Matters of the Bladder
Risk factors for UTI
What is Urinary stasis, Renal calculi, Gender, age, Diabetes, recent use of antibiotics
Clinical Manifestations include Heat intolerance: hallmark symptom with diaphoresis, palpitations, visual changes, exopthalmus, blurry vision Change in energy level (fatigue, weakness common) irritability, depression Change in menses: amonorrhea, decreased flow
What is hyperthyroidism. What is the treatment?
Condition due to an ADH deficiency. Clinical Manifestations include dehydration, increase thirst, increase in urination.
What is Diabetes Insipidous. What is the treatment and nursing interventions?
After renal procedures and surgeries, patients should be monitored for:
What is urinary output?
Post op lithotripsy plan of care
What is strain urine, maintain fluids, monitor urine output for amount and color. Teach patient that bruising may occur. report hematuria, increased pain, drop in urine output and fever.
5 types of incontinence
What is Stress, Urge, Overflow, Functional, Traumatic
Clinical manifestations include: hypoglycemia, hypotension, hyperkalemia, fatigue, muscle weakness, skin hyperpigmentation, weight loss
What is acute adrenal insufficiency (Addison's disease) What is the treatment?
Clinical manifestations include: fever, chills, tachycardia, flank, back or groin pain, tender costovertebral angle (CVA), nausea, vomiting
What is pyelonephritis? What are treatments and nursing interventions?
A GFR of _______ indicates kidney failure. What are the 3 leading causes of kidney failure?
What is 60, HTN, Diabetes and glomerulonephritis.
What constitutes a renal diet?
What is low protein, fluid restriction, low K+, low Na+, low phosphorus.
Bladder cancer risk factors
What is Exposure to toxins especially chemicals, used in hair dressing, rubber, paint,electric cable and textile industries increase risk and smoking Blood in urine often the first symptom.
Clinical manifestations include water retention, hyponatremia, lethargy, confusion, change in level of consciousness.
What is SIADH? What are treatments and nursing interventions?
Third leading cause of renal failure which occurs due to an inflammatory response secondary to infection.
What is glomerulonephritis? What are treatments and nursing interventions?
Treatment for renal calculi includes?
What is pain management, fluids, straining urine, lithotripsy, uteroplasty, uterolithotomy, nephrolithotomy?
What are uremic symptoms?
What is metallic taste, anorexia, nausea, vomiting, muscle cramps, itching, fatigue, hiccups, edema, paresthesias
Most common causes of urethral stricture in men.
What is BPH and STD?
Clinical manifestations include hypercalcemia, hypophosphatemia
What is hypoparathyroisism? What are the treatments and nursing interventions?
Clinical manifestations include moon face, truncal obesity, weight gain, osteoporosis, striae, increased risk for infection.
What is Cushing's syndrome? What are treatments and nursing interventions?
Urine output of less than 400 ml/day.
What is oliguria?
Post op care for thyroidectomy
What is Monitor VS, semi-fowlers position, avoid neck extension, monitor airway, monitor for hemmorhage
1.005-1.030
What is urine specific gravity. What affects specific gravity?
Excess growth hormone before puberty and after puberty.
What is gigantism and acromegaly?
A genetic disorder which results in fluid filled cysts in the kidney
What is polycystic kidney disease? What are treatments and nursing interventions?
What are the three causes of acute renal failure?
What is prerenal, intrarenal and post renal. Give an example of each.
Post op care for transphenoidal hypophysectomy?
What is monitor neurologic status, nasal drainage, keep HOB above 30 degrees, monitor VS. assess for headache, fever. Patient teaching includes avoid bending, straining, lifting, avoid tooth brushing for 10-14 days. Lifelong hormone replacement.