NURS 114 PEDS Content Exam 3 Genitourinary
enuresis medication
-DDAVP -ditropan -imipramine
hemolytic uremic syndrome agent
-E. coli -S. pneumoniae -shigella dysenteriae
UTI agents
-E. coli -klebisella -pseudomonas -haemophilus
nephrotic syndrome - what is it
-increased glomerular permeability leads to loss of protein --> hypoalbuminemia -can be congenital or idiopathic -secondary: DM, lupus
what is the kidney diet
-low sodium -low potassium -low protein (except for nephrotic) -low phosphate
hydronephrosis tx
-management of symptoms (HTN meds, diuretics)
hydronephrosis causes
-obstructive uropathy -vesicoyreteral reflux
hemolytic uremic syndrome s/s
-oliguria or anuria -HTN -irritability -altered LOC -fatigue -abdominal tenderness -increased reticulocytes -hyponatremia -hyperkalemia -hyperphosphatemia -metabolic acidosis -bloody diarrhea
vesicoureteral reflux tx
-prevention of kidney infection -abx prophylaxis at bedtime -surgery
nephrotic syndrome nursing management
-promote diuresis -albumin, lasix, steroids -daily weight, fluid restriction -prevent infection -adequate nutrition -education -dipstick at home, immunosuppressant -emotional support -body image
hydronephrosis complications
-renal insufficiency --> renal failure and HTN
enuresis nursing assessment
-short stature -HTN or renal abnormality -developmental delay
vesicoureteral reflux secondary reason
-structural or functional problem like neuroegnic bladder
Bladder exstrophy nursing management
-supine position -catheter management -double diapering -change soiled diapers quickly -manage bladder spasms with oxybutinin
obstructive uropathy tx
-surgery to remove obstruction -ureter reimplantation -urinary diversion
three main things of hemolytic uremic syndrome
-thrombocytopenia -ARF -hemolytic anemia
tx for phimosis and paraphimosis
-topical steroid -surgical release and circumcision
acute glomerulonephritis complications
-uremia -renal failure
what is obstructive uropathy
obstruction at any level of upper or lower urinary tract, can be uniltaeral or bilateral, partial or complete
testicular torsion s/s
sudden, severe pain and swelling
testicular torsion what happens?
twisting --> ischemia --> infertility (medical emergency)
UTI s/s
-fever -chills -N/V -FTT -lethargy -irritability -jaundice -urgency -frequency -foul urine -hematuria -burning -stinging -flank pain
acute glomerulonephritis s/s
-fever -lethargy -headache -decreased urine output -abdominal pain -vomiting -anorexia -hematuria -edema (affects lung and heart) -HTN
hemolytic uremic syndrome management
-fluid balance -regulate BP -transfuse if necessary -dialysis or CRRT
obstructive uropathy assessment
-foul smelling urine -flank pain -urinary frequency -urinary urgency -dysuria -hematuria
complications of obstructive uropathy
-hydronephroses (dilation of kidney) -UTI -renal insufficiency or failure
hypospadias and epispadias nursing management
-after surgery: prevent infection, double diapering, catheter care
S/S of nephrotic syndrome
-anasarca -ascites -weight gain -hyperlipidemia -proteinuria -weakness -fatigue -irritability
nephrotic syndrome complications
-anemia -infection -thrombosis (platelets are trying to plug) -poor growth -renal failure
obstructive uropathy nursing management
-catheter care -hydration -pain management -catheter education
hemolytic uremic syndrome complications
-chronic renal failure -CHF -ARDS -cardiomyopathy -seizure
hemolytic uremic syndrome causes
-diarrheal illness (public pool, unpasteurized dairy products, uncooked beef)
what is hydronephrosis
-dilation of renal pelvis and calyces
hydronephrosis assessment
-failure to thrive -UTI --> fever, poor feeding, irritability, vomiting -abdominal mass -hematuria -oligohydramnios or polyhydramnios during pregnancy
what is cystitis
UTI at bladder
what is pyelonephritis
UTI at kidneys
what is urethritis
UTI at ureters/urethra
acute glomerulonephritis management
antihypertensive, fluid and Na restriction, cluster care
vesicoureteral reflux- what is it
backup of urine from bladder to ureters
vesicoureteral reflux primary reason
congenital valve anomaly
what are hypo and epispadias often associated with
cryptorchidism (undescended testes)
