Pyelonephritis
Download
1 / 16

pyelonephritis - PowerPoint PPT Presentation


  • 688 Views
  • Updated On :

PYELONEPHRITIS. Presented By: Jillymae Medina. Inflammation of the structures of the kidney: the renal pelvis renal tubules interstitial tissue Almost always caused by E.coli. Etiology. Etiology. Usually seen in association with: Pregnancy diabetes mellitus Polycystic

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'pyelonephritis' - paul


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Pyelonephritis l.jpg

PYELONEPHRITIS

Presented By: Jillymae Medina


Etiology l.jpg

Inflammation of the structures of the kidney:

the renal pelvis

renal tubules

interstitial tissue

Almost always caused by E.coli

Etiology


Etiology3 l.jpg
Etiology

  • Usually seen in association with:

    • Pregnancy

    • diabetes mellitus

    • Polycystic

    • hypertensive kidney disease

    • insult to the urinary tract from catheterization, infection, obstruction or trauma


What happens to the kidney l.jpg
What happens to the kidney?

  • The kidney becomes edematous and inflamed and the blood vessel are congested

  • The urine may be cloudy and contain pus, mucus and blood

  • Small abscesses may form in the kidney


Clinical manifestations l.jpg
Clinical Manifestations

  • Acute pyelonephritis may be unilater or bilateral, causing chills, fever, prostration and flank pain.

  • Studies has shown that chronic pyelonephritis may develop in association with other renal disease unrelated to infection processes

  • Azotemia (the retention in the blood of excessive amounts of nitrogenous compounds) develops if enough nephrons are nonfunctional


Signs and symptoms l.jpg
Signs and Symptoms

  • Subjective Data in acute pyelonephritis:

    • pt will become acutely ill, w/ malaise and pain in the costovertebral angle (CVA)

    • CVA tenderness to percussion is a common finding

  • In the chronic phase the pt may show unremarkable symptoms such as nausea and general malaise



Chronic pyelonephritis l.jpg

The autopsy specimen

consists of a bisected

kidney which is

markedly shrunken

because of chronic

inflammation and

Scarring.

(B) multiple calculi in

the proximal ureter

(A) Calyceal system 

     Chronic Pyelonephritis


Signs and symptoms9 l.jpg
Signs and Symptoms

  • Objective data includes assessing the pt for:

    • Elevated Temperature

    • Chills

    • Pus in the urine

  • Systemic signs occur as a result of the chronic disease:

    • elevated BP

    • Vomiting

    • Diarrhea


Diagnostic tests l.jpg
Diagnostic Tests

  • Diagnosis is confirmed by bacteria and pus in the urine and leukocytosis

  • A clean-catch or catheterized urinalysis with culture and sensitivity identifies the pathogen and determines appropriate antimicrobial therapy


Diagnostic tests11 l.jpg
Diagnostic Tests

  • IVP will Identify the presence of obstruction or degenerative changes caused by the infection process

  • BUN and Creatine levels of the blood and urine may be used to monitor kidney function


Medical management l.jpg
Medical Management

  • Pt w/ mild signs and symptoms may be treated on an outpatient basis with antibiotics for 14 to 21 days

  • Antibiotics are selected according to results of urinalysis culture and sensitivity and may include broad-spectrum medications


Medicines l.jpg

Ampicillin or vancomycin combined with an aminoglycoside (Nebcin, Garamycin)

Cipro

Septra

Bactrim

Floxin

Medicines


Medical management14 l.jpg
Medical Management (Nebcin, Garamycin)

  • Adequate fluids at least eight 8-oz. glasses per day

  • Urinary analgesics such as Phenazopyridine (Pyridium)

    is helpful

  • Follow up urine culture is indicated


Nursing intervetion patient teaching l.jpg

Pt is taught to identify the S&S of infection: (Nebcin, Garamycin)

Elevated temp.

Flank pain

Chills

Fever

Nausea

Vomiting

Urgency

Fatigue

General malaise

Pt should also be taught:

Indications

Dose

Length of course

Side effects

Importance of follow up care with the physician on a routine basis

Nursing Intervetion & Patient Teaching


Prognosis l.jpg
Prognosis (Nebcin, Garamycin)

  • Prognosis is dependent upon early detection and successful treatment

  • Baseline assessment for every pt must include urinary assessment because pyelonephritis may occur as a primary or secondary disoder