logging in or signing up GU, Chapter 46&47 elsymay Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 207 Category: Education License: Some Rights Reserved Like it (1) Dislike it (0) Added: March 13, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Chapter 46 & 47Medical Surgical Nursing : Chapter 46 & 47Medical Surgical Nursing Pyelonephritis, Acute Renal Failure Copyright 2007 Mosby Medical Surgical Nursing Acute pyelonephritis : Acute pyelonephritis Pyelonephritis- Sudden bacterial inflammation Urosepsis- Copyright 2007 Mosby Medical Surgical Nursing Slide 3: http://coursewareobjects.elsevier.com/objects/elr/Lewis/medsurg7e/facultyanimations/videoplayer_fullscreen_AS2_overAll_2.html?video=431 Copyright 2007 Mosby Medical Surgical Nursing Slide 4: Copyright 2007 Mosby Medical Surgical Nursing Etiology & Pathophysiology : Etiology & Pathophysiology Starts with colonization and infection Bacteria: E. Coli, Proteus, Klebsiella, or Enterobacter species Common in Pregnancy Recurring episodes can lead to Chronic pyelonephritis Copyright 2007 Mosby Medical Surgical Nursing Clinical Manifestations : Clinical Manifestations Faituge Chills Fever (102 or higher) Vomiting Malaise Flank plain LUTS CVA pain Copyright 2007 Mosby Medical Surgical Nursing Collaborative Care : Collaborative Care Hospitalization Outpatient Prophylaxis Table 46-7 Copyright 2007 Mosby Medical Surgical Nursing Chronic Pyelonephritis : Chronic Pyelonephritis Small, atrophic, shrunken, lost function Recurring infections in the Upper urinary tract May occur in absence of infection Current infection HX UTI’s Copyright 2007 Mosby Medical Surgical Nursing Chronic Pyelonephritis : Chronic Pyelonephritis Repeated infection Thickening of the calyces Diagnosed by radiologic imaging Copyright 2007 Mosby Medical Surgical Nursing Acute renal Failure : Acute renal Failure Renal Failure is Acute Renal Failure (ARF)- Uremia- Copyright 2007 Mosby Medical Surgical Nursing Etiology & Pathophysiology : Etiology & Pathophysiology Table 47-1, Figure 47-1 Prerenal Above the kidneys Hypovolemia, decreased cardiac output Intrarenal Prolonged ischemia & nephrotoxins Kidneys Postrenal Below the kidneys Obstruction Copyright 2007 Mosby Medical Surgical Nursing Clincial course : Clincial course Initiating Phase Lasts until S&S present Oliguric Phase Occurs within 1-7 days, lasts 10-14 days Diuretic Phase Starts with 1-3L/day may increase to 3-5L/day Recovery Phase Increase in GFR and BUN, improve in 1-2 weeks, takes 12 months to recover Copyright 2007 Mosby Medical Surgical Nursing Diagnostic Studies : Diagnostic Studies History Urinalysis Renal Ultrasound Renal scan CT MRI Renal Biopsy Copyright 2007 Mosby Medical Surgical Nursing Collaborative Care : Collaborative Care Table 47-4 Reverse the cause, manage the S&S, and prevent complications Adequate intravascular volume and CO Fluid restriction Total loss +600ml = Fluid restriction Hyperkalemia-Table 47-5 Nutritional Therapy Nursing Management Copyright 2007 Mosby Medical Surgical Nursing You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
GU, Chapter 46&47 elsymay Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 207 Category: Education License: Some Rights Reserved Like it (1) Dislike it (0) Added: March 13, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Chapter 46 & 47Medical Surgical Nursing : Chapter 46 & 47Medical Surgical Nursing Pyelonephritis, Acute Renal Failure Copyright 2007 Mosby Medical Surgical Nursing Acute pyelonephritis : Acute pyelonephritis Pyelonephritis- Sudden bacterial inflammation Urosepsis- Copyright 2007 Mosby Medical Surgical Nursing Slide 3: http://coursewareobjects.elsevier.com/objects/elr/Lewis/medsurg7e/facultyanimations/videoplayer_fullscreen_AS2_overAll_2.html?video=431 Copyright 2007 Mosby Medical Surgical Nursing Slide 4: Copyright 2007 Mosby Medical Surgical Nursing Etiology & Pathophysiology : Etiology & Pathophysiology Starts with colonization and infection Bacteria: E. Coli, Proteus, Klebsiella, or Enterobacter species Common in Pregnancy Recurring episodes can lead to Chronic pyelonephritis Copyright 2007 Mosby Medical Surgical Nursing Clinical Manifestations : Clinical Manifestations Faituge Chills Fever (102 or higher) Vomiting Malaise Flank plain LUTS CVA pain Copyright 2007 Mosby Medical Surgical Nursing Collaborative Care : Collaborative Care Hospitalization Outpatient Prophylaxis Table 46-7 Copyright 2007 Mosby Medical Surgical Nursing Chronic Pyelonephritis : Chronic Pyelonephritis Small, atrophic, shrunken, lost function Recurring infections in the Upper urinary tract May occur in absence of infection Current infection HX UTI’s Copyright 2007 Mosby Medical Surgical Nursing Chronic Pyelonephritis : Chronic Pyelonephritis Repeated infection Thickening of the calyces Diagnosed by radiologic imaging Copyright 2007 Mosby Medical Surgical Nursing Acute renal Failure : Acute renal Failure Renal Failure is Acute Renal Failure (ARF)- Uremia- Copyright 2007 Mosby Medical Surgical Nursing Etiology & Pathophysiology : Etiology & Pathophysiology Table 47-1, Figure 47-1 Prerenal Above the kidneys Hypovolemia, decreased cardiac output Intrarenal Prolonged ischemia & nephrotoxins Kidneys Postrenal Below the kidneys Obstruction Copyright 2007 Mosby Medical Surgical Nursing Clincial course : Clincial course Initiating Phase Lasts until S&S present Oliguric Phase Occurs within 1-7 days, lasts 10-14 days Diuretic Phase Starts with 1-3L/day may increase to 3-5L/day Recovery Phase Increase in GFR and BUN, improve in 1-2 weeks, takes 12 months to recover Copyright 2007 Mosby Medical Surgical Nursing Diagnostic Studies : Diagnostic Studies History Urinalysis Renal Ultrasound Renal scan CT MRI Renal Biopsy Copyright 2007 Mosby Medical Surgical Nursing Collaborative Care : Collaborative Care Table 47-4 Reverse the cause, manage the S&S, and prevent complications Adequate intravascular volume and CO Fluid restriction Total loss +600ml = Fluid restriction Hyperkalemia-Table 47-5 Nutritional Therapy Nursing Management Copyright 2007 Mosby Medical Surgical Nursing