UA alterations
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show | afferent arteriolar constriction
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show | autonomic (SNS)
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show | renin-angiotension system
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secreted by the kidneys to synthesize RBCs | show 🗑
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functions of the nephron | show 🗑
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lab tests of kidney function | show 🗑
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UTI | show 🗑
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types of UTIs | show 🗑
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show | cystitis
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sx of UTI | show 🗑
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pyelonephritis | show 🗑
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show | fever, chills, flank pain, dysuria
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common cause of UTIs in males | show 🗑
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show | women, DM (decreased immune & high glucose), frequeny catheters, elderly, occupation where urine must be held, pregnancy, improper hygeine
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Dx of UTI | show 🗑
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show | antibiotics, bladder analgesics, eliminate cause
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teaching points for antibiotics | show 🗑
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show | encourage fluids (esp. cranberry juice), proper hygeine, avoid frequent bubble baths, urination after intercourse, don't "hold" urine, Vit C
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irritant to UTI | show 🗑
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show | inflammation of the renal pelvis and parenchyma; caused by bacterial infection
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show | active, remenants of previous infection
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2 types of pyelonephritis | show 🗑
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show | ppl who didn't finish out previous antobiotics; superbugs; urine reflux
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show | d/t caliculi, trauma, malignancy, or most commonly extension of bladder infection via the ascending urethra
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show | obstruction allows infected UA back into ureter and allows organism to multiply
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show | bacteria in renal pelvis intiates infalmmatory response; with resolution inflammation recedes and scarring may develop
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result of scar tissue formation on kidneys | show 🗑
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time period of acute pyelonephritis | show 🗑
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s/s of acute pyelonephritis | show 🗑
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show | urine cloudy/bloody & malodorous, increased WBC
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test for cystits/pyelonephritis | show 🗑
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sx of chronic pyelonephritis | show 🗑
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show | usu incidentally during other exams/ follow up for HTN
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show | blockage
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show | antibiotics (10 days to 2weeks), relieve pain, prevention of further recurrence/renal damage
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Glomerularnephritis | show 🗑
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show | proliferation of glomerular capillary endothelial cells and rapid loss of renal function leading to nephrotic syndrome
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acute glomerularnephritis | show 🗑
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chronic glomerularnephritis | show 🗑
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Nephrotic syndrome | show 🗑
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show | proteinuria, hypoalbuminemia, anasarca, retention of sodium and water, hyperlipidemia, anemia, hematuria
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causes of nephroctic syndrome | show 🗑
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complications of nephrotic syndrome | show 🗑
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manifestations of nephrotic syndrome | show 🗑
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show | insidious or sudden
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show | UA, labs, periorbital edema, anasarca, HTN, history, renal biopsy
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show | antibiotics, fluids/electrolytes, steriods, anticoagulants, diuretics, restricted diet, ACEs, plasmaphoresis, strict control of pre-existing conditions
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nursing mngmt of nephrotic syndrome | show 🗑
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