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ACC: Urinary
| question | answer |
|---|---|
| example urinary analgesic | Pyridium |
| fxn pyridium | relieves pain, burning, frequency, urgency for first 24-48 hr of UTI |
| SE Pyridium | turns urine orange/red |
| Pyridium teaching | stop med if skin/sclera turn yellow, monitor renal fxn, OP, wt, BUN, creatnine |
| manifestations of kidney stones | often asymptomatic: dull, aching flank pain, microscopic hematuria, manifestations of UTI |
| manifestations of ureteral stones | renal colic, acute-severe flank pain, radiates to suprapubic groin, extremities, genitals, n/v, pallor, cool clammy skin |
| manifestations of bladder stones | may be asymptomatic: dull suprapubic pain, exercise/voiding may exacerbate, gross or microscopic hematuria, UTI S/S |
| manifestations of acute hydronephrosis | acute, colicky pain radiating to groin, hematuria, pyuria, fever, n/v, abd. pain |
| manifestations of chronic hydronephrosis | dull aching flank pain, hematuria, pyuria, fever, palpable flank mass |
| most common cause of upper UT obstruction | renal calculi; kidney stones most common |
| what kind are most kidney stones | calcium |
| diet for uric acid kidney stones | low purine(no organ meat, anchovies, sardines, goose) |
| hydronephrosis | distention of renal pelvis, calyces and hydroureter, if goes unresolved, gradually loose kidney fxn |
| At risk for renal calculi | previous hx, family hx, male, dehydration, immobility, high Ca, oxalate or PRO intake, gout, hyperparathyroidism, urinary stasis, repeated infections |
| sturvite stones | from UTI, with urease produsing bacteria (Proteus) large, can fill renal pelvis and calyces, also called staghorn stones |
| Uric Acid stones | increased uric acid in urine (gout) |
| what is a low purine diet for | uric acid stones |
| nsg care pre IVP | ask re: iodine/seafood/hx contrast allergy, bowl prep, usually NPO noc before |
| IVP shows | kidney, ureter and bladder structure |
| post IVP | burning on urination 1-2 days after, bloody urine for first 3 voids, call Dr for bright red urine, decreased OP, abd/flank pain, chills, fever, increase fluids, may use laxative after to rid of barium |
| How can you acidify urine | 2 glasses cran. juice/day, Vit. C, avoid excess milk, other juice and baking soda |
Created by:
tmc
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