UTI, urinary retention, Acute & Chronic Renal Failure, BPH 요로감염,요폐,급성 신부전,만성 신부전,양성 전립선 비대증
2025. 9. 24. 13:03ㆍIn Canada/nursing study
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Urinary & Kidney Conditions Table | 비뇨기 및 신장 질환 요약 표
| Category | Urinary Tract Infection (UTI) 요로감염 |
Urinary Retention 요폐 |
Acute Renal Failure 급성 신부전 |
Chronic Renal Failure 만성 신부전 |
Benign Prostatic Hyperplasia (BPH) 양성 전립선 비대증 |
| Definition 정의 |
Infection in urinary system (bladder, urethra, kidneys). 요로(방광, 요도, 신장)에 생긴 감염 |
Inability to fully empty bladder. 방광을 완전히 비우지 못하는 상태 |
Sudden loss of kidney function. 신장이 갑자기 기능을 잃는 상태 |
Gradual decline in kidney function. 신장 기능이 서서히 저하되는 상태 |
Non-cancerous enlargement of prostate. 전립선이 비암성으로 커지는 질환 |
| Symptoms 증상 |
- Burning when urinating - Frequent urge - Cloudy/smelly urine 배뇨 시 통증, 잦은 소변, 탁하거나 냄새나는 소변 |
- Difficulty starting urination - Weak stream - Full bladder feeling 배뇨 시작 어려움, 약한 소변 줄기, 방광 팽창 느낌 |
- Fatigue - Swelling - Confusion 피로, 부종, 혼란 |
- Itchy skin - Swelling - Nausea 가려움, 부종, 메스꺼움 |
- Frequent urination - Weak stream - Dribbling 잦은 배뇨, 약한 소변 줄기, 소변 흘림 |
| Safety Tips 안전 수칙 |
- Stay hydrated - Wipe front to back - Urinate after sex 수분 섭취, 앞에서 뒤로 닦기, 성관계 후 배뇨 |
- Seek help if unable to urinate - Avoid meds that worsen retention 배뇨 불가 시 즉시 병원 방문, 요폐 유발 약물 피하기 |
- Monitor urine output - Avoid nephrotoxic drugs 소변량 확인, 신장 독성 약물 피하기 |
- Control blood pressure & diabetes - Regular kidney tests 혈압/당뇨 조절, 정기적인 신장 검사 |
- Limit caffeine/alcohol - Monitor symptoms 카페인/알코올 제한, 증상 관찰 |
| Tests 검사 |
- Urinalysis - Urine culture 소변 검사, 배양 검사 |
- Bladder scan - Post-void residual test 방광 초음파, 잔뇨량 검사 |
- Blood tests (creatinine, BUN) - Urine output 혈액 검사, 소변량 확인 |
- eGFR blood test - Urine albumin test 사구체 여과율, 소변 단백 검사 |
- PSA test - Ultrasound PSA 검사, 초음파 |
| Treatments 치료 |
- Antibiotics - Pain relief 항생제, 진통제 |
- Catheterization - Treat underlying cause 도뇨관 삽입, 원인 치료 |
- IV fluids - Dialysis (if severe) 수액, 투석 (심한 경우) |
- Medications - Dialysis or transplant (advanced) 약물, 투석 또는 이식 |
- Alpha-blockers - Surgery (TURP) 알파차단제, 수술 (TURP) |
1. Urinary Tract Infection (UTI)
What is it?
- Infection in the urinary system (bladder, urethra, or kidneys).
Key Signs & Symptoms:
- Burning or pain when urinating
- Frequent urge to pee, but little comes out
- Cloudy or foul-smelling urine
- Fever/chills (if infection spreads to kidneys)
Safety Tips:
- Drink fluids (unless restricted)
- Wipe front to back
- Finish all antibiotics prescribed
- Report fever, flank pain, or worsening symptoms
Tests / Treatments Ordered:
- Urine test (urinalysis, culture)
- Antibiotics
- Pain relief meds (phenazopyridine sometimes)
2. Urinary Retention
What is it?
- Can’t empty the bladder fully (acute = sudden, chronic = ongoing).
Key Signs & Symptoms:
- Strong urge but can’t pee
- Pain or pressure in lower belly
- Weak urine stream, dribbling
- Swelling in lower abdomen
Safety Tips:
- Untreated, it can damage kidneys
- May require catheter insertion
- Report pain, inability to urinate, or fever
Tests / Treatments Ordered:
- Bladder scan (ultrasound)
- Catheter to drain urine
- Urinalysis (rule out infection)
- Treat underlying cause (prostate, meds, nerve problem)
3. Acute & Chronic Renal Failure (Kidney Failure)
What is it?
- Acute Renal Failure (AKI): Sudden drop in kidney function.
- Chronic Renal Failure (CKD): Gradual, permanent loss of kidney function.
Key Signs & Symptoms:
- Swelling in legs/ankles
- Fatigue, weakness
- Little to no urine (AKI) OR gradual changes (CKD)
- Nausea, confusion, itching (waste buildup)
Safety Tips:
- Strictly follow fluid & diet restrictions (low salt, low potassium, low protein sometimes)
- Watch blood pressure & blood sugar (main causes of CKD)
- Avoid NSAIDs (ibuprofen, naproxen) – harmful to kidneys
Tests / Treatments Ordered:
- Blood tests (BUN, creatinine, electrolytes)
- Urinalysis
- Ultrasound (kidneys)
- Dialysis (if kidneys fail badly)
Common Treatments:
- Control blood pressure & diabetes
- Meds for anemia, bone health
- Dialysis (hemodialysis or peritoneal)
- Kidney transplant (CKD end-stage)
4. Benign Prostatic Hyperplasia (BPH)
What is it?
- Non-cancerous enlargement of the prostate gland (common in older men).
- Can press on the urethra → makes it hard to pee.
Key Signs & Symptoms:
- Frequent urination, especially at night
- Weak stream, dribbling
- Difficulty starting urination
- Feeling bladder isn’t fully empty
Safety Tips:
- Untreated BPH can cause urinary retention or kidney damage
- Avoid excess caffeine & alcohol (worsens symptoms)
- Take meds as prescribed (don’t stop suddenly)
Tests / Treatments Ordered:
- Digital rectal exam (DRE)
- PSA blood test (rule out prostate cancer)
- Bladder scan or ultrasound
- Urine flow test
Common Treatments:
- Meds to relax prostate muscle (tamsulosin)
- Meds to shrink prostate (finasteride)
- Surgery if severe (TURP, laser procedures)
In short:
- UTI = infection in urinary tract
- Retention = can’t empty bladder
- Renal Failure = kidneys stop working (sudden or long-term)
BPH = enlarged prostate blocking urine flow
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