CHAPTER 9 Genitourinary System^379
- Monitor color of urine.
- Monitor stoma for color, checking adequate blood flow to tissue.
- Monitor abdomen for bowel sounds, pain, distention.
- Monitor skin for signs of breakdown, redness.
- Monitor for side effects of medications.
- Teach patient:
- Proper skin care postoperatively.
- Catheterization of ileal reservoir if needed.
Acute Glomerulonephritis
WHAT WENT WRONG?
Glomerulonephritis, also known as acute nephritic syndrome, is typically preceded
by an ascending infection or occurs secondary to another systemic disorder. In-
fectiouscauses include group A beta-hemolytic Streptococcus, measles, mumps,
cytomegalovirus, varicella, coxsackievirus, pneumonia due to mycoplasma, chlamy-
dia psittaci, or pneumococcal infection. Systemic disorders include systemic lupus
erythematosus, viral hepatitis B or C, thrombotic thrombocytopenia purpura, or mul-
tiple myeloma.
PROGNOSIS
Depending on the cause, the acute episode may completely resolve. Patients
should be monitored during the occurrence; signs of renal function need to be
checked.
HALLMARK SIGNS AND SYMPTOMS
- Hematuria
- Peripheral edema
- Elevated blood pressure, compared with patient’s norm
- Oliguria—decrease in urine output
- Nausea, vomiting, loss of appetite as renal function declines
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