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Pyelonephritis
Renal 2 Exam
Question | Answer |
---|---|
Inflammation of the __________ | renal parachyma |
Begins as infection of lower urinary tract and ascends the ________ | urethra |
Caused by bacteria normally found in the GI tract (E-coli, Klebsiella, Enterobacteria) d/t | improper wiping techniques, obstruction (stones, BPH, structures) |
S/S of acute PN | chills, fever, leukocytosis, bacteriuria, pyuroa, LBP, flank pain, N/V, H/A, malaise, dysuria |
Dx of acute PN | H&P, UA, C&S, CBC, US, IVP, CT |
Pts with acute PN appear ______ ______. | Acutely ill |
Treatment of PN | ATB 2 weeks (Vanc, Gent, Bactrim, Cipro), NSAIDS, Increase PO fluids, Pyridium (staining occurs) |
With tx, sym of PN should improve within ____ to ___ hours. If relapse, will need ____ weeks ATB | 48-72 hours; 6 weeks |
Pts with PN can become _______ quickly | Septic |
Repeated episodes of PN can lead to | Chronic PN |
Chronic PN can produce ______ _____ and renal failure | kidney scarring |
Sym of Chronic PN | fatigue, HA, poor appetite, polyuria, excess thirst, wt loss |
Complications of chronic PN | ESRD, HTN, Renal calculi |
Tx of chronic PN | long-term prophylactic ATB, monitor RF and nephrotoxicity |