Adult 1 Renal & Urinary Tract site Mr. Justice (Andrea)(Tonya)
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| Function r/t Kidneys | Urine formation, Excretion of waste, Acid-base regulation, Water balance, BP control
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| Renal replacement therapy indication r/t Nephrons | Total functioning nephrons < 20% normal
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| Juncitons of ureters have propensity for obstruction by | Renal calculi
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| Allows continentence to be maintained | External urinary sphincter
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| Antidiuretic hormone synonym | Vasopressin
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| ADH is secreted by | Posterior portion of Pituitary gland(PPP)
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| Early sign of kidney disease r/t Urine specific gravity | Fixed specific gravity indicates inability to concentrate and dilute urine
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| Normal serum Na level | 135-145
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| Na is only cation that exerts significant osmotic pressure, thus it is linked to | Blood volume and BP
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| Aldosterone function | Regulates Na volume
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| Increased aldosterone r/t Na excretion | Less Na is excreted, Aldosterone conserves Na and Water
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| Aldosterone r/t K excretion | Aldosterone causes K excretion
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| Most life-threatening effect of renal failure | K Retention
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| Bicarbonate r/t Kidney function | Kidney reabsorbs and returns to circulation
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| Creatinine clearance r/t Glomerular filtration rate(GFR) | CC decreases as renal function decreases
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| Strong desire to void r/t 350 mL or more of urine | "Functional capacity"
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| GFR r/t Aging | GFR decreases
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| Tenderness location r/t Kidneys | Costobertebral Angle(CVA) tenderness
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| Urine leakage during Valsalva maneuver & Marshall-Boney maneuver | Refer to MD
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| Urine specific gravity r/t Fluid intake | Inverse relationship, Fluid intake increases so Urine specific gravity decreases
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| Pt Care during Urologic testing w/Contrast agents | Have emergency equipment available, Know Pt allergy to iodine
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| Examples r/t Tests that use contrast agents | MRI, IV Urography, Retrograde pyelography, Cystography, Voiding Cystourethrography, Renal angiography
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| Pt restrictions r/t Cystoscopy | NPO for several hours before
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