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225 EXAM 3
Urinary/Renal assessment exam 3
| Question | Answer |
|---|---|
| what does the kidneys do? | filters and regulates fluid volume |
| What do the ureters do? | connect the kidneys to the bladder |
| What does the bladder do? Relaxes and Contracts | stores urine. Relaxes to fill. Contracts to empty |
| what does the urethra do? | urine exit site |
| Parenchyma | kidney tissue |
| Nephron | functioning/filtering unit of the kidney |
| Glomerulus | cluster of blood vessels and capillaries that filter waste |
| Glomerular filtration rate GFR? range? | how much waste and toxins filter out each min. Normal 125mL/min but anything less then 60 mL is bad |
| Tubules | reabsorbes vs excrete |
| Blood urea nitrogen BUN levels? | 10-20 mg/dL |
| Creatinine | 0.6-1.2 mg/dL |
| what does ADH and aldosterone hold on to? | holds onto water and sodium |
| what does ANP and BNP get rid of? | gets rid of water and sodium |
| what does the parathyroid hormone do? | tells tubules to keep calcium |
| what does erythropoietin do? | tells bone marrow to produce RBC |
| what does renin inc? | inc BP |
| RAAS do? | turns angiotensinogen in angiotensin 1 then 2. Angiotensin constricts, Aldosterone is produced |
| what is the diet concern for dehydration? | UTI, stones, kidney failure |
| what is the diet concern for high dairy and protein? | Stones |
| what is the diet concern for caffeine, alcohol, carbonated drinks, artificial sweetness, chocolate, acidic or citrus food, spicy food | worsens inflammation/irritation, inc diuresis |
| what is a bladder scan used for? | amount of urine in the bladder |
| what is a urine culture for? | Bacteria |
| what is a urinalysis for? | color clarity, whats in the urine |
| what is a CT for? | visualized structures |
| What is a Intravenous pyelogram (IVP) for? | visualize structures with dye, make sure to inc fluids after to flush out the dye then check GFR and BUN |
| what is the X-ray KUB for? | visualize kidneys, ureters, and bladder |
| what is the Cystoscopy for? | lighted scope with a camera to visualize bladder |
| what is the 24 hr urine for? | analyze urine throughout the day. throw away first void then start time and collect all urine afterwards |
| what are the effects of aging for renal? | Dec bladder size, renal blood flow r/t cardiac output, glomeruli filtration, muscle support, elasticity. Inc bladder infections and incontinence |