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GU SYSTEM med-surg
DISORDERS/MEDS
Question | Answer |
---|---|
What is urolithiasis? | Presence of calculi (stones) in the urinary tract. |
Calculi (Stones) are composed of? | Calcium oxalate & Calcium phosphate |
What are some causes of stone formation? | Stasis, retention, immobility, dehydration |
What are some surgical treatments for Urolithiais? | Stenting, Retrograde ureteroscopy, Percutaneous ureterlithotomy |
What are some NON-surgical treatments for Urolithiasis? | Extracorporeal Shock Wave Lithotripsy (ESWC) [sounds, laser, shockwave to break up stones] |
Define Kegel exercises? | Tighten pelvic muscles |
What does incontinent urinary diverson mean? And What type of surgery is used? | Urine leaves the body in a different manner. Surgery = ileum conduit |
Complications of UTI | Urethral obstruction, pyelonephritis, CRF, urosepsis, septic shock, death |
Treatment for UTI | Increase Fluids & Antibiotics |
MEDS Antibiotics for UTI | fluoroquinolones (CIPRO), nitrofurantoin (MACROBID), sulfonamides (BACTRIM, SEPTRA) |
What is Nephrotic syndrome? | the excretion of 3.5g or more of protein in the urine per day *large amounts of protein are lost in the urine |
Complications of Nephrotic syndrome | impaired immune function, nutritional imbalances, increased blood coagulation |
What is Nephrosclerosis? | thickening & hardening of he renal blood vessel. |
s/s of Nephrosclerosis | Proteinuria, hyaline casts in urine, renal failure |
Treatment for nephrosclerosis | reduce BP & treat hypertension. *place PT on LOW SODIUM diet* |
What is Diabetic Nephropathy? | *MOST COMMON CAUSE OF RENAL FAILURE* begins with increased osmotic pressure due to hyperglycemia. |
Diagnostic Tests for Diabetic Nephropathy | Serum creatinine level 24H creatinine clearance test *Watch onet protein spillage or microalbuminuria (proteins in urine) |
Treatment for Diabetic nephropathy | *restrict PROTEIN diet* Kidney or kidney-pancreas transplant (Due to renal failure - PT needs dialysis to maintain life) |