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Renal System Disorders
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Polycystic Kidney Disease (PKD)
Symptoms: Flank pain, hematuria, hypertension; Treatment: Pain management, blood pressure control, possible kidney transplant; Nursing Interventions: Monitor blood pressure, pain assessment, prepare for dialysis if necessary
Hydronephrosis
Symptoms: Flank pain, urinary frequency, nausea; Treatment: Address underlying cause, may require catheterization or surgery; Nursing Interventions: Pain management, monitor for signs of infection or acute kidney injury, urinary output monitoring
Renal Cell Carcinoma
Symptoms: Flank pain, hematuria, abdominal mass; Treatment: Surgery, targeted therapy or immunotherapy; Nursing Interventions: Postoperative care, manage side effects of treatment, psychosocial support
Chronic Kidney Disease (CKD)
Symptoms: Progressively worsening kidney function, fatigue, nausea; Treatment: Manage underlying conditions, dietary modifications, may progress to need for dialysis; Nursing Interventions: Monitor patient adherence to dietary restrictions, manage comorbidities, education on disease progression
Interstitial Nephritis
Symptoms: Kidney inflammation, reduced kidney function, sometimes asymptomatic; Treatment: Cessation of offending drugs, corticosteroids; Nursing Interventions: Monitor renal function, assess for allergic reactions, educate about potential drug effects
Kidney Stones (Nephrolithiasis)
Symptoms: Severe flank pain, hematuria, nausea; Treatment: Pain management, lithotripsy or surgery, dietary changes; Nursing Interventions: Pain assessment, ensure adequate hydration, dietary education
Acute Kidney Injury (AKI)
Symptoms: Sudden decline in kidney function, elevated serum creatinine, reduced urine output; Treatment: Treat underlying cause, may require dialysis; Nursing Interventions: Monitor fluid balance, check electrolytes, manage blood pressure
Renal Artery Stenosis
Symptoms: High blood pressure, decreased kidney function, edema; Treatment: Angioplasty with stenting, antihypertensive medications; Nursing Interventions: Blood pressure monitoring, patient education on medication adherence, risk factor modification
Glomerulonephritis
Symptoms: Hematuria, proteinuria, edema; Treatment: Depends on cause, may include corticosteroids; Nursing Interventions: Monitor urine output and protein, blood pressure control, edema management
Nephrotic Syndrome
Symptoms: Severe proteinuria, hypoalbuminemia, edema; Treatment: Corticosteroids, diuretics, dietary changes; Nursing Interventions: Monitor weight and extremity swelling, educate on low-salt diet, manage medications
Urinary Tract Infection (UTI)
Symptoms: Dysuria, increased frequency of urination, hematuria; Treatment: Antibiotics, increase fluid intake; Nursing Interventions: Teach proper perineal hygiene, encourage fluid intake, assess for symptoms of recurrence or complication
Post-Infectious Glomerulonephritis
Symptoms: Hematuria, hypertension, edema post-infection; Treatment: Supportive care, antibiotics if infection is ongoing; Nursing Interventions: Blood pressure control, monitor fluid retention, educate about follow-up care
IgA Nephropathy (Berger's Disease)
Symptoms: Hematuria following upper respiratory or GI infection, proteinuria, possible kidney failure; Treatment: Angiotensin-converting enzyme inhibitors, fish oil, immunosuppressants; Nursing Interventions: Blood pressure management, monitor urine for blood and protein, educate on the chronic nature of the disease
Renal Vein Thrombosis
Symptoms: Flank pain, decreased kidney function, possible pulmonary embolism; Treatment: Anticoagulation, thrombectomy in severe cases; Nursing Interventions: Monitor for signs of embolism, manage pain, assess renal function
Pyelonephritis
Symptoms: Fever, flank pain, dysuria; Treatment: Antibiotics, possible hospitalization; Nursing Interventions: Administer prescribed antibiotics, encourage fluids, monitor for symptoms of sepsis
Diabetic Nephropathy
Symptoms: Proteinuria, high blood pressure, kidney failure; Treatment: ACE inhibitors or ARBs, tight glucose control; Nursing Interventions: Blood pressure and blood sugar monitoring, educate on the importance of diet and medication adherence, routine urine testing for protein
Goodpasture Syndrome
Symptoms: Hematuria, pulmonary hemorrhage, glomerulonephritis; Treatment: Plasmapheresis, immunosuppressive medications; Nursing Interventions: Monitor for breathing difficulties, manage renal symptoms, support during plasmapheresis
Alport Syndrome
Symptoms: Hematuria, progressive kidney disease, hearing loss; Treatment: ACE inhibitors, hearing aids, kidney transplant; Nursing Interventions: Monitor for progression of symptoms, support adaptation to hearing loss, prepare for renal replacement therapy as needed
Acute Tubular Necrosis (ATN)
Symptoms: Oliguria or anuria, elevated serum creatinine, fluid overload; Treatment: Supportive care, dialysis if required; Nursing Interventions: Monitor serum creatinine and potassium, fluid management, prepare for potential dialysis
Dialysis Disequilibrium Syndrome
