fluid balance, renal, and reproductive disorders
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| this occurs when fluid output exceeds fluid intake, regardless of the cause. | Dehydration
🗑
|
||||
| when fluid intake and output are in balance | homeostasis
🗑
|
||||
| immature infant kidneys equals | poor water conservation
🗑
|
||||
| ____ are subject to greater evaporation of water from skin | infants
🗑
|
||||
| rapids respiration's will ______ fluid loss | increase
🗑
|
||||
| classification of dehydration is based on what? | serum sodium levels, isotonic,hypotonic,hypertonic
🗑
|
||||
| type of fluids given by route other than digestive tract | parenteral fluids
🗑
|
||||
| when body receives more fluids then it can excrete | overhydration
🗑
|
||||
| presence of fluid in the interstital spaces | edema
🗑
|
||||
| edema in infants may first be seen in these areas | presacral,occipital,genital areas
🗑
|
||||
| bacterial invasion of the kidneys,ureters,bladder and urethra | urinary tract infection
🗑
|
||||
| risk factors for uti's | urinary stasis, urinary tract anomalies, reflux in the tract system,tight undearwear,wet bathing suits, sex
🗑
|
||||
| s/s of urinary tract infections | poor feeding, fussiness, delayed growth, foul smelling urine, incontinence
🗑
|
||||
| many girls may have these classic uti s/s after first sexual experience | frequency, urgency, pain on urination, blood in the urine
🗑
|
||||
| these s/s can indicate kidney infection AKA pyelonephritis | high fever, chills, flank pain, abdominal pain
🗑
|
||||
| nursing teaching for uti | no bubble baths or irritating diapers, wipe front to back, wear cotton underwear,increase fluid intake,dont put off going pee, check for s/s of pinworms
🗑
|
||||
| treatment for uti | 7-14 day course antibiotic, sulfamethoxazole-septra, trimethoprim-bactrim, or penicillins,cephalosporins
🗑
|
||||
| occurs as an immune reaction to an infection of the body (antigen-antibody,most common renal disease. mostly seen in kids age 6-7 | acute glomerulonephritis
🗑
|
||||
| s/s of glomerulonephritis | smokey brown or bloody urine,periorbital edema in morning that spreads as the day goes,fatigue, headache,abdominal discomfort, vomiting, oliguria
🗑
|
||||
| what is oliguria | decrease in urine output
🗑
|
||||
| causes of acute glomerulonephritis | certain strains of group a b-hemolytic streptococcal, aka strep throat
🗑
|
||||
| treatment for acute glomerulonephritis | prevetion from being chilled, over tired, exposure from infection, low sodium, low potassium diet,lasix, persistent anuria may need dialysis
🗑
|
||||
| refers to the number of different types of kidney conditions that are distinguished by the presence of marked amounts of protein in the urine | nephrotic syndrome aka nephrosis
🗑
|
||||
| these filter blood in the kidneys, and damage to them allows protein to enter urine | glomeruli
🗑
|
||||
| s/s of nephrotic syndrome | nausea, vomiting, diarrhea, weight gain, edema, ascites,DARK FROTHY URINE, oliguria, slightly elevated bp
🗑
|
||||
| treatment of nephrotic syndrome | steriods,diurtics,albumin,low sodium high protein diet,fluid balance with MEASURED urine,skin care,repositioning, infecton control, emotional support
🗑
|
||||
| what is enuresis | must occur at least twice a week for 3 months and child must be over 5yrs old to be diagnosed with enuresis aka bed wetting
🗑
|
||||
| child has never been dry for an extended period of time | primary bed wetting
🗑
|
||||
| bed wetting after the child has been dry for some time | secondary bed wetting
🗑
|
||||
| treatment for enuresis | never punish,time,meds,fluid restriction after evening meal,bladder training,waking child to void, alarm to signal beds wet
🗑
|
||||
| chronic or acuteoth illness that can affect enuresis | uti, diabetes,sickle cell, neurologic deficits
🗑
|
||||
| one or both testes fail to descend into the scrotum | undescended testes
🗑
|
||||
| side effect of undescended testes | REDUCED FERTILITY due to abdomen being to warm
🗑
|
||||
| treatment for undescended testes | between 9-15 months a surgical procedure called orchiopexy to bring down in scrotum
🗑
|
||||
| the opening of the urinary meatus appears on the ventral or underside of the shaft of the penis | hyposadias
🗑
|
||||
| the urethral opening in on the dorsal or upper side of the shaft of the penis | epispadias
🗑
|
||||
| treatment for hyposadias or epispadias | surgical repair between 6-12 months old
🗑
|
||||
| STD are a worry of peds beacuse | teens mature earlier, in gauge in sex earlier, have multiple partners,marring later in life,rate of infection higher in teens
🗑
|
||||
| dorsal surface of the penis defect | epispadius
🗑
|
||||
| foreskin defect | phimosis
🗑
|
||||
| lower abdomen defect | exstrophy of the bladder
🗑
|
||||
| scrotal sac defect | hydrocele
🗑
|
||||
| inguinal canal defect | cryptorchidism
🗑
|
||||
| bottom or ventral surface of penis defect | hypospadias
🗑
|
||||
| surgery for hypospadias and chordee, my son is only 8 months old, why doesnt the doctor wait until he is older, most appropriate response by nurse...... | children typically become aware of genitalia and gender between ages 3-6, its perferable to do the surgery when they are young enough to protect their self image
🗑
|
||||
| what objective data should the nurse expect to see with a toddler who has nephrotic syndrome | 3+ to 4+ protein in the urine
🗑
|
||||
| medications for enuresis | antidiuretics-desmopressin acetate,tricyclic antidepressants- imipramine hydrochloride(tofranil), anticholinergics-oxybutynin chloride(ditropan)
🗑
|
||||
| MEDS-used to reduce volume of urine in bladder adverse effects,headache, nausea, flushing, fluid retention, mild abdominal cramps,NCT- restrict fluids after dinner,give at bed time,keep nasal meds in fridge | antidiuretics-desmopressin acetate
🗑
|
||||
| MEDS-reduces bladder contractions adverse effects- dry mouth, nausea, drowsiness, allergic reaction. | anticholinergics-oxybutynin chloride (ditropan)
🗑
|
||||
| rule of thumb for urine output | 2ml/kg/hr for infants, 0.5 to 1ml/kg/hr for a child
🗑
|
||||
| a downward curvature of the penis resulting from tight fibrous band usually with hypospadias | chordee
🗑
|
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:
1291874102
Popular Nursing sets