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Medical-Surgical Nursing, 11th Ed., Harding, Kwong, Roberts, Hagler & Reinisch
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45 - Renal and Urologic Problems

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Medical-Surgical Nursing, 11th Ed., Harding, Kwong, Roberts, Hagler & Reinisch | Registered Nurse (RN) School Study Aid

45 - Renal and Urologic Problems
13 Picmonics to Learn | 23 mins
Renal Calculi Assessment
Cause/Mechanism
Hypercalcemia (Most Commonly)
Signs and Symptoms
Flank Pain
Radiates Toward Bladder
Renal Colic
Urinary Tract Infection
Urinary Retention
Hematuria
Considerations
Stone Recurrence
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2 mins
Renal Calculi Interventions
Interventions
Increase Fluid Intake
Opioids
NSAIDs
Antibiotics
Lithotripsy
Surgical Stone Removal
Considerations
Identify Type CT-KUB
Low Sodium Diet
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2 mins
Glomerulonephritis Assessment
Mechanism
Group A Beta-Hemolytic Streptococcal Infection
Signs and Symptoms
Hypertension
Hematuria
Proteinuria
Oliguria
Generalized Edema
Increased BUN and CR
Flank Pain
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2 mins
Acute Glomerulonephritis Interventions
Rest
Restrict Salt and Fluid Intake
Restrict Protein
Antihypertensives
Diuretics
Antibiotics
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2 mins
Chronic Glomerulonephritis Interventions
Corticosteroids
Antihypertensives
Erythropoietin
Cytotoxic Agents
Dialysis
Plasmapheresis
Transplant
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2 mins
Nephrotic Syndrome
Signs and Symptoms
Massive Proteinuria > 3.5g per Day
Edema
Increased risk of infection
Thromboembolism
Hyperlipidemia
Fatty casts
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1 min
Nephritic Syndrome
Inflammatory
Hematuria
RBC casts
Increased Nitrogen in blood
Oliguria
Hypertension
Proteinuria < 3.5 grams per day
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2 mins
Pyelonephritis Assessment
Cause/Mechanism
Ascending Urethral Bacteria
Assessment
Dysuria
Fever
Fatigue
Flank Pain
Costovertebral Tenderness
Nausea and Vomiting
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1 min
Pyelonephritis Interventions
Urinalysis
NSAIDs
Antibiotics
Increase Fluid Intake
Avoid Catheterization
Consideration
Urosepsis
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1 min
Benign Prostatic Hyperplasia (BPH) Assessment
Assessment
Men Over 50
Enlarged Prostate Gland
Urinary Retention
Weak Urine Stream
Frequency
Urgency
Nocturia
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1 min
Benign Prostatic Hyperplasia (BPH) Interventions
Interventions
Timed Voiding
Decreased Caffeine Intake
Catheterization
Medications
Finasteride (Proscar)
Tamsulosin (Flomax)
Surgical Interventions
TURP Procedure
Open Prostatectomy
Continuous Bladder Irrigation (CBI)
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2 mins
Urinary Tract Infection Symptoms
More Common in Elderly
Most Common in Females and Babies
Change in LOC
Dehydration
Fever
Urgency
Urethral Infection
Burning
Smelly Urine
Dark Cloudy Urine
Frequency of Urination
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2 mins
Urinary Tract Infection Prevention and Treatment
Prevention
Shower after Sex
Urinate after Sex
Wipe front to Back
Treatments and Considerations
I and Os with Daily Weights
Increase Water Intake
Antibiotics
Avoid Caffeine
Dr Appointment in 2 Weeks
Void every 2 - 4 hours
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2 mins

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