Exam 3 - Polycystic Kidney Disease, Pyelonephritis and Urostomies

Question 1

Growth of numerous cysts in the kidneys that fill with fluid and destroy the nephrons they are surrounded by. Result in reduced kidney function. Leads to kidney failure and issues with other organs.

Answer 1

Polycystic kidney disease

Question 2

Most common, sx appear between 30 and 40 years old

Answer 2

Autosomal dominant polycystic kidney disease

Question 3

Rare, sx begin in early months of life

Answer 3

Autosomal recessive polycystic kidney disease

Question 4

Education for polycystic kidney disease

Answer 4

No cure
Treatment is largely supportive and includes BP control, pain control, antibiotics
Expect hematuria, polyuria, proteinuria, hypertension, development of renal calculi, UTI, fullness in abd, flank pain

Question 5

Management to avoid re-infection with pyelonephritis

Answer 5

2 week course of antibiotics – Bactrim, ampicillin, ciprofloxacin
Consume adequate fluids
Empty bladder regularly
Perineal hygiene
Medication education – take entire course at right time each day, don’t miss doses

Question 6

Etiology for chronic pyelonephritis

Answer 6

Ascending infection usually caused by bladder infection

Question 7

Education for home care with pyelonephritis

Answer 7

Home health nurse for extended antibiotic therapy and maybe dialysis. May need dietary consult.

Question 8

How do you administer IV meds for pyelonephritis?

Answer 8

Clean hub with alcohol for 15 seconds before administering

Make sure bag is hung up high

Question 9

Urostomy assessment after surgery

Answer 9

2 week course of antibiotics – Bactrim, ampicillin, ciprofloxacin
Consume adequate fluids
Empty bladder regularly
Perineal hygiene
Medication education – take entire course at right time each day, don’t miss doses