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2013 MS Vocab-Chapter 58 GU

AB
acute renal failuresudden and rapid decrease in the ability of nephrons within the kidneys to maintain fluid, electrolyte, and acid-base balance, excrete nitorgen waste products, and perform regulatory functions such as maintaining calcification of bones and producing erythropoietin
acute tubular necrosisdeath of cells within the collecting tubules of the nephrons, where reabsorption of water and electrolytes, and excretion of protein wastes and excess metabolic substances occur
anasarcageneralized edema caused by the shift of fluid from the intravascular space to interstitial and intracellular fluid locations
anuriaurine output of < 100 mL of urine over 24 hours
arteriovenous fistulasurgical anastomosis of an artery and vein lying in close proximity
arteriovenous grafttype of vascular access method that uses a tube of synthetic material or polytetrafluoroethylene to connect a vein and artery in the upper or lower arm
azotemiaaccumulation of nitrogen waste products in the blood, evidenced by elevated BUN, serum creatinine, and uric acid levels
bruitpurring or blowing sound caused by blood flowing over the rough surface of one or both carotid arteries. In the case of the GU system, sound created by turbulent blood flow through an AV fistula or graft
calciuriaexcessive calcium int he urine
calculusprecipitate of mineral salts that ordinarily remain dissolved in urine
castsdeposits of minerals that break loose from the walls of renal tubules
chronic renal failureprogressive and irreversible decrease in the ability of nephrons within the kidneys to maintain fluid, electrolyte, and acid-base balance, excrete nitrogen waste products, and perform regulatory functions such as maintaining calcification of bones and producing erythropoietin
colicacute spasmotic pain
dialysatesolution used during dialysis that has a composition similar to normal human plasma
dialysisprocedure for cleaning and filtering the blood that substitutes for kidney function when the kidneys cannot remove nitrogenous waste products and maintain adequate fluid, electrolyte, and acid-base balances
dialyzersemipermeable membrane filter within a machine that contains many tiny hollow fibers; during dialysis, blood moves through the hollow fibers and water and wastes from the blood move into the dialysate fluid that flows around the fibers, but protein and RBCs do not
disequilibrium syndromeneurologic condition believed to be caused by cerebral edema; the shift in cerebral fluid volume occurs when the concentrations of solutes within the blood are lowered rapidly during dialysis
end-stage renal diseaseless than 10% of nephron function remains and the point at which a regular course of dialysis or kidney transplantation is necessary to maintain life
extracorporeal shock wave lithotripsyprocedure that uses shock waves to dissolve large kidney stones
glomerulonephritisqqhematuriainflammatory renal disorder that occurs most frequently in children and young adults that is preceded by an upper respiratory infection with group A beta-hemolytic streptococci, impetigo, or viral infections such as mumps, hepatitis B, or HIV
hemodialysistechnique in which blood is transported from a client through a dialyzer, a semipermeable membrane filter within a machine that removes water and wastes from the blood
hydronephrosiscondition in which an obstruction of urine from the ureter distends the renal pelvis
nephrectomysurgical removal of a kidney
nephrolithiasispresence of a kidney stone, the size of which may range from microscopic to several centimeters
nephrostomy tubecatheter inserted through the skin into the renal pelvis and used to relieve an obstruction to urine flow above the bladder
nocturiaurination during the night
oligurialow urine output of less than 500 mL per day
osteodystrophycondition in which the bones become demineralized as a result of hypocalcemia and hyperphosphatemiz
periorbital edemapuffiness around the eyes
peritoneal dialysistechnique that uses the peritoneum, the semipermeable membrane lining of the abdomen, to filter fluid, wastes and chemicals
pyelonephritisacute or chronic bacterial infection of the kidney and the lining of the collecting system (kidney pelvis
pyeloplastysurgical repair of the ureteropelvic junction
pyuriapus inthe urine
thrillvibration; a normal finding when palpating and AV graft or fistula
uremiatoxic state caused by the accumulation of nitrogen wastes in the blood
uremic frostprecipitate that sometimes forms on the skin during chronic renal failure because it becomes the excretory organ for substances the kidney usually clears from the body
ureteral stentslender supportive device used to splint the ureter or divert urine past a possible tear int he ureteral wall
ureterolithiasispresence of a stone within the ureter
ureteroplastyremoval of a narrowed section of ureter and reconenction of the patient portions
urolithiasiscondition of stones in the urinary tract


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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