RENAL Flashcards
Renal Concentration tests
evaluate the ability of the kidney to concentrate urine
Measured by specific gravity (normal range is 1.003-1.035).
Renal Concentration tests
a direct visualization of uretera and bladder by cystoscope
Cystoscopy
can test for several disorders
urinalysis
urinalysis can test for several disorders such as:
Diabetes Mellitus, dehydration, a urinary tract infection, kidney trauma, and glomerulonephritis
The most common presenting symptoms of acute glomerulonephritis are
hematuria and proteinuria
Restrict protein intake for client with
acute renal failure
Urinary output is measured for 24 hours in
Creatinine Clearance test
Blood chemistries such as Blood Urea Nitrogen(BUN) analysis will indicate the
ability of the kidney to excrete waste products
A urine culture and sensitivity can be collected by a
voided specimen (clean catch) or a sterilized catheterized specimen
The result identifies bacterial count, as well as the infectious agent and its antibiotic sensitivity
A urine culture and sensitivity
A creatinine clearance test
the best indicator of the kidney’s filtration function
A creatinine clearance test
It measures the amount of creatinine filtered by the glomeruli over a 24-hour period
an inflammatory disease of both kidneys that interferes with glomerular filtration
Acute Glomerulonephritis
strain all urine and check for presence of stone
For client with suspected renal calculi
most commonly caused by repeated streptococcal infection in childhood
Acute Glomerulonephritis
involves the removal of prostatic tissue by instrumentation through urethra
Transuretheral resection of the Prostrate (TURP)
caused by a lesion in the high thoracic or cervical cord
Autonomic Dysreflexia
Kegel exercises
For a patient with problem of urinary incontinence teach
Autonomic Dysreflexia
Severe hypertension, sweating, headaches noted. May occur with blockage in urine catheter
often is often used to treat urinary tract infections
Pyridium
Pyridium
Teach patient that it stains urine a reddish-orange color
encouraging increased fluid intake and decreased calcium intake if appropriate
Nursing care for urolithiasis includes
showering instead of bathing (especially bubble bath)
Teach clients with recurrent UTI preventive measures such as
antibacterial defenses.
Free flow of urine together with large urine output and normal pH are
Intravenous pyelogram (IVP):
injection of contrast dye for visualization on X-ray film of absence, presence, location, size and configuration of each kidney, the filling of the renal pelvis, and outlines the ureters
Check for allergy to iodine
shell fish or some type of seafood
