N212: Health Differences Across the Life Span 2

1. N212: Health Differences Across the Life Span 2 Chapters 12 continued & 13

2. Other Urinary Tract Disorders • Acute and Chronic Glomerulonephritis • Pathophysiology • Diagnostic findings • Complications • Medical Management • Nursing Management

3. Nephrotic Syndrome Causes, incidence, and risk factors Symptoms Signs and tests Treatment complications

4. Acute & Chronic Renal Failure • Acute Renal Failure (ARF) • Chronic Renal Failure or End-stage Renal disease (ESRD) • Causes, incidence, and risk factors • Symptoms • Signs and tests • Treatment • Exceptions (prognosis) • Complications • Gerontologic considerations

5. Medical Management Pharmacologic therapy Nutritional therapy Dialysis Nursing Management

6. Urolithiasis Stones in the renal pelvis Stones lodge in the ureter Stones lodge in the bladder

7. Nursing Process Assessment Diagnosis Planning and goals Nursing interventions Expected patient outcomes

8. Genitourinary Trauma Causes Most common injuries Surgical injuries

9. Urinary Tract Cancer Clinical manifestations Diagnoses Medical management Nursing management Nursing management of Cutaneous Urinary Diversions Nursing Management of Continent Urinary Diversions

10. Urinary Disorders • Nephrosclerosis • Hydronephrosis • Urethritis • Causes, incidence, and risk factors • Symptoms • In men • In women • Signs and tests • treatment

11. Urinary Disorders • Renal Abscess • Pathophysiology • Clinical manifestations • Management • Urethral Strictures • Pathophysiology • Clinical manifestations • Management • Renal Cysts • Pathophysiology • Clinical manifestations • Management • Interstitial Cystitis • Pathophysiology • Clinical manifestations • Management

12. Pediatric Genitourinary Dysfunctions • Nephrotic Syndrome • Family issues • Nursing interventions • Wilms’ Tumor (Nephroblastoma)

13. Surgeries • Nursing interventions following kidney biopsy • Urinary diversions • Kidney surgery • Preoperative considerations • Kidney Transplant • Postoperative Management • Immunosuppressive therapy • Postoperative Nursing Management • Assess the patient for transplant rejection • Prevent infection • Monitor urinary function • Address psychological concerns • Monitor and manage potential complications • Promote home and community-based care

14. Chapt. 13: Nursing Care Deliver Systems: Objectives Understand nursing care for urinary and renal disorders. Learn symptoms of body fluid disturbances in patients with renal disease. Gain knowledge of nursing management for the patient with an indwelling urinary catheter. Describe a neurogenic bladder. Learn the goals of management for patients with glomerulonephritis and chronic renal failure. Describe the roles of the nurse: practitioner, leadership, and research. Acquire knowledge about clinical pathways and care mapping. Learn about TQI/CQI. Understand the nursing care of patients with metabolic and endocrine disorders. Gain knowledge about patient education regarding macro and micro complications of diabetes. Understand the concerns of the hospitalized diabetic. Describe pharmacological treatment for Type 1 and Type 2 diabetes. Learn the goals of management for patients with thyroid disorders.

15. Related Nursing Care • Nursing care for urinary and renal disorders • Angiography • Before the procedure • After the procedure • Kidney biopsy • Body fluid disturbances in patients with renal disease • Catheterization and indwelling urinary catheter • Complications • Neurogenic bladder • Complications

16. Related Nursing Care • Hemodialysis • Expected patient outcomes • Peritoneal dialysis • Kidney surgery • Glomerulonephritis • Chronic renal failure

17. Roles of the nurse Practitioner role Leadership role Research role Community based nursing Clinical pathways and care mapping TQI/CQI

18. Nursing care of patients with Metabolic and Endocrine Disorders • Liver biopsy patient • Preprocedure • During procedure • Post procedure • Paracentesis • Preprocedure • Procedure • Post procedure • Bleeding esophageal varices • Nonsurgical modalities • Surgical modalities

19. Nursing care of patients with Metabolic and Endocrine Disorders • Hepatitis A • Hepatic Cirrhosis • Promote rest • Improve nutritional status • Skin care • Reduce risk of injury • Monitor and manage potential complications • Bleeding and hemorrhage • Hepatic encephalopathy • Fluid volume excess • Promote home and community-based care

20. Nursing care of patients with Metabolic and Endocrine Disorders • Liver Transplantation • Preoperative interventions • Postoperative interventions • Cholecystectomy • Postoperative interventions • Hypoglycemia • Alternative names • Treatment • Patient education regarding Macro & Micro complications of diabetes • Concerns of the hospitalized diabetic • Self-care issues • Hyperglycemia during hospitalization • Pharmacological treatment for Type 1 & Type 2 diabetes

21. Nursing care of patients with Metabolic and Endocrine Disorders Diabetic Ketoacidosis (DKA) Radioactive Iodine therapy Thyroid Storm Surgical management of the Thyroidectomy patient Medical management of hyperparathyroidism Nursing management of hyperparathyroidism Hypoparathyroidism Pheochromocytoma Corticosteroid therapy Hypophysectomy Diabetes insipidus pancreatitis

22. Nursing care of patients with Metabolic and Endocrine Disorders • Kidney Transplant • Assessing the patient for transplant rejection • Preventing infection • Monitoring urinary function • Addressing psychological concerns • Promoting home and community-based care