Week 5: CH 26 GU Flashcards
urinary tract infection
- lower or upper tract infection
- can be viral, bacterial, fungal
what is a lower UTI called
cystitis
what is an upper UTI called
pyelonephritis
who looks sicker (upper or lower UTI)
upper (pylonenephritis)
manifestations of lower UTI
fever, diarhhea, painful urination
manifestations of upper UTI
high fever, chills, abdominal pain
nursing care of UTI
- I/O
- focused assessment of abdomen and perineal region
- UA, urine culture, CBC, U/S, CT
treatment of UTI
- figure out underlying cause
- treat UTI with antibiotics that are culture driven
nursing dx of UTI
- urinary elimination, impaired
- urinary retention
- family health management
- risk for deficient fluid volume
acute post-infectious glomerulonephritis (APG)
inflammation of the glomerulus in the kidneys
cause of acute post-infectious glomerulonephritis (APG)
often caused by group A strep
patho of acute post-infectious glomerulonephritis (APG)
- child often develops strep, get better, then 3 weeks later the show signs of APG
- strep damages glomeruli which then can’t filter and get more inflamed and RBC get into the urine
high incidence of APG in who
2-6 year old males
manifestations of acute post-infectious glomerulonephritis (APG)
- most are asymptomatic
- abdominal pain
- EDEMA
labs for acute post-infectious glomerulonephritis (APG)
- elevated BUN/creatine
- decreased serum protein
- WBC and ESR elevated
- UA: proteins and RBC
treatment of acute post-infectious glomerulonephritis (APG)
bed rest
nursing management of acute post-infectious glomerulonephritis (APG)
manage edema with daily weight, I/O, daily abdominal girth
nephrotic syndrome
- can be caused by a number of things
- alteration in kidney function secondary to increased membrane permeability
patho of nephrotic sydrome
glomerular membrane is normally impermeable to protein, so in nephrotic syndrome albumin can get through
manifestations of nephrotic syndrome
- immune mediated
- periorbital edema that resolves during the day
main difference between acute post-infectious glomerulonephritis and nephrotic syndrome
- acute post-infectious glomerulonephritis is more blood in urine and damage to glomeruli
- nephrotic syndrome is proteins in the urine due to membrane becoming permeable
hypospadias
urethra located on ventral (below) surface
epispadias
urethra located on dorsal (above) surface
treatment for hypo/episadias
surgery
nursing management for hypo/epispadias
-assess every male newborn
