Renal emergencies/gynecologic conditions

Question 1

Hematuria

Define

Common sign of what?

Answer 1

Blood in the urine

Common sign of UTI

Question 2

UTI

Caused by what?

Answer 2

Bacteria that enters the urinary system via the urethra

Question 3

UTI

Whos most at risk (5)

Answer 3

• Women
• Elderly
• Pregnant
• Catherterized pts
• Diabetics

Question 4

UTI

S/S (7)

Answer 4

• 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

Question 5

Kidney stones

Define

Answer 5

• Crystals of substances such as calcium, uric acid, struvite, and crystine that are formed from metabolic abnormalities

Question 6

Kidney stones

If left untreated what could happen (3)

Answer 6

• Can lead to loss of kidney function
• obstruction of the urinary tract
• Kidney damage

Question 7

what do kidney stones present similar to in older patients?

Answer 7

Acute abdominal aortic aneurysm

Question 8

Colicky pain

Define

Answer 8

Pain that starts and stops abruptly. Occurs in waves

Question 9

Kidney stones

S/S (6)

Answer 9

• Abdominopelvic pain or tenderness
• Flank or back pain that is colicky and severe
• Groin pain
• Fever or chills
• Pain with urination
• N/V

Question 10

Kidney failure

Define

Answer 10

Kidneys fail to function adequatly

Question 11

Acute kidney failure

Define

Occurs after what period of time?

Answer 11

results from decrease in urine elimination
* Occurs over a period of days
* can be reversable

Question 12

Chronic Renal Failure

Define

Occurs after what period of time

Answer 12

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

Question 13

Dialysis

Define

Answer 13

Artificial process used to remove water and waste substances from the blood when the kidneys fail to function properly

Question 14

What makes a patient having a renal emergency a priority for transport?

(5)

Answer 14

• Poor general appearance
• Unresponsive
• Responsive, not following commands
• Severe pain
• Shock (hypoperfusion)

Question 15

Endometritis

Define

Answer 15

Inflammation of the uterine endometrium, which is the layer you shed when menstruating

Question 16

Endometriosis

Define

Answer 16

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

Question 17

Pelvic inflammatory disease (PID)

Define

Answer 17

Infection of the female reproductive tract caused by bacteria
* Same bacteria as STIs

Question 18

Dysmenorrhea

Define

Answer 18

Fancy word for severe pain or cramps during menstruation

Question 19

Guarded position

What does that look like

Answer 19

Lying on the ground in fetal position with arms across the abdomen

Question 20

Parietal pain also called somatic pain

Define

Answer 20

Localized intense pain usually found on one side or the other, sharp, and typically constant

Question 21

Visceral pain

Define

Answer 21

Pain from an organ that is felt elsewhere in the body