BACHELOR OF NURSING SCIENCE WITH HONOURS
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NBNC 2607
CLINICAL PRACTICE 14
SEMESTER JAUNARY/ 2012
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THE NURSING CARE AND MANAGEMENT OF
CLIENT WITH PYELONEPHRITIS
MATRICULATION NO : 880426565278001 IDENTITY CARD NO. : 880426-56-5278 TELEPHONE NO. : 0173127220 E-MAIL : zatil_qma@yahoo.com LEARNING CENTRE : PETALING JAYA LEARNING CENTRE TUTOR’S NAME : MISS RADHA A/P MANIAM
TABLE OF CONTENT
1. INTRODUCTION
2. SIGN AND SYMPTOMS 3. INVESTIGATION
4. MANAGEMENT OF PATIENT
5. CASE STUDY
5.1 Demographic Data
5.2 History of Admission
5.3 General Health Condition
5.4 Investigations
5.5 Management and Medications
6. THE NURSING CARE
7. CONCLUSIONS
8. REFERENCES 1. INTRODUCTION
Pyelonephritis is an inflammation of the kidney and upper urinary tract that usually results from noncontiguous bacterial infection of the bladder. It is a renal disorder that involves the pyelum, pelvis or the parenchymal tissues which commonly known as pyelitis. A more severe form of the disease, on the other hand is called urosepsis. The common bacteria that usually found in patient with this disease are E-coli, staphylococcus, and streptococcus. Most kidney infections result from lower urinary tract infections, usually bladder infections. Bacteria can travel from the vagina or rectal area (anus) into the urethra and bladder. Lower urinary system infections may spread to the kidneys, causing pyelonephritis. When you have a bladder infection, the usual mechanism that prevents urine from flowing back to the kidneys does not work properly. This problem can allow infected urine to move into the kidneys and cause a kidney infection that will bring damage to the kidney. Pyelonephritis can either be acute or chronic.
Pyelonephritis is a common kidney disorder.
References: * Czaja CA, Scholes D, Hooton TM, Stamm WE. Population-based epidemiologic analysis of acute pyelonephritis. Clin Infect Dis. Aug 1 2007;45(3):273-80. [Medline]. * National Kidney & Urologic Diseases Information Clearinghouse (NKUDIC). Kidney and Urologic Diseases Statistics for the United States. Available at http://kidney.niddk.nih.gov/kudiseases/pubs/kustats/#urologic. Accessed October 31, 2011. * Mazaki-Tovi S, Vaisbuch E, Romero R, et al. Maternal plasma concentration of the pro-inflammatory adipokine pre-B-cell-enhancing factor (PBEF)/visfatin is elevated in pregnant patients with acute pyelonephritis. Am J Reprod Immunol. Mar 1 2010;63(3):252-62. [Medline]. * Kofteridis DP, Papadimitraki E, Mantadakis E, et al. Effect of diabetes mellitus on the clinical and microbiological features of hospitalized elderly patients with acute pyelonephritis. J Am Geriatr Soc. Nov 2009;57(11):2125-8. [Medline]. * Lumbiganon P, Laopaiboon M, Thinkhamrop J. Screening and treating asymptomatic bacteriuria in pregnancy. Curr Opin Obstet Gynecol. Apr 2010;22(2):95-9. [Medline]. * Abrahamian FM, Moran GJ, Talan DA. Urinary tract infections in the emergency department. Infect Dis Clin North Am. Mar 2008;22(1):73-87, vi. [Medline]. * Martina MC, Campanino PP, Caraffo F, et al. Dynamic magnetic resonance imaging in acute pyelonephritis. Radiol Med. Mar 2010;115(2):287-300. [Medline]. * Silverman SG, Leyendecker JR, Amis ES Jr. What is the current role of CT urography and MR urography in the evaluation of the urinary tract?. Radiology. Feb 2009;250(2):309-23. [Medline].