Diuresis: Oliguria and anuria are developed in acute renal insufficiency;

Nursing care of medical patients notes 2012 | Portal for education in nursing
Glumerulonefritis Ischemic diabetic nephropathy analgesic nephropathy kidney disease polycystic kidney disease Pyelonephritis Acute pyelonephritis PYELONEPHRITIS Symptoms:-fever, high TT - pain in zg. abdominal and cross-headache, thirst, nausea. Symptoms:-malaise. Subfebrilno state, fatigue, headache UN: - P. advised rest, lie - diet, alcohol is prohibited, sharp spices - 3L of fluid per day, 1 glass every hour - the application of vomiting, infusion, your doctor tells you - (an antibiotic)
- Hypertension - fatigue, headache, nausea, - cloudy urine, often brown (hematuria) - swollen eyelids in the morning, zabuhel face, swelling of the ankles Symptoms appear 10-20 days after infection, usually respiratory (vn. Top. Respiratory, angina, otitis, scarlet)
WHAT LEAD P? - Pain seizures, acute, convulsive rub in the lumbar region that spreads to the lower abdomen. - Vomiting - blood in urine - th. - Diagnostic tests: ultrasound, x-ray investigation of the urinary food standards agency scotland tract - urografija - smaller stones are eliminated spontaneously
Proper abstraction of urine storage and preons in the Lab: 1 Proper abstraction of urine 2 time of collection of urine - First morning urine (P. bedtime food standards agency scotland empties the bladder, morning cast mid stream food standards agency scotland urine in the cup - for the assessment of proteinuria) - The second morning urine (P. emitted by 2-4 hours after the first morning urine) - A random sample of urine (without prior preparation) - 24-hour food standards agency scotland urine-for an accurate assessment of proteinuria, which depends on the rhythm food standards agency scotland of secretion of proteins food standards agency scotland by exercise, nutrition and hydration - DETAILED PATIENT INSTRUCTIONS!
Transfer urine to the laboratory as soon as possible (2urah, food standards agency scotland 4 hours - test strips) sample kept in a refrigerator (8 hours) ERROR: amplification of bacterial alkaline pH, cell lysis and cylinder sample for microbiological examination should be kept in the refrigerator.
1 Macroscopically - MS or doctor (physical properties of urine: color, quantity, transparency, odor, foaming, relative density) 2 chemical properties (test strips): pH, glucose, ketones, hemogolbin, bilirubin, protein, leukocytes, .. 3 Microscopic analysis: food standards agency scotland Leukocytes, erythrocytes, epithelial cells, cylinders, bacteria, ...
Doppler examination of renal add basic information about the morphology of the kidneys, which are obtained by ultrasound examination, information ... through the kidneys, preservation of arterial and venous blood pressure and peripheral resistance in arterial blood flow.
Type and course (acute, chronic) kidney disease risk factors: inflammation food standards agency scotland of the upper respiratory tract (angina), food standards agency scotland Misuse of drugs (analgesics), pregnancy - fetal pressure on the urinary duct, diabetes - chronic complications
Being - P. was very tired, depressed, weak (due to a decrease in muscle mass) Elimination - micturition, diuresis; Defecation - admixtures, consistency, frequency; Sweating - a characteristic odor, vomiting, nausea, eating, drinking - poor appetite, thirst, bad breath, skin and mucous membranes - sweating, bleeding, inflammation, itching, color, smell of urine Breathing - hiccups assessment of the level of self-sufficiency food standards agency scotland
BALANCE OF LIQUIDS: fed daily. Fluid intake is limited to 500ml per day, so as to compensate the loss of fluid through the skin and mucous membranes. I teach the patient food standards agency scotland about restriction of fluids. The urine is lost K, Na, because the tubules are not able to regulate the volume and concentration of urine. The importance of K (per os, or iv)
Frequent use of oral care! The skin is dehydrated, itchy, because through it eliminated retenti. (Observation of the skin, the UN, prevention AFS) FEAR: need to provide information food standards agency scotland to P, relatives, visiting relatives are encouraged to P, which acts favorably. P needs understanding. MS is observed P and state of consciousness.
SAFETY: There is a risk of injury because it can be restless, disoriented. Often cramps. MS preventive works: learning lifestyle change. Preparing for redundancy - the active involvement of P, relatives, in order to improve self-control and self-sufficiency.
MS is a key person in a team that coordinates learning and care for understandable information transmission to P (diet, signs and symptoms of fluid overload, hyperkalemia, bleeding, infection) - oral and written instructions.
2 AKTULANI and potential nursing problems of acute renal failure 1 increased the amount of water in the body due to disturbed regulation capacity of the kidneys. 2 Change due to disturbed electrolyte balance control ability of the kidneys. 3 Losing weight due to the deterioration of appetite. 4 Risk of injury to the oral mucosa and skin caused by swelling and excretion food standards agency scotland of nitrogen retentov. 5 The risk of infection and bleeding due to uremia (increased urea concentration in the blood). food standards agency scotland 6 The fear of ignorance and incompetence of control over the disease. 7 Risk of injury due to confusion (due to retentov). 8 Dehydration due to increased diuresis - polyuria, food standards agency scotland and / or due to the application of diuretics. 9 Inability to manage the disease in the future.
Diuresis: Oliguria and anuria are developed in acute renal insufficiency;