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Chapter 46

Classification

Pyelonephritis
Cystitis
Urethritis
Urosepsis
Complicated
Recurrent

Patho
Clinical Manifestations
Diagnostic

Antibiotics
TMP/SMX
Nitrofurantoin
(Macrodantin,
microbid)
Ciprofloxacin (Cipro)

Care

Patho
Clinical Manifestations
Treatment & Care
Chronic Pyelonephritis

Urethritis
Urethral Diverticula

AKA Painful Bladder Syndrome


Clinical Manifestations
Treatment & Care

Damaged glomerular capillary membrane

Loss of plasma protein ( albumin)

Simulates synthesis of lipoproteins - Hypoalbuminemia

Hyperlipidemia
pressure

Decreased oncotic
Generalized

edema
Activation Renin
Angio System
Na+
retention
Edema

Patho
Types
Clinical Manifestations
Diagnostic Studies
Treatment & Care

Cystolitholapaxy
Cystoscopic lithotripsy
Uteroscopes
Percutaneous nephrolithotomy
Lithotripsy
Surgical Treatment
Nutrition Concerns

Ureteral
Urethral

Clinical Manifestations
Diagnostic Studies
Treatment

Clinical Manifestations
Diagnostic Studies
Treatment & Care

Transurethral resection with fulguration


Laser Photocoagulation
Nursing Care

Partial Cystectomy
Radical Cystectomy with urinary
diversion
Male: Bladder, Prostate, and seminal vesicles
Female: Bladder, urethra, cervix, ovaries,
uterus

Instilled into the bladder


BCG: Mycobacterium bovis

Diagnostic Studies
Treatment
Drug Therapy
Surgical Therapy
Nursing Care

Pre-op
Post-op
Urine
Respiratory
Abdominal

Ileal Conduit
Continent urinary diversion
Orthotopic bladder reconstruction

Pre-Op
Post-Op

Patho
Clinical Manifestations
Rapidly progressive glomerulonephritis
Chronic glomerulonephritis

Antigen
Antigen-antibody product
Deposition of complex into glomerulus
Increased production of epithelial cells lining the
glomerulus
Leukocyte infiltration of the glomerulus
Thickening of the glomerular filtration membrane
Scarring and loss of glomerular filtration membrane
Decreased glomerular filtration rate (GFR)

Who
Clinical Manifestation
Diagnostics
Treatment & Care

Patho
Clinical Manifestations
Treatment & Care

Patho
Treatment & Care

Patho
Clinical Manifestations
Care & Treatment

Nephrosclerosis
Renal Artery Stenosis
Renal Vein Thrombosis

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