Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Genitourinary

Maternal Child

QuestionAnswer
Patho UTI Recurrent infection can cause incompetence of vesicourethral valve. Scarring and loss of renal tissue
S/S UTI <2 yrs Non specific resembles GI disorider: poor feeding, n/v, jaundice, FTT, frequent urination, poor urine stream, tachypnea, resp distress, fever, seizures
R/O Sepsis culture: blood urine CSF
S/S UTI > 2yrs more classic poor appetite, vomitting, /FTT frequent urination, enuresis, abd pain or flank pain, excessive thirst, fatigue
S/S UTI Teen similar to adult frequent painful urination heamturia. Lower Tract Fever chills flank pain
Parent Education r/t UTI Personal hygiene ie wiping, avoid tight clothing, cotton panties, check for vaginitis or pinworms, avoid holding urine, avoid straining at stool, encourage adequate fluid intake. Finish all abx Acidify urine withh juices or animal protein
Vesicourethral reflux retrograde flow of bladder urineinto ureters. Urine is swept up into ureters w/ each void then empties back into bladder. Residual urine remains in bladder until next void. Often outgrown as child grows and ureter angle becomes more sharp
Primary Reflux results from congenital anomoly affecting the appropriate implantation of ureters @ vesicouretal junction
Secondary Reflux results from an acquired condition UTI, neurogenic bladder
Mgt Vesicoureteral Reflux Grades 1-3 mqay cure itself ; Low dose abx, frequent urine cultures. IV and V surgical reimplantation of ureters 2-3 days hosp post op abx VCUG @ discharge, 3 mos and 1 and 3 yrs post op
Nephrotic Syndrome Glomeruli Injury Primary restricted to injury Secondary result of systemic illness (lupus, drug toxicity) Congenital autosomal recessive. Often preceded by viral resp inf
MCNS(Minimal Change Nephotic Syndrome) AKA Childhood Nephrosis glomerular membrane becomes permeable to proteins. Protein lost in urine leads to dec serum albumin and dec collodial osmotic pressure fluid shifts to intestitial and body cavities
S/S Childhood Nephrosis insidious onset, slow weight gain, puffiness face and eyes,esp am, abdominal and lower extremity edema, labial or scrotal swelling, diarrhea anorexia r/t intestinal edema, dec urine volume concentrated dark and frothy, pallor, nail changes, skin breakdwn
Dx evaluation of Childhood Nephrosis massive proteinuria 2-4 m2, casts, microscopic to 0 hematuria, inc sp gravity, hypoalbuminemia, in cholesterol, hgb, hct normal ot elevated, inc platelets 800,000-6,000,000, dec NA+, Biopsy
Corticosteroids and childhood nephrosis prednisone 2 mg/kg/day
IVP intravenous pyelogram IV contrast and x rays at 5, 10 & 15 min after injection
VCUG Voiding cystourogram contrast via urethral catheter x rays taken before during and after voiding
Catherization children 5-8 french. Child's room is saffe place, do in tx room, 1st mroning sample is best, Do not dilute urine by over ingesting fluids
Goals of Care UTI eliminate infection, detect and correct anatomic abnormality, prevent recurrence, preserve renal function
Mgt UTI ABX PCN and cephalosporins, sulfanomides (Bactrim Septra) 14 days for pyelonephritis IV abx 48 hrs.
Nirofurantain antiseptic (astringent) to inhibit bacteria for nuerogenic bladder or structural problem causing stasis
UA/C for UTI cloudy, hazy, noticable strands of mucous, pus, u npleasant fishy odor. Pyuria >5-8 wbc/ml at least one bacterium in gram stain. Cultures repeated monthly X3 then 6 mos and 9 mos
Renal Development and Function kidneys develop 1st weeks of embryonic life but do not mature until 12 mos. Glomerular filtration and absorption reach adult levels at 1-2 yrs Concentration/Dilution adult ability 3 mos
UTI Incidence girls more than boys r/t shorter utethra young girls 2 cm vs adult 4 cm. Males with early UTI's suspect structural abnormality Peak age 2-6 yrs and again in sexually active teens
Contributing Factors UTI E.Coli, urinary stasis, bowel pressure r/t constipation, vesicouretral reflux, altered urine chemisty, dec fluid intake, alkaline PH r/t fluid inatke
Created by: margaretptz
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards