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    SanSrinath
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    Nurse

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    Nurse

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    2 views4 pages

    Img 20240618 115130

    Uploaded by

    SanSrinath
    Nurse

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    | MISCELLANEOUS URINARY | DISEASES Urinary Tract Infections he and tenderness in costovercbral ang 1,000,000/mi of Pyelonephritis + Repested at UTI ends 10. ch Urinary Incontinence Py * Conon flowing spi! njry Urinary Rete pletely 1 ee ues elt saropaved ' «+ Comlatons petonerits ering Neurogenic Bladder oe tae dancin dct lesen 4 Ta ved injury in © tt can occur following spinal oF ay ae can Ser weir dsc, spinal MOE sclerosis wee ll ange Ba sg Ste neorogenic alder 2 nary on upper motor new te sensation of voi © Nocescios ens AN o Bladder emptied (reflex. «acl neurogente laser Set cana ofl Leas 1 «completions UTl, renal cleul Venere efx (VUR) raat Management ateezaton and adit id intake Vesicoureteral Reflex *+ Retrograde or back low of urine from bladder “e_loureter even sometimes to kidney is Known as VUR + Features of recurrent VUR: U mas, and renal failure * Diagnosis: Voiding urolometry. |, palpable renal ‘ystourethrogram, fren bectuse of and proximity of th P21 Weston 15-The Des Indleator of rena function ina poxtoperstie pave F ams.) Urine output es Wh seal ctr for prescribed period of tive sent the el tie Beyond prescribes ake FP rrainage nce the dc time over Pir be started by Mnclamping the exes iether teeny Nowmaly riage cele stra sor AE the drain ned M we holy. prone need 19 Be specie nthe pte Mepartn ptnsum ad ant ld Ina patent alent excessive water ernoved by a8 fcoseldexirne to the dialysate fluid to make Iyypetonie Diohyse yam — Green soot PO catheter products bag Figure 97 « Peritoneal dialysis Complications of PD { peritonitis: Most common complication of PD ft characterized by cloudy outtlow, rebound tenderness nd abdominal pain + Leakage 4 piceding: During bleeding, more frequent aechange is needed to avoid clot formation inthe D catheter. +s Long term complications: Hypertrglyceridemia, Gadominal hernia, aggravation of hemorrhoids, ower backache and anorexis. {ypes of Peritoneal Dialysis + Acote intermittent PD treatment of choice for hemodynamically ‘unstable patient. f= PD is performed with th ft emoves fluid gradually. + Continuous ambulatory PD te After infusion of dialysate, patient fold back the bags clamp the catheter and move around, Patient is ambulatory during dwell time. Once dwell time is over patient lies down and drainage will be initiated. + Continuous cyclic PD is Dialysis is done with the help of machine 1 Uoualy 3 cycles are done at night and one eye with long dwell time of hours is done inthe morning. help of PD machine. RENAL TRANSPLANT > Transplantation of kidney from Wving/cadaver onor toa cliem with End Stage Renal Diss. + Donor Sereened for: ABO incompatiiliy tse specie antigen, histocompabiity and communicable disease + Gald ischemic time: Time gup bewcen cesation ff bload flow to kidney and the time required Snastomoss the Kidney to the recipient + Pre-operative ‘= Immunosuppresive therapy © Completion of hemodialysis 24 hours before the transplantation strict aseptic tectnique. Recipient must be free from infection. + Post-operative tt Urine outpot may be established irumedtitely in ving donor kidney and may be delayed in cadaveric donor kidney, 1s Hemodialysis is needed until the renal function is established © Monitor urine output hourly. ‘= Daily weight monitoring, Graft Rejection © Hyper acute ‘minutes to hours adequate synopals 208 3 edie spopter | B, Kevronel Es High protein oss occur daring peritoneal clalysis (PD), so the client s advised to consume high protein diet and low tarbonydeate diet. ‘© Most common viral {fection after renal rejection: Rejection occurs within transplant is CMV. Sala Figure 95 # Fistula Die apie nd te 1 Thistsused when tala not posible * Complications: Thrombosis and infection are an be used after 2 weeks of een Blood tom alysis Figure 96 » vascular access Complications of Hemodialysis + Hypotension: 4 client may be asked to skip anti hypertensive drog dosage before hemodialysis * Muscle cramps dueto the movement of electrolyte from extracellular space Dysrhythmia duo faid and electrolyte changes Disequilibrium syndrome: During hemodialysis solutes are removed faster from ECE, as compared 10 CSR, This causes fluid shift ito the brain and aledems, by placing a binlogial or sem anti

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