Genitourinary dysfunction
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| UTI definition | Bacterial infxn involving UT.
🗑
|
||||
| UTI risk factors | Urinary stasis, UT anomalies, reflux within UT system, constipation, onset of toilet training, female, synthetic tight underwear, wet bathing suits, sexual activity
🗑
|
||||
| UTI s/sx (infants and < 2 y.o.) | Irritability/fussiness, crying upon urination, poor feeding, N&V, diarrhea, abdm distension, jaundice. Newborns (fever, hypothermia, sepsis)
🗑
|
||||
| UTI s/sx (general) | Urinary frequency c. small voiding, urgency, nocturia. Dysuria, bladder cramping, spasms. Discomfort/pain in back or abdm. Urinary incontinence in toilet-trained kid. Fever, diaper rash, perineal redness/itching
🗑
|
||||
| UTI testing | UA, C&S: sterile cath or suprapubic asprtn most accurate method of obtaining urine for kids < 2 y.o. Clean-catch if kid can cooperate
🗑
|
||||
| To prevent falsely low bacteria count, avoid kid doing what? | Avoid drinking large amount of PO fluids prior to obtaining urine specimen
🗑
|
||||
| UA findings | + bacteria/protein, cloudy, foul-smelling, bright red or tea-colored c. pH > 7. Elevated RBC/WBC
🗑
|
||||
| Cystoscopy, voiding cystoureterography, IVP, urodynamics tests indicated for ______ and conducted ____ UTI | Assessment of anatomic/physical defect. Conducted after UTI resovled
🗑
|
||||
| RN considerations for diagnostic procedures: | Sedate infants/young kids if needed. Assist older kid to be quiet during exam. Maintain NPO after midnight in prep for cystoscopy/IVP. IVP needs bowel prep too. Cath PRN
🗑
|
||||
| UTI RN care: | Encourage frequent and complete voiding. Encourage fluids. Monitor urine output. Administer tylenol for pain. Encourage sitz baths PRN.
🗑
|
||||
| T or F: cotton underwear not recommended to prevent UTI | False. Recommended
🗑
|
||||
| T or F: bubbles can increase risk of UTI | True
🗑
|
||||
| UTI complications; | Chronic UTI, renal damage, urosepsis
🗑
|
||||
| Peak incidence of UTI not caused by structural abnormalities: | 2-6 y.o.
🗑
|
||||
| Children c. suspected pyleonephritis and fever given ____ for how long? | IV antibiotics, minimum 48h. Blood and urine cultures on admit and after therapy. Urine cult monthly for 3 mo, then q3mo for next 6 mo.
🗑
|
||||
| Acute glomerulonephritis (AGN) definition | Follows infectious process. Common; pneumococcal, streptococcal, viral. Immune complexes develop an dtrapped in glomerular capillary loop.
🗑
|
||||
| Findings associated c. AGN | Oliguria, edema, HTN, circulatory congestion, hematuria, proteinuria
🗑
|
||||
| Subjective findings c. AGN | Recent URI or strep infxn. Lack of specific reports (older kids; abdm discomfort, HA, painful urination, anorexia/nausea)
🗑
|
||||
| Glomerulonephritis primarily affects children at what age? | School-age (6-7 y.o.). Uncommon in kids < 2
🗑
|
||||
| AGN s/sx | Decreased GFR, decreased urine output, anorexia, pallor, vague discomfort, dyspnea, orthopnea, distensed neck veins, moist crackles on auscult, periorbital edema, face edema (worse in AM), mild-severe HTN, irritability, lethargy
🗑
|
||||
| Lab tests for AGN | Throat culture for strep infxn (usu - by time of Dx). UA: proteinuria, smoky/tea-colored urine, hematuria, cell debris, elevated specific gravity. Elevated BUN/Cr. ASO titer +. Decreased C3 serum, increases c. recovery
🗑
|
||||
| CXR for AGN indicated for | IDing pulmonary complications, pleural effusions, cardiac enlargement
🗑
|
||||
| Nursing care for AGN | VS, daily wt, I&O.
🗑
|
||||
| Tx of AGN | Diet = no added Na, occasional fluid restriction. Antibiotics only for pt. c. persistent infxn
🗑
|
||||
| T or F if pt. has normal BP and urine output, can be Tx at home for AGN | True
🗑
|
||||
| AGN complications | Acute or chronic renal failure. Hypertensive encephalopathy, acute cardiac decompensation.
🗑
|
||||
| Nephrotic syndrome definition | Alteration in glomerular membrane allow proteins pass into urine. Massive proteinuria, hypoalbuminemia, hyperlipedemia, edema
🗑
|
||||
| Peak incidence of min. change nephrotic syndrome | 2-7 y.o.
🗑
|
||||
| Nephrotic syndrome s/sx | Wt. gain over short period (days-wks), poor appetite, N&V, diarrhea, decreased activity lvl, irritability, periorb/dependt edema (worse in AM), ascites, dark frothy urine, oliguria, norm or slightly elevated BP, extreme pallor, skin brkdwn (severe edema)
🗑
|
||||
| Lab tests for nephrotic syndrome | UA/24hr collection: proteinuria (> 3-4), hyaline casts, increased specific gravity, color change
🗑
|
||||
| T or F: will see elevated Hgb, Hct, platelets in nephrotic syndrome | T
🗑
|
||||
| Kidney biopsy indicated if ________ | Only if nephrotic syndrome unrespsonsive to steroid therapy
🗑
|
||||
| Primary goal for nephrotic syndrome | Reduce protein excretion, maintain protein-free urine
🗑
|
||||
| Nephrotic syndrome care | Provide rest, I&O, urine, daily wt., edema, adbm girth, skin Ax, quiet activity during edema phase, unrestricted play during remission
🗑
|
||||
| Nephrotic syndrome diet | Remission: regular diet. During therapy (steroids): low Na
🗑
|
||||
| T or F: good prognosis for min. change nephrotic syndrome, esp. if responsive to steroid therapy | T. Tends be self-limiting disease
🗑
|
||||
| Hemodialysis preferred for __ | Children c. acute conditions such as life-threatening hyperkalemia, for ppl. living close to dialysis center
🗑
|
||||
| 3 types of hemodialysis access | Grafts, fistulas, external access devices
🗑
|
||||
| T or F hemodialysis be performed at home | T
🗑
|
||||
| _____ is preferred type of dialysis for independent children/families who live far away from dialysis center, want fewer diet restrictions, school-age to teens | Peritoneal dialysis
🗑
|
||||
| Complications of PD | Tunneled infxns (d/t cath), peritoneal leaks, ventral hernias
🗑
|
||||
| Complications of HD | Anemia, peripheral neuropathies, vascular access infxn
🗑
|
||||
| Preferred method for ARF | Temporary HD, generally for trauma and viral illness
🗑
|
||||
| Preferred method for CRF | Permanent dialysis (HD or PD)
🗑
|
||||
| Ultimate Tx for renal failure | Transplantation. Can leave inside while placing new kidneys in. Lasts average 20 yrs.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
choel
Popular Nursing sets