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urinary tract

Adult 1 Renal & Urinary Tract site Mr. Justice (Andrea)(Tonya)

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