NUR2310C Lecture Notes - Lecture 6: Voiding Cystourethrography, Blood Urea Nitrogen, Urinary Tract Infection
Document Summary
A child"s kidney reaches full size by adolescence. Infants increase in irritability, frequent urination, poor feeding, vomiting, failure to gain weight, increase in thirst. Children abdominal or back pain, pain with urination, increase in thirst, poor feeding, vomiting, slowed growth, swelling of face, anuresis. Diagnose urine specimen, diagnosed midstream, clean catch urine sample, sterile catheterization, renal ultrasound. Treatment antibiotics based on child"s age, use antibiotic based on organism. Education watch for manifestations for recurrence, provide instructions for preventing recurrent uti"s. **make sure little girls are wiping font to back; retract the foreskin; use cotton underwear; avoid bubble baths; void frequently; if sexually active void after intercourse; make sure teaching to drink lots of water to flush kidneys. *bladder exstrophy abdominal wall did not close, bladder is exposed nc-cover opening with sterile moist gauze. *hypospadias most common genital defect, opening is on the ventral aspect of the penis, 1 in.
