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Chronic Pyelonephritis cronic (Signs and Symptoms (Some patients have…
Chronic Pyelonephritis
Signs and Symptoms
Some patients have fever
Flank or abdominal pain
Malaise or anorexia
A fever greater than 102°F (38.9°C
Painful or burning urination
Fatigue
Definition
Is continuing pyogenic infection of the kidney
Risk Factors
Urinary tract infection
Certain medications
Chronic kidney stones or other bladder conditions
Catheter use
People with an enlarged prostate
Nursing Diagnoses
CT Scanning
Ultrasound
Imaging studies
Urine test
Pathophysiology
resulting fibrosis (scar tissue)
leads to decrease tubular reabsorption and secretion
leads to inflammatory respond
leads to impaired renal function
microbial envision of renal pelvis
leads to chronic Pyelonephritis
Nursing care plan
noting any provocative or palliative factors like pains
encourage patient to drink cranberry juice as a prophylactic.
Assess the patient’s urine every 4-6 hours
Investigate and report abdominal muscle rigidity
Encourage patient to verbalize concerns
