Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and...

25
Interventions for Interventions for Clients with Clients with Urinary Problems Urinary Problems

Transcript of Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and...

Page 1: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Interventions for Interventions for Clients with Clients with

Urinary ProblemsUrinary Problems

Urinary Retention

1048708 What is Urinary retention

and what happens 1048708 A person who is unable to void when there is an urge to void 1048708 Increases the possibility of infection 1048708 May cause incontinence

1048708 Causes 1048708 Response to stress 1048708 Obstruction of the

urethra by calculi (concentration of mineral salts known as stones) 1048708 Tumors 1048708 Infection 1048708 Interference with the sphincter muscles during surgery 1048708 A side effect of medication or perineal trauma

Urinary Retention

1048708 What the patient may

experience 1048708 Discomfort and

anxiety 1048708 Frequency of

urination 1048708 Voiding small

amounts of urine 1048708 Distended bladder

1048708 Treatments 1048708 Urinary analgesics-

for pain 1048708 Antispasmodics-

help patient relax 1048708 Urinary catheter-to empty bladder 1048708 Surgery-remove any obstruction

Urinary Retention

1048708 Interventions 1048708 When patient is able to void check residual 1048708 Right after the patient voids catheterization should be done 1048708 Urine left in bladder residual urine should be less than 50ml

Urinary Incontinence

1048708 What is Urinary Incontinence 1048708 Involuntary loss of urine from the bladder 1048708 A complication of urinary tract problems

or neurologic disorders 1048708 May be permanent or temporary 1048708 More in older adults 1048708 Classified as stress urge overflow total nocturnal enuresis

Urinary Incontinence

1048708 Medications 1048708 Sedatives 1048708 Hypnotics 1048708 Diuretics 1048708 Anticholinergicsdecrease mobility in the GI decrease gastric secretions 1048708 Antipsychotics 1048708 Alpha antagonist-block vasoconstriction induced by endogenous catecholamines

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 2: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Retention

1048708 What is Urinary retention

and what happens 1048708 A person who is unable to void when there is an urge to void 1048708 Increases the possibility of infection 1048708 May cause incontinence

1048708 Causes 1048708 Response to stress 1048708 Obstruction of the

urethra by calculi (concentration of mineral salts known as stones) 1048708 Tumors 1048708 Infection 1048708 Interference with the sphincter muscles during surgery 1048708 A side effect of medication or perineal trauma

Urinary Retention

1048708 What the patient may

experience 1048708 Discomfort and

anxiety 1048708 Frequency of

urination 1048708 Voiding small

amounts of urine 1048708 Distended bladder

1048708 Treatments 1048708 Urinary analgesics-

for pain 1048708 Antispasmodics-

help patient relax 1048708 Urinary catheter-to empty bladder 1048708 Surgery-remove any obstruction

Urinary Retention

1048708 Interventions 1048708 When patient is able to void check residual 1048708 Right after the patient voids catheterization should be done 1048708 Urine left in bladder residual urine should be less than 50ml

Urinary Incontinence

1048708 What is Urinary Incontinence 1048708 Involuntary loss of urine from the bladder 1048708 A complication of urinary tract problems

or neurologic disorders 1048708 May be permanent or temporary 1048708 More in older adults 1048708 Classified as stress urge overflow total nocturnal enuresis

Urinary Incontinence

1048708 Medications 1048708 Sedatives 1048708 Hypnotics 1048708 Diuretics 1048708 Anticholinergicsdecrease mobility in the GI decrease gastric secretions 1048708 Antipsychotics 1048708 Alpha antagonist-block vasoconstriction induced by endogenous catecholamines

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 3: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Retention

1048708 What the patient may

experience 1048708 Discomfort and

anxiety 1048708 Frequency of

urination 1048708 Voiding small

amounts of urine 1048708 Distended bladder

1048708 Treatments 1048708 Urinary analgesics-

for pain 1048708 Antispasmodics-

help patient relax 1048708 Urinary catheter-to empty bladder 1048708 Surgery-remove any obstruction

Urinary Retention

1048708 Interventions 1048708 When patient is able to void check residual 1048708 Right after the patient voids catheterization should be done 1048708 Urine left in bladder residual urine should be less than 50ml

Urinary Incontinence

1048708 What is Urinary Incontinence 1048708 Involuntary loss of urine from the bladder 1048708 A complication of urinary tract problems

or neurologic disorders 1048708 May be permanent or temporary 1048708 More in older adults 1048708 Classified as stress urge overflow total nocturnal enuresis

