RENAL MASS

RENAL MASS

1. Etiology/pathophys

   • Abnormal growth of cellular tissue or complex cyst genetic, hormonal or environmental
     • Risk factors/cause
       • lifestyle
         • Obesity
         • Smoking/alcholism
       • Thyroid/adrenal disorders
       • Family history

2. Sign/symtoms

   • Pain
     • Flank/Abd
     • Swelling
       • Genitals
       • Fever/chills

3. Treatment

   • Laboratory
     • Lfts, chem, cbc, UA
   • Imaging
     • Abd US, CT, MRI, IVP
   • Surgical
     • Partial/total nephretomy
   • Medication
     • Narcotics, hormone therapy
       • Chemo
   • Lifestyle
     • Nutrition, exercise
     • Smoking cessation,alcohol

4. Assessment/interventions

   • Resp
     • Cardio
       • Neuro
         • V/S
           • Htn, palpations,fever
         • Aggitation
           • Orientation
       • Tachycardia
     • GI/GU
       • Skin
         • Muscular/skeletal
           • Safety
             • IDs/allergy/fall risk
               • Rails/call light/low bed
           • ROM
             • Ambulate
             • Reposition
           • Flank pain
         • Skin integrity
           • Jaundice/pale
       • Abd pain/control
         • Infection
       • hematuria
     • Atelectesis
       • ABCs
     • Oxygen/sats
       • Incentive spirometer

5. Complications

   • HTN
     • Hypercalemia
       • Elevated RBCs
     • Liver problems
     • Cancer