Signs/Symptoms
Signs and symptoms for this disorder include; elevated albuminuria advancing to proteinuria, decreased GFR.
Kidney disease caused by years of damage from elevated glucose levels to the small blood vessels in the kidneys.
Diabetic Nephropathy
monitoring vascular access/peritoneal dialysis insertion site and providing a diet that is high is carbohydrates, moderate in fat and sodium restricted.
Evaluates waste products from the kidney and detects urologic disorders
Urinalysis
Follow instructions regarding the procedure. Fullness can be felt when the dialysate is dwelling. There can be discomfort initially with dialysate infusion
Bladder analgesic used to treat UTI's. The medication will turn urine orange.
Phenazopyridine (Pyridium)
Signs and symptoms for this inflammatory disease include;
hematuria, proteinuria, electrolyte imbalances, renal insufficiency, edema, hypertension, and thrombotic events.
Glomerulonephritis
Hypertension control, pain management, infection prevention, and constipation prevention.
Nursing interventions for Polycystic Kidney disease
Cystoscopy and pyelogram are used to help diagnosis this disease. A definitive diagnosis is made with a renal biopsy.
Kidney Cancer
Empty the bladder every 3-4 hours instead of waiting until the bladder is completely full.
Client education for urinary tract infection
NSAID commonly used to treat mild to moderate pain, fever and inflammation associated with Renal Calculi
Ketorolac (toradol)
Expected findings for this disorder include;
hypertension, fluid overload, crackles, shortness of breath, muscle twitching, dry skin, scant to normal or excessive urine output.
Acute Kidney Injury
Monitoring nutritional status, I&O's, electrolyte balances, temperature, encouraging fluid intake of 2L/day, pain mgmt, administering antibiotics and antipyretics.
Results from the breakdown of protein in the liver, creating this by product that is excreted by the kidneys.
Blood Urea Nitrogen
Normal Range: 8-21 mg/dL
Bruising is normal at the site where waves are applied and there will be hematuria post-procedure.
Client education for Extracorporeal shock wave lithotripsy (ESWL)
Alleviates pain by decreasing bladder spasms that can result due to renal calculi
Oxybutynin
Signs and symptoms for this congenital condition include;
Familial history, anxiety, abdominal/flank pain, enlarged abdominal growth, headaches, HTN.
Polycystic kidney disease
Preventing protein malnutrition is challenging but important to maintaining normal body functions. Referral to a dietitian is essential for which chronic renal disease?
Nephrotic Syndrome
Identifies obstruction or structural disorders of the ureters and renal pelvis of the kidneys by instilling contrast media during a cystoscopy
Pyelogram
Seeking treatment and completing antibiotic therapy for group A beta-hemolytic streptococcal infection is essential client teaching to prevent what disease?
Acute Poststreptococcal Glomerulonephritis
Urinary tract antiseptic used in the treatment and prevention of UTIs. Tooth staining can be caused by contact with liquid suspension.
Signs and symptoms for this disorder include;
costovertebral angle pain, hematuria, dysuria, flank/abd. pain.
Renal Calculi
When the patient returns back to the unit, weigh the patient, monitor the access site for bleeding, and monitor vital signs to ensure they are stable. Administer medications that were held if not contraindicated.
Nursing Care for hemodialysis
Urinalysis that shows protein, casts, or RBCs. Urine is dark or cola-colored from old RBCs and may be foamy because of proteinuria.
Glomerulonephritis
Contact the provider if bleeding from the insertion site lasts longer than 30 minutes following treatment, for no thrill/bruit, or findings of infection.
Client education for Hemodialysis
Medication used to alkalinize the urine
Sodium bicarbonate used in the treatment of renal calculi formed from uric acid.