Med Surg II - Chapter 37 Disorders of the Urinary System
Define intrarenal kidney injury.
damage inside the nephrons
Why would weight loss after dialysis be expected?
excess fluid is lost
What is an expected hourly urine output?
30 mL; if not, rpt to the nurse
What amount of fluid would you recommend to a patient to take in to prevent a UTI?
3000 mL
What would you monitor after an IVP?
creatinine, BUN, circulatory
What conditions might be related to chronic kidney disease?
-anemic -GI upset -not hunger -N/V -peripheral neuropathy -cardiac dysrythmias
What is the most common cause of glomerulonephritis? What are the symptoms?
-beta-hemolytic strep -flank pain, decrease urine output, periorbital edema, albumin, cast
What some of the changes that occur with aging related to being at risk for UTI?
-diminished immune function -diabetes -neurogenic bladder -enlarged prostate -decline in estrogen
What teaching would you do on relation to a fistula in the left arm for dialysis?
-do not sleep on the arm -no blood pressure or draw -avoid carrying heavy things -lose clothing
What hemodialysis side effects after treatment?
-weak and fatigued -too tire to eat -drop in BP -bleeding -weight gain
What would you teach a patient related to polycystic kidney disease?
- hereditary disorder result in CKD - counseling -no treatment to stop the progression -grapelike cysts
What level of stage of kidney disease under 10% ESR?
90%
How can having a catheter placed lead to an urinary track infection?
ascending port to cause infection
What is the most common sign of bladder cancer?
hematuria - 24 hour urine
Define pyelonephritis.
infection in the pelvis & tubules and can affect kidneys
What things should be avoided for a patient with calcium oxalate kidney stones?
instant coffee, chocolate, spinach, beets, nuts, tea, strawberries, wheat
Why would you be concerned is you have an order for Garamycin for a patient with acute kidney injury?
nephrotoxic
Describe End Stage Kidney disease related to nephrons.
number of nephrons are lost is 90%
What are some signs of fluid overload?
periorbital
What is a serious complication of peritoneal dialysis?
peritonitis
Why would you see Renagal given to a patient who has had hemodialysis for chronic kidney disease?
prevent damage to bones but no loss of calcium
How is diabetic nephropathy and insulin levels related to kidneys?
renal decrease, need less insulin
What would you include in the care of a patient w/ renal calculi?
strain all fluid
Describe an ileal conduit.
urinary diversion system, stoma pouch, and urine is produced continuous
