Urinary Elimination Flashcards
GFR in children
slower, less able to concentrate urine, increased risk for dehydration
Kidneys in children
large in relation to child’s abdomen, less protection from ribs
Assessment of GU system
hydration status, abnormal genitalia?, rashes?, auscultation of heart and lungs, BUN/creatinine labs
Most common bacteria for UTIs?
E. coli
Oxybutynin
relieve bladder spasms, turns urine orange
Obstructive uropathy
obstruction in the urinary tract
Is obstructive uropathy structural or acquired
structural
Ureterocele
ureter swells into the bladder
Complications of obstructive uropathy
recurrent UTIs, renal insufficiency, damage to kidneys
s/s of obstructive uropathy
frequent UTIs, change in urinary patterns, fever, flank/abdominal pain, hematuria, urinary frequency/urgency, dysuria, elevated BP
Palpation for what in obstructive uropathy
abdominal mass indicative of hydronephrotic kidneys
Obstructive uropathy treatment
surgery specific to type of obstruction, removes obstruction and reimplants ureters
What types of IV fluids to avoid after surgery to treat obstructive uropathy
KCl
Hemolytic uremic syndrome
hemolytic anemia, thrombocytopenia, acute renal failure
Is hemolytic uremic syndrome structural or acquired
acquired
hemolytic anemia
low RBC from increased hemolysis
What is hemolytic uremic syndrome often a result from
a diarrheal illness, often e. coli
what are s/s caused by in hemolytic uremic syndrome
microthrombi and ischemic changes in ogans
What to look for in health history for hemolytic uremic syndrome
ingestion of uncooked meat, visits to water park or petting zoo
GI s/s of hemolytic uremic syndrome
watery diarrhea, cramping, vomiting, tenderness
body system s/s of hemolytic uremic syndrome
pallor, toxic apperance, edema, oliguria, anuria, elevated bp, irritability, seizures, LOC, assess heart and lungs
Is hemolytic uremic syndrome able to be treated
no, the progression of the syndrome cannot be stopped or reversed
Goal of treatment for hemolytic uremic syndrome
ease symptoms, prevent complications
What to focus on in treatment of hemolytic uremic syndrome
maintain fluid balance, correct HTN/acidosis/electrolyte abnormalities, replenish circulating RBCs
What to monitor for with hemolytic uremic syndrome
bleeding, bp
What type of precautions are used for hemolytic uremic syndrome
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