Peds Test GU part II
Terms
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- diurnal enuresis
- occurs in waking hours
- cystitis
- lower UTI: frequency, dysuria, urgency, enuresis, stong smelling urine
- when level reaches 6mEq/L
- potassium is restricted in treatment of ARF when _______________-
- treatment of pyelonephritis
- rehydration, antipyretics, 7-10 days IV antibiotics followed by oral
- management of chronic renal failure
- medications and diet restrictions
- ARF diet
- intake restricted, maximum calories, maximum protein, fluid restrictions, low sodium, low potassium
- emotional risk factors of enuresis
- family disruption, INAPPROPRIATE PRESSURE DURING TOILET TRAINING, inadequate attention to voiding, decreased self esteem
- pyelonephritis
- upper UTI: high fever, chills, abd. pain flank pain, persistant vomiting, dehydration
- postrenal acute renal failure (ARF)
- results from obstruction of urine outflow from both kidneys (problem occurs after the kidney)
- especially with dysfunctional voiding
- Biofeedback is used ______________
- polycystic kidney disease
- associated with liver abnormalities: genetic disorder
- secondary
- occurs aftera period of at least 6-12 months of dryness
- treatment of cystitis
- trimethoprim sulmethoxazole for 5-7 days, encourage fluids
- symptoms of hemolytic uremic sydnrome
- BLOODY DIARRHEA, GI symptoms: infectious nature (E coli)
- nocturnal enuresis
- occurs at night during slep
- alkylating agent
- given if relapse occurs after steriods withdrawn in patients with nephrotic syndrome
- end stage renal disease
- requires either dialysis or transplant
- treatment for nephroic syndrome
- hospitalization, prednisone for 6 weeks then gradual tapering, albumin and diuretics, oral penicillin, NO ADDED SALT DIET, no live virus vaccines
- boys ages 2-6 years
- nephrotic syndrome occurs most often in _________________
- hemolytic uremic syndrome
- most common cause of acute failure in children
- nephrotic syndrome
- kidney disorder: edema, massive proteinuria, hypoalbuminemia, hypoproteinemia, hyerlipidemia, altered immunity, RISK FOR BLOOD CLOTS
- medicine for diurnal enuresis
- anticholinergic: oxybutynin chloride
- intermittent
- occasions nights or periods of dryness
- must continue immunosuppressant drugs
- patients with end stage renal disease must _________________________
- primary
- never expeienced periods of dryess
- afer age 6
- when enuresis becomes a concern
- prerenal acute renal failure (ARF)
- results from poor circulation to kidney from dehydration, hypotension, cardiac failure, septicemia, blood loss, obstruction of renal artery (problem occurs due to decreased blood to kidney)
- prevention of UTI
- wipe front to back, cotton panties, go when you need to, drink lots of water
- administer sodium bicarb
- if metabolic acidosis occurs in ARF
- medicine for primary nocturnal enuresis
- imipramine hydrocholoride, desmopressin
- intrinsic acute renal failure (ARF)
- results from ischemic damage to kidney (problem in kidney itself)
- suggestive of UTI
- fever without focus for infection in children 2-24 months