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ACUTE PYELONEPHRITIS pyelonephritis (NURSING MANAGEMENT (encourage and…
ACUTE PYELONEPHRITIS
Definition
Bacterial infection and inflammation of renal pelvis
also affects the tubules, intestinal tissue of one or both kidneys
CAUSES
spread from systematic sources of infection
upward spread of bacteria from bladder
DIAGNOSTIC PROCEDURES
magnetic resonance imaging
Urinalysis
CT scans
NURSING MANAGEMENT
encourage and monitor fluid intake
regular bladder emptying and keep peritoneum clean
Bed rest until signs and symptoms have subsided
monitor vital signs every four hours
SIGNS AND SYMPTOMS
fever and chills
dysuria
Flank pain
RELATED PHARMACOLOGY
administer anti-pyretics e.g ibuprpfen
administer analgesics e.g paracetamol
Administer antibiotics e.g ciprofloxacin
DIET
milk, sour milk
cottage cheese
Fruits and vegetables with a diuretic effect e.g watermelons
bran and cereals from all brans
PATHOPHYSIOLOGY
bacterial invasion of renal parenchyma
bacteria reaches the kidney by ascending from lower urinary tract
