NURS 6301:Week 10: Renal and Urologic Systems Essay Assignment Paper

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NURS 6301:Week 10: Renal and Urologic Systems Essay Assignment Paper

NURS 6301: Advanced Pathopharmacology | Week 10

Disorders of the renal and urologic systems can sometimes pose difficulties in the clinical setting. Patients are often hesitant to seek treatment for symptoms of these disorders because they might be embarrassed or uncomfortable with physical examinations and associated questions. When treating and managing disorders of these systems, advanced practice nurses must recognize that the causes and/or habits that lead to the disorders can vary significantly between children and adults and between females and males. Additionally, the consequences of the disorders can vary significantly among different patient groups, which makes it essential to identify renal and urologic disorders and recommend appropriate treatment options.

This week, you explore the pathophysiology of urinary tract infections and the types of drugs used in treatment. You also examine the impact of patient factors on both the pathophysiology of urinary tract infections and on the effects of prescribed drugs. Finally, you consider the impact of disorders across multiple body systems.

Learning Objectives

Students will:

• Analyze the pathophysiology of disorders within body systems
• Analyze types of drugs prescribed to treat disorders within body systems
• Evaluate the impact of patient factors on disorders within body systems
• Evaluate the impact of patient factors on the effects of prescribed drugs for disorders within body systems
• Analyze patient education methods

Learning Resources

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

• Chapter 29, “Structure and Function of the Renal and Urologic Systems”This chapter introduces the structure and function of the renal and urologic systems. It covers renal blood flow, kidney function, and tests for renal and bladder function. 
• Chapter 30, “Alterations of Renal and Urinary Tract Function”This chapter examines alterations of the renal and urinary tract function, including urinary tract obstruction, urinary tract infection, acute kidney injury, and chronic kidney disease. It focuses on the pathophysiology, clinical manifestation, evaluation, and treatment of those renal and urinary tract alterations. 
• Chapter 31, “Alterations of Renal and Urinary Tract Function in Children”This chapter presents alterations of renal and urinary tract function that are common in children. These alterations include structural abnormalities, bladder disorders, nephroblastoma, and urinary incontinence.

Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A.  (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter 32, “Urinary Tract Infection”This chapter covers drugs used to treat urinary tract infections. It also identifies special considerations when treating geriatric patients, pediatric patients, and women.

Drugs.com. (2012). Retrieved from www.drugs.com

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Optional Resources

Centers for Disease Control and Prevention. (n.d.). Retrieved August 10, 2012, from http://www.cdc.gov

Haymarket Media, Inc. (2012). Monthly prescribing reference [Online database]. Retrieved from http://www.empr.com/

Institute for Safe Medication Practices. (2012). Retrieved from http://www.ismp.org/

Medscape. (2012). Retrieved from http://www.medscape.com/

National Kidney Foundation. (2012). Retrieved from http://www.kidney.org/index.cfm

Discussion: Urinary Tract Infections

Urinary tract infections (UTIs) are caused by bacteria—most often, Escherichia coli. However, certain viruses, fungi, and parasites can also lead to infection. The infection can affect the lower and upper urinary tract including the urethra, prostate (in males), bladder, ureter, and kidney. Due to the progression of the disease and human anatomy, symptoms present differently among the sexes, as well as among different age groups. It is important to understand how these factors and others impact the pathophysiology of UTIs. Advanced practice nurses must have this foundation in order to properly diagnose patients.

To prepare:

• Review Chapter 30 in the Huether and McCance text and Chapter 32 of the Arcangelo text. Identify the pathophysiology of lower urinary tract and upper urinary tract infections. Consider the similarities and differences between the two types of infections.
• Consider one type of drug that would be used to treat symptoms associated with urinary tract infections.
• Consider gender and one of the following patient factors: genetics, ethnicity, age, or behavior. Consider how gender and the factor you selected might impact the pathophysiology of the urinary tract infections. Then, reflect on how these factors might impact the effects of prescribed drugs, as well as any measures you might take to help reduce any negative side effects.

By Day 3

Post a description of the pathophysiology of lower urinary tract and upper urinary tract infections, including their similarities and differences. Then, describe one type of drug that would be prescribed to treat symptoms associated with urinary tract infections. Finally, explain how gender and another patient factor might impact the pathophysiology of the urinary tract infections and the effects of prescribed drugs. Explain measures you might take to help reduce any negative side effects.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who selected different patient factors than you by suggesting ways to educate patients with these factors on the prevention of urinary tract infections.

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