you see decreasing BP, increasing HR and Increasing Temp, possibly sepsis.
Antibiotics (PO or IV)
Can be taken at home if mild pain
Analgesics (mild pain)
Can be taken at home if mild pain
Follow-up UA and urine culture
If pain is severe, then hospitalization
What is Chronic Pyelonephritis?
Recurring pyelonephritis
What disorders can Chronic Pyelonephritis lead into?
Renal atrophy
Renal fibrosis
Loss of renal function
What can be used to diagnose Chronic Pyelonephritis?
Ultrasound
CT
Renal biopsy
True or false? Chronic Pyelonephritis can progress to end stage kidney disease.
True
