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Med Surge - Kidney - Simple

AB
upper urinary structureskidneys, renal pelves & ureters
lower urinary structuresbladder, urethra & pelvic floor muscle
bladder holds how many ml500
BUN normals7-20 mg
creatinine normals.06-1.5
elevations in both BUN and creatinine meankidney dysfunction
glomerulonephritis isinflammation but noninfectious w/widespread kidney damage
one major s/s of glomerulonephritis isbig eyes - periorbital edema
BUN and Creatine both have to go up tobe renal issue
disease that accounts for 40% of all dialysisglomerulonephritis
ARF - three categoriesprerenal, intrarenal, postrenal disorders
hormone produced by kidneyerythropoietin
erythropoietin is needed forred blood cell production
pacer maker of the bladdersacral nerve
autoimmune issystematic - thruout entire body
bladder stones report immediatelygross hematuria
cystoscopy isvisualize inside of bladder using scope
specific gravity in urine1.003 - 1.029
pH4.5 -7.5
potassium3.5 -5
what is in urinewater sodium chloride, bicarbonate potassium urea creatinine uric acid
urine specific gravitymeasures kidneys ability to concentrate and excrete urine
urine specific gravity how measureddensity of urine compared to density of distilled water
urine protein - to identify whatrenal disease - protein is minimal in urine
creatinine issubstance result from break down of amino acid waste
creatinine also determinesmuscle necrosis and atrophy
why blood chemistrywhen nephrons fail to remove wast products, ALL blood chemistry will be altered
most common urologic disordersinfectious and inflammatory
pyelonephritisbacterial infect of kidney and lining
pyelonephritis acute v chronicacute - kidneys large - chronic kidneys small
polyuria and nocturia develop whentubules of nephrons fail to reabsorb water efficiently
what causes acute glomerulonephritisupper R infect, STREP, impetigo mumps, HebB
chronic glomerulonephritis is ____ damageirreversible to nephrons
treatment for chronic glomerubedrest, sodium restrict, antibotics, vit & iron - dylasis
generalized edema is calledanascara
why do you have low RBCexcretion of erythrocytes -
urolithiasiscondition of stones
causes of stonesincrease calicum in urine, dehydrate, UTI, obstructive etc
drainage of urine from kidney is done whenpost surigical - from obstruction - uses nephrostome tube
diet recommendation to prevent stonesreduce - protein, sodium - do not limit calcium



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