Urinary Incontinence

1048708 Medications 1048708 Sedatives 1048708 Hypnotics 1048708 Diuretics 1048708 Anticholinergicsdecrease mobility in the GI decrease gastric secretions 1048708 Antipsychotics 1048708 Alpha antagonist-block vasoconstriction induced by endogenous catecholamines

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 4: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Retention

1048708 Interventions 1048708 When patient is able to void check residual 1048708 Right after the patient voids catheterization should be done 1048708 Urine left in bladder residual urine should be less than 50ml

Urinary Incontinence

1048708 What is Urinary Incontinence 1048708 Involuntary loss of urine from the bladder 1048708 A complication of urinary tract problems

or neurologic disorders 1048708 May be permanent or temporary 1048708 More in older adults 1048708 Classified as stress urge overflow total nocturnal enuresis

Urinary Incontinence

1048708 Medications 1048708 Sedatives 1048708 Hypnotics 1048708 Diuretics 1048708 Anticholinergicsdecrease mobility in the GI decrease gastric secretions 1048708 Antipsychotics 1048708 Alpha antagonist-block vasoconstriction induced by endogenous catecholamines

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 5: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 What is Urinary Incontinence 1048708 Involuntary loss of urine from the bladder 1048708 A complication of urinary tract problems

or neurologic disorders 1048708 May be permanent or temporary 1048708 More in older adults 1048708 Classified as stress urge overflow total nocturnal enuresis

Urinary Incontinence

1048708 Medications 1048708 Sedatives 1048708 Hypnotics 1048708 Diuretics 1048708 Anticholinergicsdecrease mobility in the GI decrease gastric secretions 1048708 Antipsychotics 1048708 Alpha antagonist-block vasoconstriction induced by endogenous catecholamines

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 6: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Medications 1048708 Sedatives 1048708 Hypnotics 1048708 Diuretics 1048708 Anticholinergicsdecrease mobility in the GI decrease gastric secretions 1048708 Antipsychotics 1048708 Alpha antagonist-block vasoconstriction induced by endogenous catecholamines

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 7: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Stress Incontinence 1048708 Leakage of urine when a person does anything that strains the abdomen like coughing laughing jogging dancing sneezing lifting making a quick

movement walking 1048708 Most common type 1048708 Anyone can be affected 1048708 Women are more likely affected

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 8: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Medical management of stress incontinence 1048708 Often can be cured and alleviated 1048708 Bladder retraining 1048708 Medicines-estrogens (Premarin Vaginal Cream) 1048708 Surgery-restore support of pelvic floor muscles or reconstruct the sphincter 1048708 Collagen injected-into surrounding tissue the

urethra which closes the urethra to prevent urine from leaking out 1048708 Pelvic floor exercises 1048708 Kegel exercises

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 9: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Interventions for stress incontinence 1048708 Assessing the clientrsquos voiding pattern 1048708 Encourage the patient to void 30

minutes before the projected time of incontinence 1048708 Schedule extended until client can stay

dry for 2 hours gradually increasing time 3-4

hours

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 10: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Urge Incontinence 1048708 Occurs when a person is unable to suppress the sudden urge or need to urinate 1048708 Cause-irritated

bladder 1048708 Infection or very concentrated urine may irritate the bladder

1048708 Treatments for Urge Incontinence 1048708 Clearing up infection 1048708 Fluid intake of 3000 mlday-help it be less concentrated (less

fluid does not prevent incontinence but may give way for infection)

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 11: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Overflow incontinence

1048708 Bladder is so full and distended that urine leaks out 1048708 Occurs when a blocked urethra or bladder weakness prevents normal emptying 1048708 Prostate enlargement

1048708 Overflow incontinence

1048708 Occurs mainly in patients with 1048708 diabetes 1048708 Drink a lot of

alcohol 1048708 Have decreased nerve function

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 12: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Urinary Incontinence

1048708 Total incontinence 1048708 When no urine can be retained in the bladder 1048708 Management 1048708 Indwelling catheter 1048708 Surgery-temporary or permanent urinary diversion 1048708 Cause 1048708 Neurologic problem

Nocturnal Enuresis 1048708 Incontinence that occurs during sleep 1048708 Management 1048708 Limit fluid intake after 6pm 1048708 Total intake requirement for 24 should remain the same 1048708 Bladder emptied right before going to bed

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 13: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 14: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Cystitis

1048708 Test 1048708 Clean-catch midstream 1048708 a bacteria count greater than 100000 organismsml confirms the diagnosis 1048708 Microscopic examination of the urine

shows hematuria and pus 1048708 Urine specimen for C amp S

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 15: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Cystitis

