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GRCC PN132test1
GRCC PN132 Phyleonephritis & Glomerulnephritis
| Question | Answer |
|---|---|
| Pyleonephritis | an inflammatory disorder affecting the renal pelvis and parenchyma (the functional portion of the kidney tissue) |
| Kidney infection from lower urinary tract | pyleonephritis |
| Acute pyleonephritis | Bacterial infection |
| Chronic pyleonephritis | Associated with other disorders. |
| How does bacteria enter the kidney? | From the lower urinary tract. |
| Why is pregnancy a risk factor for pyelonephritis? | Because of slow peristalsis |
| Obstructions and congenital malformations | Risk factors for pyelonephritis |
| What is vesicouretral refux and why it a risk factor pyleonephritis? | A condition in which urine moves from the bladder back toward the kidney. This is a common risk factor for children. |
| What are adults at risk for getting if their bladder outflow is obstructed? | Pyelonephritis |
| What organism is most responsible for causing acute pyelonephritis? | E coli is common cause. The infection spreads from the renal pelvs to the cortex. The inflamed kidney becomes edematous. Localized abscess may form, and kidney be destroyed by the inflammatory process |
| Symptoms are typically a rapid onset | Acute pyelonephritis symptoms and manifestations |
| Fever/chills, flank/back pain, burning/urgency, | Acute pyelonephritis symptoms and manifestations |
| Abdomen, esp: colicky discomfort; fatigue/malaise, nausea and vomiting, frequency and urgency | Acute pyelonephritis symptoms and manifestations. |
| What does chronic pyelonephritis lead to? | Fibrosis and scarring of the renal pelvis and calyces. The tubules are eventually destroyed. |
| Possible consequences of chronic pyelonephritis? | Chronic renal failure and end-stage renal disease are possible consequences. |
| Dehydration, inflammation/scarring kidney tubule, and UTI | Manifestations of chronic pyelonephritis |
| This condition may result from chronic pyelonephritis? | Hypertension as a result of too much potassium & sodium. |
| What does a pt with chronic pyelonephritis have a tendency to develop? | Hyperkalemia as a result of too much potassium. |
| What type of meds are given to treat pyelonephritis? | ANTIBIOTICS;ANALGESICS;ANTISPASMOTICS; ANTIHYPERTENSIVES |
| What dietary restrictions are suggested for a pt with pyelonephritis? | Restrict sodium cuz of hypertension and kidney infection. |
| Which age group is most common in havoing ACUTE GLOMERULONEPHRITIS | It is MOST COMMON IN CHILDREN AND YOUNG ADULTS |
| How does glomerulonephritis develop? | DEVELOPS 5-21 DAYS AFTER AN INFECTION OF THE TONSILS, PHARYNX BY STRAINS OF STREPTOCOCCI |
| GENERALIZED BODY EDEMA (face feels tight); HYPERTENSION;OLIGURIA +/OR HEMATURIA; MAY HAVE ABD OR FLANK PAIN; AT TIMES THE PT MAY BE ASYMPTOMATIC- PROB FOUND ON ROUTINE UA | Manifestations of glomerulonephritis |
| ANTIBIOTICS, IF STREP ANTIHYPERTENSIVES DIURETICS | Medications given to treat glumerulonephritis |
| How does diuretics help with glomerulonephritis? | Diuretics take fluid off to help with edema (ex. lasix). take in the morning. |
| When sodium goes, potassium follows. | because of this, pt should be on a potassium supplement |
Created by:
Wends1984
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