ETIOLOG

Entrance of blood borne Entrance of E. Colli/ negative Neurogenic

bacteria through wounds or bacteria in the urethral Bladder
punctures meatus
neurogenic
Filtration of blood in the Travels to the impairment
kidney bladder
Interfere with
Bacteria filtered in the Travels to the normal bladder
kidney ureter contraction
Bacteria was Travels to renal Residual urine
filtered and stays papilla
Increased Ascending
Increased infection
osmolarity osmolarity
Interferes with
Interferes with
WBC
WBC
Bacteria Growth
Bacteria Growth

Infects Medulla Infects Calices and

Infects
Does not
the affect
kidney Papillae
and
glomerulus
causes
inflamation

Activation of Chemical

Chemostatic Vasodilatation Increased

attraction Capillary
Permeability
Attraction of Increased Cerebral Flush
Leucocytes Blood Vasodilati ed Fluid Rednes Hea Pai
Shift
Diapedesis Increased Headach
WBC e Swelli
ng
Phagocytosis
Leukocytosis Renal Edema Pressure on Absce
Renal Nerves ss
Pus
formation
Pyuria
Sample Nursing Diagnosis
-Acute pain related to acute
Signs and Symptoms:Flank Acute inflammation of the renal tissue
pain. Fever and chills, dysuria, Pyelonephritis -Hyperthermia related to
frequency and urgency, malaise, inflammatory process
 PREDISPOSING FACTORS

Kidney Vesicoureteral Instrumentatio Female Sexual

Stones Reflux n Trauma
Obstruction and Introduction of
stasis of urine Reflux of urine organisms by Introduction of
to kidney catheter and organism from
endoscopes sexual
Bacteriu Hydronephro Entrapme Contributes to
nt of
bacterial
bacteria

Release of
Cytokines

Pain in Dysuri Host Cells

lumbar and a produces
abdomen endogenous
Accelerates hypothalamic regulatory center

Vasoconstricti Piloerection
on

Fever
 Untreated Healed due
to
Progressive Inflammation medication

Fibrosis and
scarring
Renal pelvis and calyces
becomes dilated
Destruction of
tubules
Inability of the kidney to Renal
concentrate urine Failure

Nocturi Polyuria Dilute Hypertensio

Sample Nursing Diagnosis

Signs and Symptoms
Flank pain. Fever and chills,
dysuria, frequency and urgency,
malaise, bloody or cloudy urine,
hypertension
Chronic -Acute pain related to acute
Pyelonephritis inflammation of the renal tissue
-Hyperthermia related to
inflammatory process
-Impaired Urinary Elimination related
to inflammation of bladder mucosa
-Deficient Knowledge regarding
therapy needs and preventions
related to lack of information

Pus
Phagocytosis
Formation
Diapedesis