Alterations In Renal Function

A client who had strep 2 weeks ago is at risk for Acute Poststreptococcal Glomerulonephritis. This is because Acute Poststreptococcal Glomerulonephritis is a complication that can occur after a strep infection, usually 1-3 weeks after the initial infection. It is characterized by inflammation of the glomeruli in the kidneys, leading to symptoms such as hematuria, proteinuria, and edema. Therefore, it is true that a client who had strep 2 weeks ago is at risk for Acute Poststreptococcal Glomerulonephritis.

E. Coli is a type of bacteria that is commonly found in the intestines and is known to be the most common cause of urinary tract infections (UTIs). It can enter the urinary tract through the urethra and multiply, leading to an infection. E. Coli is responsible for around 80-90% of UTIs, making it the primary causative organism. Other bacteria, such as Staphylococcus saprophyticus and Klebsiella pneumoniae, can also cause UTIs, but E. Coli is the most prevalent and frequently implicated in these infections. Therefore, the statement that E. Coli is the most causative organism of urinary tract infections is true.

If the Acute Poststreptococcal Glomerulonephritis client has large amounts of circulatory congestion or hypertension present, they are at a huge risk for encephalopathy. Encephalopathy is a condition that affects the brain and can lead to various symptoms such as headaches, nausea/vomiting, irritability, lethargy, and seizures. Therefore, the statement "If the Acute Poststreptococcal Glomerulonephritis client has large amounts of circulatory congestion or hypertension present, they are at huge risk for encephalopathy" is true.

Pyelonephritis is a severe kidney infection that typically requires intravenous (IV) antibiotics for effective treatment. This is because IV antibiotics can provide a higher concentration of medication directly into the bloodstream, allowing for faster and more efficient delivery to the kidneys. Oral antibiotics may not be as effective in treating pyelonephritis due to their slower absorption and lower concentration in the bloodstream. Therefore, IV antibiotics are necessary to effectively treat pyelonephritis.

Clients with Nephrotic Syndrome exhibit signs of malnourishment, including pale shiny skin and brittle hair. This is because Nephrotic Syndrome causes a decrease in the amount of protein in the body, which is excreted through urine. As a result, the body becomes deficient in protein, leading to these physical manifestations.

An upper urinary tract infection (pyelonephritis) affects the kidneys and can cause more severe symptoms such as high fever, back pain, and nausea. A lower urinary tract infection (cystitis) affects the bladder and urethra, causing symptoms like frequent urination and burning sensation. Since the kidneys are vital organs responsible for filtering waste from the blood, an infection in this area can lead to more serious complications and a higher level of sickness compared to an infection in the lower urinary tract. Therefore, it is true that one would be much sicker with an upper UTI than a lower UTI.

While on prophylactic antibiotics, the client with Vesicoureteral Reflux may be given an anticholinergic such as "Ditropan" to help decrease bladder pressure. This is because anticholinergics work by relaxing the smooth muscles of the bladder, which can help reduce the pressure on the bladder caused by Vesicoureteral Reflux. By decreasing bladder pressure, anticholinergics can help prevent urine from flowing back up into the kidneys, reducing the risk of infection and kidney damage. Therefore, it is true that an anticholinergic such as "Ditropan" may be given to a client with Vesicoureteral Reflux while on prophylactic antibiotics.

Detergents, soaps, and bubble baths can actually increase the occurrence of urinary tract infections (UTIs). These products can disrupt the natural balance of bacteria in the urinary tract, making it easier for harmful bacteria to multiply and cause an infection. It is recommended to avoid using these products in the genital area to reduce the risk of UTIs.

Hypertension, or high blood pressure, is indeed common in clients with Acute Poststreptococcal Glomerulonephritis. This condition is an inflammation of the glomeruli, which are tiny filters in the kidneys. When the glomeruli are damaged due to a streptococcal infection, it can lead to increased blood pressure. This is because the kidneys play a crucial role in regulating blood pressure, and when they are not functioning properly, it can result in hypertension. Therefore, the statement "Hypertension is common in clients with Acute Poststreptococcal Glomerulonephritis" is true.

It is important to repeat the urine culture 48 to 72 hours after giving the febrile client with a UTI their antibiotic because it helps to assess the effectiveness of the treatment. The culture will determine if the antibiotic has successfully eradicated the bacteria causing the infection. If the culture still shows the presence of bacteria, it may indicate that the antibiotic is not working or that the bacteria is resistant to the medication. This information is crucial for the healthcare provider to make necessary adjustments to the treatment plan and ensure the client's recovery.

Urine Dipstick - shows non-specific bacteria or blood in urine is present
Urine Culture - shows what type of bacteria is present

According to PowerPoint Slide 26 in Alterations in Renal Function, physiologically, there are alterations in coagulation factors (hypercoagulability) increasing the risk for clots

It is difficult to tell when an infant has a UTI by signs & symptoms because those signs & symptoms could be present due to any type of infection. There's no way to tell for sure an infant has a UTI without doing tests because they cannot communicate where the pain is coming from.

This client is going to be on a SODIUM RESTRICTION due to the nature of the disease. This disease causes the client to retain sodium.

Elevated ASO titers show that there was a recent Strep Infection. Without elevated ASO titers, there cannot be a diagnosis of Acute Poststreptococcal Glomerulonephritis

In lecture on Renal Alterations, at 13:45, Jaime states there was a typo in the PowerPoint lecture. PowerPoint states HYPOLIPEDEMIA & she verbally states it should be corrected to HYPERLIPEDEMIA.

Diabetes and Lupus are examples of SECONDARY Nephrotic Syndrome

Hallmark sign for Acute Poststreptococcal Glomerulonephritis is BLOOD in the urine. Nephrotic Syndrom's hallmark sign is PROTEIN in the urine.

Costovetebral Tenderness is in the area of the kidneys - showing signs of Pyelonephritis.

Serum BUN & Creatinine elevated; Serum Protein Decreased; ELEVATED WBC & ESR; Elevated ASO titer; Anemia: decreased HGB & HCT

Renal scans at 2 and 5 Years post-surgery

Will be administered Corticosteroids, Albumin to replace what has been lost, & DIURETICS (not sodium) to help rid of the edema

Backflow or reflux of urine from BLADDER into URETERS (and possibly KIDNEYS)