1048708 Treatment 1048708 Antimicrobial 1048708 Norfloxacin (Noroxin)- 1048708 Nitrofurantoin (Furadantin) 1048708 Ciprofloxacin (Cipro) 1048708 Sulfonamides-sulfisoxazole (Gantrisin) or trimethoprim-sulfamethoxazole (Bactrim Septra) 1048708 Urinary tract analgesic 1048708 Phenazopyridine hydrochloride (Pyridium) 1048708 Used for dysuria 1048708 Causes red-orange urine

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 16: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Cystitis

1048708 Management 1048708 Encourage fluids 3-4 liters 1048708 Intake meats and whole grains

discourage growth of bacteria 1048708 Encourage the drinking cranberry juice 1048708 Call light answered promptly 1048708 Have commode chair ready for patient 1048708 Set up proper and timed bladder

emptying

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 17: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Pyelonephritis

1048708 About Pyelonephritis 1048708 bacterial infection of the renal pelvis tubules and interstitial tissue of one or both kidneys 1048708 Can be caused by obstruction blocking the kidney or ureter 1048708 Can occur during pregnancy with prostatitis when bacteria are introduced during a cystoscopy catheterization or from trauma of the urinary tract 1048708 Can lead to high BP or chronic renal failure 1048708 Echerichia coli is the culture most often found 1048708 Kidney becomes edematous renal blood vessels become congested sometimes abscesses form in kidney

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 18: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Pyelonephritis

1048708 Signs and symptoms 1048708 Urine cloudy containing mucus blood and pus 1048708 Tenderness on both sides of lower back 1048708 Elevated temperature pulse and respiratory rate 1048708 Foul smelling urine 1048708 Some are asymptomatic

Signs and symptoms 1048708 Acute phase 1048708 Fatigue 1048708 Malaise 1048708 Urgency in urination 1048708 Pain during voiding and in flank area 1048708 Renal colic-severe pain in kidney radiates to groin 1048708 Impaired urination 1048708 Complaints of being hot with or without chills 1048708 Chronic phase 1048708 NV diarrhea elevated BP

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 19: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Pyelonephritis

1048708 Diagnostic test 1048708 IVP 1048708 Urinalysis with CampS 1048708 CBC 1048708 BUN 1048708 Serum creatinine

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 20: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Pyelonephritis

1048708 Treatment 1048708

Sulfonamidestrimethoprimsulfamethoxazole (bactrim) 1048708 Antimicrobialciprofloxacin hydrochloride (Cipro)- may not be indicated if there is renal damage 1048708 Antipyretics-fever reduction 1048708 Analgesics-pain

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 21: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Pyelonephritis

1048708 Management 1048708 Increase fluids 3000 mlday 1048708 Bed rest during acute phase 1048708 Diversionary activities while bed

rest is ordered 1048708 Be careful for dizziness related to

analgesics

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 22: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Acute Glomerulonephritis

1048708 About acute glomerulonephritis 1048708 The glomerulus within the nephron unit becomes inflamed Primarily a disease of children and young adults when it is bacterial When aquired during childhood it is known as (BRIGHTrsquos) disease 1048708 Signs and symptoms 1-3 weeks after upper respiratory infection ( tonsillitis or pharyngitis with fever) or skin infection caused most commonly by group b- hemolytic streptococcus

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 23: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

Acute Glomerulonephritis

1048708 Drug Therapy 1048708 Prophylactic antimicrobial therapy Drug

of choice is penicillin Antihypertensives and lassix such as lassix 1048708 Corticosteroids chemotherapeutic drugs such as cyclophosphamide (cytoxin) and immunosupressive agents such as azathioprine(imuran) MAY BE ORDERED TO CONTROL THE INFLAMMATORY RESPONSE

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 24: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

ACUTE GLOMERULONEPHRITIS

1048708 DIET FLUID RESIRICTION

1048708 PROTEIN WILL BE GIVING

ACCORDING TO CLIENTrsquoS

CREATINE LEVELS 1048708 NURSING

MANAGEMENT 1048708 ENCOURAGE REST MONITOR IampO TAKE

AND RECORD DAILY

WEIGHTS LIMIT SODIUM INTAKE

1048708 DIAGNOSIC TEST DIAGNOSTIC TEST ON BLOOD AND URINE BUN SERUM CRATININE POTASSIUM ERYTHROCYTE SEDIMENTATION RATE (ESR) AND ANTIRSTREPTOLYSIN O TITER (ASO TITER) WILL BE ELEVATED 1048708 ACTIVITY BED REST IS INDICATED UNTIL INFLAMATION SUBSIDES

CHRONICGLOMERULONEPHRITIS

Page 25: Interventions for Clients with Urinary Problems. Urinary Retention What is Urinary retention and what happens A person who is unable to void when there.

CHRONICGLOMERULONEPHRITIS