MDC3 EXAM 1 LATEST VERSION ALREADY GRADED A

MDC3 EXAM 1 LATEST VERSION ALREADY GRADED A Acute Kidney Injury: Categories: PreRenal: before the kidney IntraRenal: Kidneys PostRenal: After the kidneys Acute Kidney Injury: Causes Sudden loss of kidney function due to decreased blood flow or damage to the kidneys due to disease processes or blockage of the urinary tract Acute Kidney Injury: abnormalities Elevated BUN/creatinine, oliguria Elements of renal assessments HISTORY -(Change in urine frequency, trauma,surgery, transfusion, allergic reaction, use of NSAIDs) S/S - (fluid overload, oliguria, hypoperfusion, hypoxemia) LABS -(creatinine, sodium ,potassium, phosphorus, calcium, magnesium, blood ph, blood bicarbonate, blood co2, H/H, blood osmolarity/osmolality) IMAGING (ultrasonography, CT scan, Xray, MAG3) BIOPSY Elements of reproductive assessments HISTORY (reproductive/sexual) CURRENT HEALTH PROBLEMS FEMALE: pelvic and breast exam, menstrual irregularities, unexplained abdominal or vaginal pain, vaginal discharge, itching, sores or infection, rape trauma or pelvic injury, physical changes in the vagina, cervix, and uterus MALE: may not get examined unless they have a specific problem LABS:FSH, LH, Prolactin , Estradiol , Estriol, Progesterone,Testosterone Prostate specific antigen (PSA), Total estrogens, Pregnanediol, Ketosteroids Benign Prostatic Hypertension: S&S: Difficulty starting urine stream, decreased velocity of urine stream, intermittent voiding, dribbling at the end, incomplete bladder emptying/retention, increased risk/recurrence of infection, urinary frequency/urgency/dysuria, nocturia/incontinence, and bladder urethra pain. BPH nursing care and education -Monitor output -Preform bladder irrigation to maintain patency of the catheter -monitor pain -Pharmacological and non pharm interventions -Monitor for bleeding -Watch for bladder spasms -Monitor for skin break down -Educate on S/S of infection -keep area clean and dry -Watch