Chapters 12 continued & 13
 Acute
and Chronic Glomerulonephritis
• Pathophysiology
• Diagnostic findings
• Complications
• Medical Management
• Nursing Management
 Causes, incidence, and
 Symptoms
 Signs
and tests
 Treatment
 complications
risk factors
 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
 Pharmacologic
therapy
 Nutritional therapy
 Dialysis
 Nursing Management
 Stones
in the renal pelvis
 Stones lodge in the ureter
 Stones lodge in the bladder
 Assessment
 Diagnosis
 Planning
and goals
 Nursing interventions
 Expected patient outcomes
 Causes
 Most
common injuries
 Surgical injuries
 Clinical
manifestations
 Diagnoses
 Medical management
 Nursing management
 Nursing management of Cutaneous
Urinary Diversions
 Nursing Management of Continent
Urinary Diversions
 Nephrosclerosis
 Hydronephrosis
 Urethritis
• Causes, incidence, and risk factors
• Symptoms
 In men
 In women
• Signs and tests
• treatment

Renal Abscess
• Pathophysiology
• Clinical manifestations
• Management

Urethral Strictures
• Pathophysiology
• Clinical manifestations
• Management

Renal Cysts
• Pathophysiology
• Clinical manifestations
• Management

Interstitial Cystitis
• Pathophysiology
• Clinical manifestations
• Management
 Nephrotic
Syndrome
• Family issues
• Nursing interventions
 Wilms’ Tumor
(Nephroblastoma)



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













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.
 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
 Hemodialysis
• Expected patient outcomes
 Peritoneal
dialysis
 Kidney surgery
 Glomerulonephritis
 Chronic renal failure
 Practitioner
role
 Leadership role
 Research role
 Community based nursing
 Clinical pathways and care mapping
 TQI/CQI
 Liver biopsy patient
• Preprocedure
• During procedure
• Post procedure
 Paracentesis
• Preprocedure
• Procedure
• Post procedure
 Bleeding esophageal
• Nonsurgical modalities
• Surgical modalities
varices
 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

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
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




 Kidney Transplant
• Assessing the patient for transplant rejection
• Preventing infection
• Monitoring urinary function
• Addressing psychological concerns
• Promoting home and community-based care