Chapter 22 Flashcards
Filters blood and produces urine
Kidneys
Transport urine from kidneys to bladder, each person has a pair
Ureters
Stores urine until it exits the body
Bladder
Route that urine leave the body, shorter in women making them more prone to infection
Urethra
What are the regions of the kidney?
Cortex, medulla, pelvis
Found in the cortex
Functional and structural units of the kidney that form urine
Nephrons
Each nephron composed of what?
Glomerulus
What surrounds the glomerulus?
Glomerular (Bowman) Capsule
What connects w/ the kidneys tubules?
Proximal convoluted tubule, loop of Henle, and distal convoluted tubule
What surrounds the urethra and secretes fluids, along with/ seminal vesicles, into the urethra during ejaculation?
Prostate Gland
What is located in the scrotum and creates spermatozoa?
Testes
Ensuring scene safety, mechanism of injury/nature of illness, requesting additional resources, and determining the number of pt’s is what part of the assessment?
Scene size up
Reabsorption of salt and water happens in this location, also helps concentrate urine
Loop of Henle
Excessive amounts of urea and other waste products in the blood
Uremia
Sleep pain caused by activation of pain receptors in internal areas of the body enclosed within a cavity, most common type of pain with urologic conditions
Visceral Pain
Why do we put pt’s with suspected urologic emergencies on a cardiac monitor?
To monitor for electrolyte imbalances
Generalized treatment should include what?
Pain management and anti emetics, consider crystalloid fluid for hemodynamic instability
Usually develop in lower urinary tract, normal flora enter the urethra and grow, more common in women
UTI
Develop when lower urinary tract infections go untreated, can lead to what?
Upper urinary tract infection, leads to polynephritis
Inflammation of kidney lining
Pyelonephritis
Collection of pus around the kidney, can result in sepsis and become life threatening
Perinephric abcess
Painful urination, frequent urination, difficulty urination
Classic triad of symptoms for UTI
Bladder pain in women and prostate pain in men
Indicates a UTI
UTI Treatment?
Generally supportive
IV/Vitals/EKG
Provide treatment for N/V if needed
Pt’s w/ sepsis from UTI will need more aggressive care
Pain management as needed
Transport to appropriate facility
Latex or plastic tube inserted into bladder, connected to drainage bag below level of bladder, allows continuous outflow of urine and a means to measure urinary output
Urinary Catheter
Why is urine backflow bad for pt’s with catheter?
Increases risk of infection
Incomplete emptying of bladder or complete inability to empty bladder
Urinary retention
Loss of bladder control; inability to control release of urine from bladder; can occur from sneezing and cough; sign of other medical conditions
Urinary incontinence
Sudden intense urge to urinate; followed by involuntary urine loss in seconds to minutes;
