Urinary Obstruction, Pediatric
Urinary obstruction happens when something blocks the passage of urine from the body. The blockage may be in any of the following places:
The kidneys. These are organs that filter blood and produce urine.
The ureters. These are tubes that carry urine from the kidneys to the bladder.
The bladder. This is the sac that holds urine until it passes out of the body.
The urethra. This is the tube that carries urine from the bladder out of the body.
Urinary obstruction can put pressure on the kidneys, leading to kidney infection or kidney damage.
CAUSES
Causes include:
Birth defects.
Kidney stones.
Blood clots.
Scar tissue.
Tumors or blood vessels that compress the ureters
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DIAGNOSIS
Urinary obstruction is usually diagnosed with one or more tests. Tests may include:
An ultrasound.
An X-ray.
A CT scan.
Cystoscopy.
Blood tests.
Urine tests.
TREATMENT
Treatment depends on the cause of the urinary obstruction and its severity. In some cases, the problem corrects itself as the child grows and develops. In other cases, treatment can involve:
The placement of a soft plastic tube (stent) into the blocked ureter. The stent will keep the ureter open and allow urine to flow more normally.
The placement of a drainage tube into a kidney. The tube will allow urine to drain into a container outside the body.
Surgery to fix the problem causing the obstruction.
Antibiotic medicine to treat an infection or to help prevent infection.
HOME CARE INSTRUCTIONS
Give medicines only as directed by your child's health care provider.
If your child was prescribed an antibiotic medicine, have him or her finish it all even if he or she starts to feel better.
Have your child drink enough fluid to keep his or her urine clear or pale yellow.
SEEK MEDICAL CARE IF:
Your child has a new
The function of ureters is to enter the urinary bladder at an angle to help prevent any back flow (reflux) of urine back into the ureter. The ureter connects the kidney to the urinary bladder and urine is drained from the kidney and stored in the bladder it’s a passage through which urine passes from kidneys to the urinary bladder.
Checketts for adequate hydration by checking many things, but six assessments that are important are: (1) amount of urinary output or yellow urine, (2) normal blood pressure, (3) elastic skin turgor with no tenting (Kalia, 2008), (4) basic metabolic panel (BMP) to assess BUN, creatine, and electrolytes including sodium, potassium, chloride, and bicarbonate (Dehydration, 2016), (5) her level of consciousness (LOC) including confusion and lethargy, and lastly (6) seizures. Other assessments include checking if capillary refill is less than three seconds and if pulse and respirations are normal. I’m also checking to make sure mucus membranes are moist (Kalia, 2008) and if her eyes normal and not sunken in. I’d perform a urinalysis, a CBC to check hematocrit, and finally a blood/urine osmolality (Dehydration,
1. What specific part of the kidney does the dialysis tubing represent? What is the function of this part?
the process of moving substances from the tubule cells or from the peritubular capillary blood into the tubule filtrate. It is important for
A Foley catheter is a soft, flexible tube that is placed into the bladder to drain urine. For as long as your catheter is in place, you will need to:
The cardiovascular system plays an immensely important role in the urinary system, without proper blood supply to the kidneys there would be no filtration and no urine to pass into the bladder. Proper blood supply is essential and renal failure would be catastrophic to the process of urination. Maintaining healthy renal arteries and veins is very important also to the respiratory system which keeps the tissues oxygenated, without this the tissue could not perform the duties required or even stay alive. The immune system could undesirably affect the kidneys as well, which would impede the flow of urine to the bladder. Acute or systemic inflammation on the urinary system would directly affect the bladder as well, this is why we need the immune system to keep this inflammation at bay. Kidney damage from this would directly affect all the systems mentioned here, so it is very important to keep the immune system healthy not just for the sake of the urinary system but almost every system of the human body. The urinary system although often overlooked is extremely valuable and required to stay alive and maintain homeostasis. So is the bladder and if you appreciate the ability to hold your urine in until you can find a nearby restroom you should be thankful for it as
The advantage of this method is that you can avoid constant catheterization which is associated with several problems, such as male infertility and tract infections. The method also ensures that patients can keep their bladder pressure low throughout the day. These catheters do not cause prolonged issues and can easily be avoided once the person is able to use ordinary methods.
CKD will cause the body to retain many excess fluids and waste that are normally filtered out to prevent internal harm throughout the body. With kidney disease there will be a rise in blood pressure due to the amount of extra fluid that is retained in the blood vessels. This fluid retention will cause the passageways to become narrow and make blood passage through the vessels increasingly difficult, in turn causing an increase in blood pressure. There will also be an increase in protein and blood found in the urine because it is not filtered out properly by the kidneys. Swelling will occur in the extremities and around the eyes because of the fluid retention as well. The longer the urine goes unfiltered the harder it may become to urinate due to pain or blockage or there may be more frequent night time urination (The National Kidney Foundation, 12).
The kidneys clarify the blood and assistance in removing the wastes and the additional liquid from the body.
1. lines body cavities and covers the body’s external surface 2. pumps blood, flushes urine out of the body,
This is the tube that normally carries urine from the urinary bladder. When semen containing sperm is ejaculated, it also travels out through the urethra, but the
A urinary tract obstruction will occur when there is an interference in the flow of urine through the urinary tract. When a obstruction occurs in either female or male urinary tract, there will be ab back flow of urine back into the kidneys. One of the many consequences that this condition causes is dilation of the structures distal to the obstruction, greatly increases the risk for infection, and will cause damage to the function of the kidneys (Huether, 2017, p. 747). There are two different types of obstructions that can occur: anatomic or functional. When an anatomic obstruction occurs there will be changes within the urinary system and this is known as obstructive uropathy. Along with these two types of obstructions, they can either occur
Most urinary tract infections are not serious, but some infections if left untreated can lead to serious problems. Some urinary infections can travel to the kidneys. Chronic kidney
• You may have small, flexible tube (catheter) draining urine from your bladder into a bag outside of your body. The catheter will be removed as soon as possible.
People who cannot keep urine from leaking have a condition called urinary incontinence. The muscle that normally keeps urine from leaking (urinary sphincter) may be weak. To treat this condition, a special material (bulking agent) can be injected into the tube that carries urine away from your bladder (urethra). This is called an implant. It is used to narrow and strengthen the urethra.