Renal emergencies/gynecologic conditions Flashcards
Hematuria
Define
Common sign of what?
Blood in the urine
Common sign of UTI
UTI
Caused by what?
Bacteria that enters the urinary system via the urethra
UTI
Whos most at risk (5)
- Women
- Elderly
- Pregnant
- Catherterized pts
- Diabetics
UTI
S/S (7)
- Hematuria
- Urine with a foul or strong odor
- Pain or burning with urination or sexual intercourse
- Frequent urination
- Genital or flank pain
- AMS in elderly
- N/V
Kidney stones
Define
- Crystals of substances such as calcium, uric acid, struvite, and crystine that are formed from metabolic abnormalities
Kidney stones
If left untreated what could happen (3)
- Can lead to loss of kidney function
- obstruction of the urinary tract
- Kidney damage
what do kidney stones present similar to in older patients?
Acute abdominal aortic aneurysm
Colicky pain
Define
Pain that starts and stops abruptly. Occurs in waves
Kidney stones
S/S (6)
- Abdominopelvic pain or tenderness
- Flank or back pain that is colicky and severe
- Groin pain
- Fever or chills
- Pain with urination
- N/V
Kidney failure
Define
Kidneys fail to function adequatly
Acute kidney failure
Define
Occurs after what period of time?
results from decrease in urine elimination
* Occurs over a period of days
* can be reversable
Chronic Renal Failure
Define
Occurs after what period of time
Results in the accumulation of waste products and fluids which can affect almost every organ system in the body
- Permanent
These are fancy words to encompase all levels of kidney failure
Occurs over a period of years
Dialysis
Define
Artificial process used to remove water and waste substances from the blood when the kidneys fail to function properly
What makes a patient having a renal emergency a priority for transport?
(5)
- Poor general appearance
- Unresponsive
- Responsive, not following commands
- Severe pain
- Shock (hypoperfusion)
Endometritis
Define
Inflammation of the uterine endometrium, which is the layer you shed when menstruating
Endometriosis
Define
The lining of the uterus grows outside the uterus in places it doesn’t belong. The tissue thickens, breaks down, and bleeds with each period, but the blood has no way to leave the body and becomes trapped
Pelvic inflammatory disease (PID)
Define
Infection of the female reproductive tract caused by bacteria
* Same bacteria as STIs
Dysmenorrhea
Define
Fancy word for severe pain or cramps during menstruation
Guarded position
What does that look like
Lying on the ground in fetal position with arms across the abdomen
Parietal pain also called somatic pain
Define
Localized intense pain usually found on one side or the other, sharp, and typically constant
Visceral pain
Define
Pain from an organ that is felt elsewhere in the body
