GU PowerPoint Flashcards
pediatric function of kidneys is what at birth
1/4 of adult
renal growth takes place during first how many years
5
renal efficiency is decreased until
2 years ol
4 components of the renal
kidney
ureter
bladder
urethra
when can kids maintain bladder control
under 2
gentallia expect for what enlarge through childhood
clitoris
what is the primary responsibility of the kidneys is to do what
maintain the composition and volume of the body fluids
functions of the kidneys and renals
balance fluids, electrolytes, acid base, blood pressure, erythropoetine, calcium metabolism
what is the structural and functional component of the kidney
nephrons
bladder cacptiy formula
add two to the age
how often should kids void
5-6 x per day to prevent urinary statuses
where are the kidneys located
T12 and L 3
lower tract disorders
cysitis
urethritis
upper tract disorders
pyelonephritis
VUR
glomerulonephritis
will systemic s/s be with lower
no
will systemic s/s be with upper
yes
- fever, chills, and flank pain
upper UTI affects what
parenchyma, pelvis, and ureters
why get UTI
infrequent voiding, incomplete emptying of the bladder, poor hygiene, back to front, constipation, sexually active
s/s of UTI
n/v
anorexia
chills
nocutira
frequency
urgency
suprapubic or lower back pain
bladder spasms
dysuria
burning
should you have
glucose
ketones
hbg
wbc
rbc
casts
nitrate
In the urine
no
NB UO
1-2mL/kg/hr
infant UO
1mL/kg/hr
child UO
1mL/kg/h
most common cause of UTI
e coli
what is preferred for collecting urine
clean catch
acute post infectious glomerulonephritis s/s
oliguria
edema
hypertension
circulatory congestion
hematuria
proteinuria
acute post infectious glomerulonephritis cause
GABS
acute post infectious glomerulonephritis onset
10-21 days after any other type of infection
acute post infectious glomerulonephritis
- edema
begins with perioribial and then progresses to lower extremities and then to ascites
acute post infectious glomerulonephritis
- urine color
smoky
acute post infectious glomerulonephritis
- sodium and protein level
low na
low to mod prot
acute post infectious glomerulonephritis
- meds
lasix
antibiotic for original infection
what is the most common presentation of glomerular injury in children
nephrotic syndrome
nephrotic syndrome s/s
proteinuria
hypoalbuminemia
hyperlipidemia
edema
massive urinary protein loss
altered immunity
periorbital edema in the morning and improves throughout the day
nephrotic syndrome increase or decrease in filtration permeability
increase
nephrotic syndrome because the fluid shifts from plasma to interstitial spaces so that leads to what with fluid
hypovolemia and ascites
nephrotic syndrome meds
steroids
nephrotic syndrome steroid dose
2mg/kg
presnsone
hypospadias
urethral opening is located below the glans penis or anywhere along the underside of the penile shaft
hypospadias will they be circumsized
no
most common cause of nephrotic syndrome
minimal change nephrotic syndrome (MCNS)
