Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Genitourinary

Maternal Child

QuestionAnswer
Patho UTI Recurrent infection can cause incompetence of vesicourethral valve. Scarring and loss of renal tissue
S/S UTI <2 yrs Non specific resembles GI disorider: poor feeding, n/v, jaundice, FTT, frequent urination, poor urine stream, tachypnea, resp distress, fever, seizures
R/O Sepsis culture: blood urine CSF
S/S UTI > 2yrs more classic poor appetite, vomitting, /FTT frequent urination, enuresis, abd pain or flank pain, excessive thirst, fatigue
S/S UTI Teen similar to adult frequent painful urination heamturia. Lower Tract Fever chills flank pain
Parent Education r/t UTI Personal hygiene ie wiping, avoid tight clothing, cotton panties, check for vaginitis or pinworms, avoid holding urine, avoid straining at stool, encourage adequate fluid intake. Finish all abx Acidify urine withh juices or animal protein
Vesicourethral reflux retrograde flow of bladder urineinto ureters. Urine is swept up into ureters w/ each void then empties back into bladder. Residual urine remains in bladder until next void. Often outgrown as child grows and ureter angle becomes more sharp
Primary Reflux results from congenital anomoly affecting the appropriate implantation of ureters @ vesicouretal junction
Secondary Reflux results from an acquired condition UTI, neurogenic bladder
Mgt Vesicoureteral Reflux Grades 1-3 mqay cure itself ; Low dose abx, frequent urine cultures. IV and V surgical reimplantation of ureters 2-3 days hosp post op abx VCUG @ discharge, 3 mos and 1 and 3 yrs post op
Nephrotic Syndrome Glomeruli Injury Primary restricted to injury Secondary result of systemic illness (lupus, drug toxicity) Congenital autosomal recessive. Often preceded by viral resp inf
MCNS(Minimal Change Nephotic Syndrome) AKA Childhood Nephrosis glomerular membrane becomes permeable to proteins. Protein lost in urine leads to dec serum albumin and dec collodial osmotic pressure fluid shifts to intestitial and body cavities
S/S Childhood Nephrosis insidious onset, slow weight gain, puffiness face and eyes,esp am, abdominal and lower extremity edema, labial or scrotal swelling, diarrhea anorexia r/t intestinal edema, dec urine volume concentrated dark and frothy, pallor, nail changes, skin breakdwn
Dx evaluation of Childhood Nephrosis massive proteinuria 2-4 m2, casts, microscopic to 0 hematuria, inc sp gravity, hypoalbuminemia, in cholesterol, hgb, hct normal ot elevated, inc platelets 800,000-6,000,000, dec NA+, Biopsy
Corticosteroids and childhood nephrosis prednisone 2 mg/kg/day
IVP intravenous pyelogram IV contrast and x rays at 5, 10 & 15 min after injection
VCUG Voiding cystourogram contrast via urethral catheter x rays taken before during and after voiding
Catherization children 5-8 french. Child's room is saffe place, do in tx room, 1st mroning sample is best, Do not dilute urine by over ingesting fluids
Goals of Care UTI eliminate infection, detect and correct anatomic abnormality, prevent recurrence, preserve renal function
Mgt UTI ABX PCN and cephalosporins, sulfanomides (Bactrim Septra) 14 days for pyelonephritis IV abx 48 hrs.
Nirofurantain antiseptic (astringent) to inhibit bacteria for nuerogenic bladder or structural problem causing stasis
UA/C for UTI cloudy, hazy, noticable strands of mucous, pus, u npleasant fishy odor. Pyuria >5-8 wbc/ml at least one bacterium in gram stain. Cultures repeated monthly X3 then 6 mos and 9 mos
Renal Development and Function kidneys develop 1st weeks of embryonic life but do not mature until 12 mos. Glomerular filtration and absorption reach adult levels at 1-2 yrs Concentration/Dilution adult ability 3 mos
UTI Incidence girls more than boys r/t shorter utethra young girls 2 cm vs adult 4 cm. Males with early UTI's suspect structural abnormality Peak age 2-6 yrs and again in sexually active teens
Contributing Factors UTI E.Coli, urinary stasis, bowel pressure r/t constipation, vesicouretral reflux, altered urine chemisty, dec fluid intake, alkaline PH r/t fluid inatke
Created by: margaretptz