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Urinary SystemBY: Shierika Thompson
Acute Tubular Necrosis (ATN) Acute tubular necrosis (ATN) is caused by lack of oxygen to the kidney tissues (ischemia of the kidneys). The internal structures of the kidney, particularly the tissues of the kidney tubule, become damaged or destroyed. ATN is one of the most common structural changes that can lead to acute renal failure. ATN is one of the most common causes of kidney failure in hospitalized patients.  Risks for acute tubular necrosis include: Blood transfusion reaction Injury or trauma that damages the muscles Recent major surgery Septic shock or other forms of shock Severe low blood pressure (hypotension) that lasts longer than 30 minutes
Acute Tubular Necrosis (ATN)-Treatments ,[object Object]
Treatment focuses on preventing the excess build-up of fluids and wastes, while allowing the kidneys to heal. Patents should be watched for deterioration of kidney function.Treatment can include: ,[object Object]
Restricting fluid intake to a volume equal to the volume of urine produced
Restricting substances normally removed by the kidneys (such as protein, sodium, potassium) to minimize their buildup in the body
Taking medications to help control potassium levels in the bloodstream
Taking water pills (diuretics) to increase fluid removal from the kidney,[object Object]

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Chapter 9 urinary system

  • 2. Acute Tubular Necrosis (ATN) Acute tubular necrosis (ATN) is caused by lack of oxygen to the kidney tissues (ischemia of the kidneys). The internal structures of the kidney, particularly the tissues of the kidney tubule, become damaged or destroyed. ATN is one of the most common structural changes that can lead to acute renal failure. ATN is one of the most common causes of kidney failure in hospitalized patients. Risks for acute tubular necrosis include: Blood transfusion reaction Injury or trauma that damages the muscles Recent major surgery Septic shock or other forms of shock Severe low blood pressure (hypotension) that lasts longer than 30 minutes
  • 3.
  • 4.
  • 5. Restricting fluid intake to a volume equal to the volume of urine produced
  • 6. Restricting substances normally removed by the kidneys (such as protein, sodium, potassium) to minimize their buildup in the body
  • 7. Taking medications to help control potassium levels in the bloodstream
  • 8.
  • 9. Kidneys -- an infection of one or both kidneys is called pyelonephritis or a kidney infection
  • 10. Ureters -- the tubes that take urine from each kidney to the bladder are only rarely the site of infection
  • 11. Urethra -- an infection of the tube that empties urine from the bladder to the outside is called urethritisCauses Urinary tract infections are caused by germs, usually bacteria that enter the urethra and then the bladder. This can lead to infection, most commonly in the bladder itself, which can spread to the kidneys. Most of the time, your body can get rid of these bacteria. However, certain conditions increase the risk of having UTIs. Women tend to get them more often because their urethra is shorter and closer to the anus than in men. Because of this, women are more likely to get an infection after sexual activity or when using a diaphragm for birth control. Menopause also increases the risk of a UTI.
  • 12.
  • 13. Low fever (not everyone will have a fever)
  • 14. Pain or burning with urination
  • 15. Pressure or cramping in the lower abdomen (usually middle) or back
  • 16. Strong need to urinate often, even right after the bladder has been emptiedTreatments Your doctor must first decide whether you have a mild or simple bladder or kidney infection, or whether your infection is more serious. MILD BLADDER AND KIDNEY INFECTIONS Antibiotics taken by mouth are usually recommended because there is a risk that the infection can spread to the kidneys. For a simple bladder infection, you will take antibiotics for 3 days (women) or 7 - 14 days (men). For a bladder infection with complications such as pregnancy or diabetes, OR a mild kidney infection, you will usually take antibiotics for 7 - 14 days. It is important that you finish all the antibiotics, even if you feel better. If you do not finish all your antibiotics, the infection could return and may be harder to treat. Commonly used antibiotics include trimethoprim-sulfamethoxazole, amoxicillin, Augmentin, doxycycline, and fluoroquinolones. Your doctor will also want to know whether you could be pregnant.
  • 17.
  • 18.
  • 19. Urinary retention (being unable to empty the bladder when you need to)
  • 20. Surgery that made a catheter necessary, such as prostate or gynecological surgery
  • 21.
  • 22.
  • 23. Kidney damage (usually only with long-term, indwelling catheter use)
  • 24. Urinary tract or kidney infections