Nursing Tips

Renal (20)

Mannitol is an osmotic diuretic used to reduce cerebral edema and increased intracranial pressure (ICP).

Mannitol

Cathy Parkes RN, BSN, PHN, CWCN

Mannitol is an osmotic diuretic used to reduce cerebral edema and increased intracranial pressure (ICP).

Mannitol

Cathy Parkes RN, BSN, PHN, CWCN

Mannitol is an osmotic diuretic used to reduce cerebral edema and increased intracranial pressure (ICP).

Exstrophy of the Bladder is a condition marked by an infant's bladder being inside out and exposed through the abdominal wall.

Exstrophy of the Bladder

Cathy Parkes RN, BSN, PHN, CWCN

Exstrophy of the Bladder is a condition marked by an infant's bladder being inside out and exposed through the abdominal wall.

Exstrophy of the Bladder

Cathy Parkes RN, BSN, PHN, CWCN

Exstrophy of the Bladder is a condition marked by an infant's bladder being inside out and exposed through the abdominal wall.

Prior to initiating hemodialysis, auscultate their arteriovenous fistula for a bruit and palpate for a thrill.

Hemodialysis: Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

Prior to initiating hemodialysis, auscultate their arteriovenous fistula for a bruit and palpate for a thrill. 

Hemodialysis: Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

Prior to initiating hemodialysis, auscultate their arteriovenous fistula for a bruit and palpate for a thrill. 

Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.

Acute Kidney Injury (AKI): Causes

Cathy Parkes RN, BSN, PHN, CWCN

Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.

Acute Kidney Injury (AKI): Causes

Cathy Parkes RN, BSN, PHN, CWCN

Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.

The oliguric phase of acute kidney injury (AKI) is marked by urine output less than 400 mL/day. In the diuresis phase of AKI, urine output can reach 4 - 5 L/day.

Acute Kidney Injury (AKI) : Oliguric Phase

Cathy Parkes RN, BSN, PHN, CWCN

The oliguric phase of acute kidney injury (AKI) is marked by urine output less than 400 mL/day. In the diuresis phase of AKI, urine output can reach 4 - 5...

Acute Kidney Injury (AKI) : Oliguric Phase

Cathy Parkes RN, BSN, PHN, CWCN

The oliguric phase of acute kidney injury (AKI) is marked by urine output less than 400 mL/day. In the diuresis phase of AKI, urine output can reach 4 - 5...

Bethanechol, used to treat non-obstructive urinary retention, stimulates cholinergic receptors

Bethanechol

Cathy Parkes RN, BSN, PHN, CWCN

Bethanechol, used to treat non-obstructive urinary retention, stimulates cholinergic receptors

Bethanechol

Cathy Parkes RN, BSN, PHN, CWCN

Bethanechol, used to treat non-obstructive urinary retention, stimulates cholinergic receptors

Because spironolactone is a potassium-sparing diuretic, monitor the patient for signs of hyperkalemia. Educate patients to avoid salt substitutes, as most of these contain potassium.

Spironolactone

Cathy Parkes RN, BSN, PHN, CWCN

Because spironolactone is a potassium-sparing diuretic, monitor the patient for signs of hyperkalemia. Educate patients to avoid salt substitutes, as most of these contain potassium.

Spironolactone

Cathy Parkes RN, BSN, PHN, CWCN

Because spironolactone is a potassium-sparing diuretic, monitor the patient for signs of hyperkalemia. Educate patients to avoid salt substitutes, as most of these contain potassium.

Because oxybutynin is used to treat overactive bladder by inhibiting acetylcholine in the bladder, assess for anticholinergic symptoms. These include dry mouth, urinary retention, constipation, and blurred vision.

Oxybutynin

Cathy Parkes RN, BSN, PHN, CWCN

Because oxybutynin is used to treat overactive bladder by inhibiting acetylcholine in the bladder, assess for anticholinergic symptoms. These include dry mouth, urinary retention, constipation, and blurred vision.

Oxybutynin

Cathy Parkes RN, BSN, PHN, CWCN

Because oxybutynin is used to treat overactive bladder by inhibiting acetylcholine in the bladder, assess for anticholinergic symptoms. These include dry mouth, urinary retention, constipation, and blurred vision.

A patient undergoing hemodialysis may have an arteriovenous fistula in the arm. Educate patient that blood pressures, IVs, and blood draws must be done from the arm without the shunt.

Hemodialysis: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

A patient undergoing hemodialysis may have an arteriovenous fistula in the arm. Educate patient that blood pressures, IVs, and blood draws must be done from the arm without the shunt....

Hemodialysis: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

A patient undergoing hemodialysis may have an arteriovenous fistula in the arm. Educate patient that blood pressures, IVs, and blood draws must be done from the arm without the shunt....

