Pathophysiology - study map template-8 PDF

Preview

Summary

for clinical...

Description

Pathophysiology of Health Issue or Surgical Procedure Acute Pyelonephritis:

Acute pyelonephritis is a bacterial infection causing inflammation of the kidneys and is one of the most common diseases of the kidney. Pyelonephritis occurs as a complication of an ascending urinary tract infection (UTI) which spreads from the bladder to the kidneys and their collecting systems.

-

Possible Complications

Acute pyelonephritis can have several complications such as renal or perinephric abscess formation, sepsis, renal vein thrombosis, papillary necrosis, or acute renal failure, with one of the more serious complications being emphysematous pyelonephritis.

-

Nursing Interventions Assess: -

Adequate fluid intake

-

Nonsteroidal anti-inflammatory drugs (NSAIDs) or antipyretic drugs

-

Follow-up urine culture and imaging studies

Related Medications:

-

Treatment options for women with acute pyelonephritis not requiring hospitalization include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once per day for five days

-

Clinical Manifestations / Indications for Surgery: -

-

a fever greater than 102°F (38.9°C)

-

pain in the abdomen, back, side, or groin.

-

painful or burning urination.

-

cloudy urine.

-

pus or blood in the urine.

-

urgent or frequent urination. fi h

References:

lli

i

Lab Values (to assess, possible abnormalities) RBC or WBC, in the urine Bacteria grow in culture Diagnostics / Therapy / Treatments

-

-

Urinalysys Urine culture Imagining Blood cultues

Antibiotics (IV therapy)

Do: (Interventions) Continuing medications as prescribed 

Having a follow-up urine culture



Recognizing manifestations of recurrence or relapse



In addition to antibiotic therapy, encourage the patient to drink at least eight glasses of fluid every day, even after the infection has been treated.



Rest will increase patient comfort.

Teach: -

Normal renal function

-

Normal body temperature

-

No complications

-

Relief of pain

-

No recurrence of symptoms

-...