CHP 22: GU AND RENAL EMERGENCIES Flashcards
most common acute renal disease
nephrolithiasis
what is nephrolithiasis
kidney stones or renal calculi
what filters the blood and produces urine
kidneys
what transports urine from kidneys to the bladder
ureters
what is the route by which urine leaves the bladder
urethra
what are the structural and functional units of the kidney that form urine
nephrons
what is uremia
excessive amounts of urea and other waste products in the blood
what type of pain is most commonly associated with urologic conditions
visceral (deep) pain
what is pyelonephritis
inflammation of the kidney linings
what is incomplete emptying of the bladder or a complete inability to empty the bladder
urinary retention
urge incontinence vs overflow incontinence
urge incontinence: sudden, intense urge to urinate followed by urination
overflow incontinence: constant, continual slow flow of urine
where do kidney stones originate
renal pelvis
2 most common types of kidney stones
calcium oxalate and calcium phosphate
what medical history is common with struvite kidney stones
chronic UTIs
what type of medical history is common with uric acid stones
gout
what is acute kidney injury
sudden decrease in rate of filtration through glomeruli, causing toxins to accumulate in the blood
what is oliguria
urine output of less than 500mL/d in adult
what is anuria
complete cessation of urine production
3 types of acute kidney injury and their S/S
prerenal - hypotension, tachycardia, dizziness, thirst
intrarenal - flank/joint pain, oliguria, hypertension, headache, confusion, seizure
postrenal - pain in lower flank, abdomen, and groin, oliguria, distended bladder, hematuria, peripheral edema
what causes prerenal acute kidney injury
hypoperfusion of the kidneys
what causes intrarenal acute kidney injury
damage to the glomeruli/blood vessels, kidney tubules, or renal parenchyma
what two medical conditions can cause intrarenal acute kidney injury
type 1 diabetes and rhabdomyolysis
what causes postrenal acute kidney injury
obstruction of urine flow from the kidneys
what is azotemia
increased level of nitrogenous wastes in the blood
two common symptoms of patients who have missed dialysis treatments
signs of volume overload: shortness of breath and peripheral edema
two types of dialysis
peritoneal dialysis and hemodialysis