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DISORDERS/MEDS

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