Symptoms: Headache, nausea, restlessness; Treatment: Slower dialysis, adjustment of dialysate composition; Nursing Interventions: Monitor closely during dialysis, adjust dialysis settings, educate patient on symptom reporting
Rhabdomyolysis
Symptoms: Muscle pain and weakness, dark urine (myoglobinuria), possible acute kidney injury; Treatment: Fluid resuscitation, electrolyte correction; Nursing Interventions: Monitor for signs of compartment syndrome, aggressive hydration, track urine output and color
Hyperoxaluria
Symptoms: Recurrent kidney stones, nephrocalcinosis, potential kidney failure; Treatment: High fluid intake, oxalate management, possibly vitamin B6; Nursing Interventions: Dietary education to reduce oxalate, encourage hydration, monitor for stone formation
Medullary Sponge Kidney
Symptoms: Blood in urine, kidney stones, urinary tract infection; Treatment: Stone management, antibiotics for UTIs, increased fluid intake; Nursing Interventions: Monitor for signs of infection or stones, instruct on the need for adequate hydration, educate about symptoms of complications
Hypertensive Nephropathy
Symptoms: Progressive kidney damage, proteinuria, elevated creatinine; Treatment: Blood pressure management, possibly ACE inhibitors or ARBs; Nursing Interventions: Strict blood pressure monitoring, patient education on lifestyle modifications, routine renal function tests
Focal Segmental Glomerulosclerosis (FSGS)
Symptoms: Proteinuria, edema, reduced kidney function; Treatment: Corticosteroids, possibly immunosuppressants; Nursing Interventions: Monitor kidney function, manage protein in the urine, support patient through potential side effects of treatment
Kidney Trauma
Symptoms: Flank pain, hematuria, possible signs of shock; Treatment: Bed rest, possible surgery for severe cases; Nursing Interventions: Monitor vital signs, observe for blood in the urine, pain management
Uremia
Symptoms: Nausea, vomiting, mental status changes; Treatment: Dialysis, manage underlying kidney disease; Nursing Interventions: Assess for signs of increased toxin build-up, dietary management, prepare for dialysis as necessary
Nephrogenic Systemic Fibrosis (NSF)
Symptoms: Skin thickening and tightening, joint contractures, muscle weakness; Treatment: Avoidance of gadolinium contrast (for those with kidney issues), physical therapy; Nursing Interventions: Educate about risks of gadolinium in kidney disease, monitor for skin changes, support mobility and daily function
Renal Tubular Acidosis (RTA)
Symptoms: Fatigue, muscle weakness, hypokalemia; Treatment: Sodium bicarbonate or sodium citrate, potassium supplements; Nursing Interventions: Monitor electrolytes, provide patient education on medication adherence, assess for signs of muscle weakness or arrhythmias
Kidney Transplant Rejection
Symptoms: Increased creatinine, decreased urine output, fever; Treatment: Increased immunosuppressive drugs, plasmapheresis; Nursing Interventions: Monitor for signs of rejection, manage immunosuppression side effects, educate about signs of infection
Contrast-Induced Nephropathy (CIN)
Symptoms: Elevated creatinine after contrast exposure, reduced urine output, possible edema; Treatment: Hydration, possibly sodium bicarbonate or N-acetylcysteine; Nursing Interventions: Pre & post-procedure hydration, monitor creatinine levels, educate on the risk of contrast agents
Hypokalemia
Symptoms: Muscle weakness, cramps, arrhythmias; Treatment: Potassium supplementation, dietary adjustments; Nursing Interventions: Monitor electrocardiogram (ECG), potassium levels, educate on potassium-rich foods
Hyperkalemia
Symptoms: Muscle weakness, paralysis, cardiac arrhythmias; Treatment: Calcium gluconate, insulin with glucose, dialysis if severe; Nursing Interventions: Continuous ECG monitoring, ensure emergency medications are available, assess for signs of neuromuscular impairment
Hemolytic Uremic Syndrome (HUS)
Symptoms: Anemia, kidney failure, thrombocytopenia; Treatment: Blood transfusions, dialysis; Nursing Interventions: Monitor for signs of anemia, manage fluid balance, prepare for dialysis if necessary
Lupus Nephritis
Symptoms: Proteinuria, hematuria, edema; Treatment: Immunosuppressive drugs, possibly corticosteroids; Nursing Interventions: Monitor for side effects of medications, ensure patient adheres to prescribed treatment plan, routinely check urine for protein and blood
Minimal Change Disease
Symptoms: Sudden onset of edema, proteinuria, often in children; Treatment: Corticosteroids, diuretics; Nursing Interventions: Monitor response to steroids, assess for edema, manage fluid balance
Membranous Nephropathy
Symptoms: Proteinuria, edema, potential thrombosis; Treatment: Immunosuppressive drugs, anticoagulation; Nursing Interventions: Monitor for signs of clotting, protein levels in urine, administer medication as prescribed
Analgesic Nephropathy
Symptoms: Chronic kidney pain, signs of chronic kidney disease, papillary necrosis; Treatment: Cease analgesics causing the condition, manage CKD; Nursing Interventions: Educate on safe analgesic use, monitor renal function, support conservative CKD management
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