NURS 114 PEDS Content Exam 3 Genitourinary

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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)


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