A patient experiencing Acute Kidney Injury (AKI) will likely have hyperkalemia, hyponatremia, hypocalcemia, metabolic acidosis, anemia, and elevated creatinine and BUN.

Acute Kidney Injury (AKI)

Cathy Parkes RN, BSN, PHN, CWCN

A patient experiencing Acute Kidney Injury (AKI) will likely have hyperkalemia, hyponatremia, hypocalcemia, metabolic acidosis, anemia, and elevated creatinine and BUN.

Acute Kidney Injury (AKI)

Cathy Parkes RN, BSN, PHN, CWCN

A patient experiencing Acute Kidney Injury (AKI) will likely have hyperkalemia, hyponatremia, hypocalcemia, metabolic acidosis, anemia, and elevated creatinine and BUN.

A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis. Restrict fluids, sodium, and protein.

Acute Glomerulonephritis: Signs and Symptoms

Cathy Parkes RN, BSN, PHN, CWCN

A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis.

Acute Glomerulonephritis: Signs and Symptoms

Cathy Parkes RN, BSN, PHN, CWCN

A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis.

With a Urinary Tract Infection (UTI), the urinanalysis will be positive for leukocyte esterase and nitrites.

Urinary Tract Infection

Cathy Parkes RN, BSN, PHN, CWCN

With a Urinary Tract Infection (UTI), the urinanalysis may be positive for leukocyte esterase and nitrites.

Urinary Tract Infection

Cathy Parkes RN, BSN, PHN, CWCN

With a Urinary Tract Infection (UTI), the urinanalysis may be positive for leukocyte esterase and nitrites.

Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

Glomerulonephritis Labs

Cathy Parkes RN, BSN, PHN, CWCN

Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

Glomerulonephritis Labs

Cathy Parkes RN, BSN, PHN, CWCN

Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

Nursing Tips - Pyelonephritis

Pyelonephritis

Cathy Parkes RN, BSN, PHN, CWCN

Costovertebral tenderness is a key symptom with Pyelonephritis.

Pyelonephritis

Cathy Parkes RN, BSN, PHN, CWCN

Costovertebral tenderness is a key symptom with Pyelonephritis.

Peritoneal Dialysis

Peritoneal Dialysis

Cathy Parkes RN, BSN, PHN, CWCN

With peritoneal dialysis, bloody or cloudy outflow indicates possible infection!

Peritoneal Dialysis

Cathy Parkes RN, BSN, PHN, CWCN

With peritoneal dialysis, bloody or cloudy outflow indicates possible infection!

Urolithiasis

Urolithiasis

Cathy Parkes RN, BSN, PHN, CWCN

For a patient with urolithiasis (kidney stone), a key nursing intervention is to strain the patient's urine. Send stone for lab analysis!

Urolithiasis

Cathy Parkes RN, BSN, PHN, CWCN

For a patient with urolithiasis (kidney stone), a key nursing intervention is to strain the patient's urine. Send stone for lab analysis!

Phenazopyridine

Phenazopyridine

Cathy Parkes RN, BSN, PHN, CWCN

Phenazopyridine is a urinary tract analgesic. It is used to treat the symptoms of a UTI (burning, pain, frequency, urgency). It is not an antibiotic! HINT: Pyro = Fire, and...

Phenazopyridine

Cathy Parkes RN, BSN, PHN, CWCN

Phenazopyridine is a urinary tract analgesic. It is used to treat the symptoms of a UTI (burning, pain, frequency, urgency). It is not an antibiotic! HINT: Pyro = Fire, and...

Chronic Kidney Disease

Chronic Kidney Disease

Cathy Parkes RN, BSN, PHN, CWCN

Patients with Chronic Kidney Disease (CKD) should LIMIT intake of phosphorus, potassium, and sodium.

Chronic Kidney Disease

Cathy Parkes RN, BSN, PHN, CWCN

Patients with Chronic Kidney Disease (CKD) should LIMIT intake of phosphorus, potassium, and sodium.

Sildenafil

Sildenafil

Cathy Parkes RN, BSN, PHN, CWCN

Sildenafil is used to treat erectile dysfunction. If you use sildenafil it will help you fill out "down there".

Sildenafil

Cathy Parkes RN, BSN, PHN, CWCN

Sildenafil is used to treat erectile dysfunction. If you use sildenafil it will help you fill out "down there".

Turbutaline Sulfate

Terbutaline Sulfate

Cathy Parkes RN, BSN, PHN, CWCN

Terbutaline sulfate is a medication used to treat pre-term labor. HINT: Terbutaline looks like turbulence, and when flying, turbulence delays arrival time.

Terbutaline Sulfate

Cathy Parkes RN, BSN, PHN, CWCN

Terbutaline sulfate is a medication used to treat pre-term labor. HINT: Terbutaline looks like turbulence, and when flying, turbulence delays arrival time.