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Urinary Disorder & Renal Disorders Chapters 63, 64, & 65 By Angie Lawson RN, BSN.

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Presentation on theme: "Urinary Disorder & Renal Disorders Chapters 63, 64, & 65 By Angie Lawson RN, BSN."— Presentation transcript:

1 Urinary Disorder & Renal Disorders Chapters 63, 64, & 65 By Angie Lawson RN, BSN

2 Urinary A & P Review Kidneys – Nephron – Glomerular filtration – Tubular reabsorption – Tubular secretion Ureters Urinary Bladder Urethra

3 Assessment Health -History Physical Exam Diagnostic Tests – Urine Tests – Renal Function Tests – Radiological Studies – Endoscopic procedures – Ultrasound examination of the kidneys

4 Therapeutic Measures Management of urinary incontinence – Stress incontinence – Urge incontinence – Functional incontinence – Total incontinence Management of urine retention – Indwelling catheters – Intermittent catheterization – Suprapubic catheter

5 Urinary Tract Infections Urethritis – Inflammation of the urethra Cystitis – Inflammation of the urinary bladder Pyelonephritis – Infection of the kidneys

6 Urological Obstructions Urethral strictures – Narrowing of the lumen of the urethra caused by scar tissue Renal Calculi (kidney stones) – Small stones that form somewhere in the renal structures Hydronephrosis – Results from untreated obstruction in the urinary tract

7 Bladder Cancer (medical management) Incontinent urinary diversion (Ileal conduit) Continent urinary diversion (Koch pouch) Orthotopic bladder substitution

8 Kidney Cancer Risk factors – Smoking & exposure to industrial pollution Signs & symptoms – Hematuria, dull flank pain, & palpable mass

9 Chronic Renal Diseases Diabetic nephropathy – Long-term complication of diabetes Nephrosclerosis – Large amounts of protein are lost in the urin

10 Glomerulonephritis Acute Glomerulonephritis – Periorbital edema – Nocturia/hematuria – Oliguria/anuria Chronic Glomerulonephritis – Anasarca – Azotemia

11 Renal Failure Acute Renal Failure – Sudden rapid decrease in renal function & potentially reversible Chronic Renal Failure – Progressive and irreversible damage to the nephrons

12 Dialysis Hemodialysis – Arteriovenous fistula – Arteriovenous Graft Peritoneal Dialysis – Continuous ambulatory peritoneal dialysis – Continuous cyclic peritoneal dialysis – Intermittent peritoneal dialysis

13 Pediatrics Urine specimens – Collection bag – Clean catch – Catheterization – 24 hour urine collection Genitourinary tract defects (newborn) – Exstrophy of the bladder

14 Pediatrics (infant) Urinary tract infections – Fairly common in the diaper age – E. coli accounts for 80% Wilms’ Tumor (nephroblastoma) – Most common abdominal neoplasms of early childhood

15 Pediatrics (preschool) Nephrotic syndrome – Lipoid nephrosis – Idiopathic nephrotic syndrome – Minimal change nephrotic syndrome (MCNS) Acute glomerulonephritis – Appears to be an allergic reaction to a specific infection (usually group A strep)

16 Pediatrics (school age) Enuresis – Bedwetting, involuntary urination beyond the age when control is often acquired. Encopresis – Chronic involuntary fecal soiling beyond the age of when control is expected.

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