Kindey Problems - Lecture Notes

KIDNEY PROBLEMS POLYCYSTIC KIDNEY DISEASE (PKD) line-mreatening generic disease reowns in kloney fattore rare in children affects ment women corex meavila filles vol thin walias clyers that acstroy surrounding tiesve Clinical Manifestations HTAN nematuria pain or heavy feeling in back Iside of andomen UTI, stores most common problem: chronic, senere pain. 2. KIDNEY CANCER males females caverage age: (allyrs) Early stage asymptomaats Common Manifestarions nematuria flank pain Daipay mass in flanel aboomen Diagnoosic Entries CT scan, ultrasound, blopsy, M21 Treatment chemo, radiation, surgery TRANSURETHRAL RESECTION uses a rebecroscope 3 way cameer Post Procedure drink large volume of fulds cxpeer pieve-tinged urine give oploias stool Softeners noes flv 3-6 months DIAGNOSTIC TESTS ингasound or CT scan Treatment 3. BLADDER CANCER mens women no cure provent treat UTI dialysis or transplant nursing: management; genetic counseling Risk Factor amoring, coffee, radiation, chronic lower UTIS 51s painvess hematuria., LUTS Evaluation: urine cytology, cytascopy, biopsy, MRI, CT, ultrasound Treatment Intravesical therapies (chemo into bladeer) radiation chemo BLADDER DYSFUNCTION INCONTINENCE RETENTION 1. URINARY INCONTINENCE Involuntary leavage of urine DRIP D clirium, athyararion, depression Restricted, moblїну, теста) (macion I neccrion, intHammation, Impaction Pchyoria, polypharmacy Management TYPES 1. STRESS involumary loss of orine (ex laughing? 2 . Uave: veractive bladder loss alter urge to go 3. OVERFLOW: involuntary loss when madder pressure 4. FUNCTIONAL physical, meness, environmental furors that imortore with ability to get to toilet PT, Digs, surgery. DIAGNOSTIK STUDIES urinalysis post vola residval urge bladder training NURSING rtava irritunis maintain regular voiding schedule pelvk floor mascia rehalo Stress pelvic floor musele exercises arti-Incominova meas 2. URINARY RETENTION inalilty to empty bladder normál post vold residual 50-75mL problem 100-200ml DIAGNOSTIK STUDISS Urinalysis, vitrasound pos, void residual Interprofessitings Care 313 agitation, contusion, blaaser distention Catheterization acun urinary tacation amargonu men enlarged prostore deficient artrusor homel NURSING CARE acue winary retention Insert Cath drink small amounts Dupid excess alkohal drug therapy Pi teaching it unaou το νός: ainu catteline Warm bath chronds urinary retention. Schedule tollcting Cath surgery drugs CATHETERIZATION reasons: urine sample, not volding (6 Bhrs), neurologic issues, bedridden, Strict HOS Provoning CAUTI arold unnecessary cath perineal care hand hygiene Lumen Site SURGERY OF THE URINARY TRACT women betalamou men 14-1ちゃ -urethral most commons ureteral suprapubic surgical incision: long term nephrectomy renal tumor, traima, donor transplant Surgical procedures open 10 Incision Тараговсоріс 3-5 urinary diversion vrosramies uine comes oud connectca to reku's nephrostomy: tudes are inserted to one renal pelvis exit through flame Gotored in place make sure not winned or flow is obstrund cotantous ureterostomy urerers ous through abdominal wall Incontinent diversions. meos common lleal conduir liκαι 1000 no vowntary control Continere diversion imrsabaominat urinary reservoir that has been carh body image Ostomy care internas pouch Poss of mucus in the urine is normal should be red moist Stama shrinks 1-3 wks ORTHOTOPIC BLADDER RECONSTRUCTION POSTOP Cath empty bladder every 2-4nrs. -construction of new blakier urine discharged through uremna ex: nemi- kock, Stoder pouch Incontinence may occur need intermittent caths.