GENITOURINARY PROBS IN CHILDREN Flashcards
PEDI antibiotics for UTI
Penicillin
Sulfamide
Cephlasporin
- take full course of antibiotics
Medication for cystitis
PO antibiotics or meds
Medication for pyelonephritis
IV antibiotics
Voiding systourograph (VCUG)
Take pictures of dye going in NS out
Child needs to know its ok to void on table (potty trained child)
Assess for allergies, shell fish, and iodine
Check kidney function (BUN and creatine)
Drink lots of fluid to flush dye out
Grade 1 of vesicoureteral reflux
Reflux is only into the ureter
Grade 2 of VUR
Goes up into the renal pelvis
Grade 3
In renal pelvis but causing mild hydronephrosis
So swelling and distention of kidney
Grade 5
Severe hydronephrosiis causes ureters to twist and obstruct
Treatment for grades 1-3
Conservative , daily dose of antibiotics
Treatment for grade 4-5
Surgical
Med therapy for grades 1-3
Daily low dose dose of antibiotic therapy
Reasons for ureteral implantation in VUR
Severe form
Significant abnormality
Non compliance w med or antibiotic intolerance
Not able to go in every 2-3 mo for culture and sensitivity
Treatment for phimosis
Steriod cream for a month x2 a day (mild case)
Option of surgical treatment for severe
Meds 1st line meds for nephrotic syndrome
Corticosteroids- prednisone 2/m/kg/day x6 was
Then 1.5 every other day for 6 wks
We would increase dose long term so at risk for immunosuppressive so on top of already being immunoocomprimised w nephrotic syndrome
What drug do we use for nephrotic syndrom if prednisone is not working for the child or have repeated relapses
Cyclosporin/cyclophosphamide or cyclosporin
Medication to help minimize swelling nephrotic syndrome
Furosemide (temporary) (helps edema does not replace protein)
25% albumin -decreases edema& replaces protein
Long term steroid use in nephrotic syndrome
Weight gin
Irritability
Insomnia
Abnormal hair growth (female)
Hypertension
Increase glucose
Increase infection
Growth retardation
GI bleeding
Bones weak
Antihypertensives and diuretics for acute glom
nephritis
To manage hypertension and fluid overload
Typically w kids do not need dialysis because they are healthier than adults
Tricyclic anti depressant , high cholinergic meds for enuresis if behavioral treatment is not working
Imipramine (tofranil) and desmopressin
Side effect- dry mouth , headache , constipation and cardiac toxic if over dose of tricyclic antidepressant
