Urinalysis Flashcards

1
Q

Total Body Water (TBW)

A

60% of body weight

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2
Q

TBW is highest in ____
and lowest in ____

A

Highest in newborns and adult males; lowest in adult females and adults with a large amount of adipose tissue

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3
Q

Functions of Kidney

A
  1. regulates blood volume/pressure
  2. eliminate wastes by filtering the blood plasma
  3. regulates fluid osmolarity
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4
Q

secretion and hormones in kidney

A
  1. Rennin
  2. Erythropoietin
  3. Calcitrol (Vit. D)
  4. Gluconeogenesis
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5
Q

Kidney detoxifies…

A
  1. Free radicals
  2. Drugs
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6
Q

Metabolic wastes

A
  1. CO2 (respiratory and urinary)
  2. Nitrogenous wastes (urinary)
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7
Q

Urea compromised how many percent in total nitrogenous wastest in human?

A

50%

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8
Q

The by-product of all chemical reactions in the body that needs to be excrete or else the build up will sicken and eventually kill the person

A

Human Metabolic Wastes

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9
Q

A liquid containing multiple waste products of metabolism, especially urea and other nitrogenous compoiunds

A

Urine

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10
Q

Urine is stored in ____
and excreted through the ___

A

stored in urinary bladder; excreted through urethra

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11
Q

Urine Formation

A
  1. Glomerular filtration (creates a plasma-like filtrate of the blood)
  2. Tubular reabsorption (removes useful solutes from the filtrate, returns them to the blood)
  3. Tubular secretion (removes additional wastes from the blood, adds them to the filtrate)
  4. Water conservation (removes water from the urine and returns it to blood, concentrates wastes)
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12
Q

Urine consituents

A
  1. Uric acid (0.3-2.0g from purine degradation)
  2. Hippurate (0.15g)
  3. Creatine (0.05-0.10g from muscle metabolism)
  4. Creatinine (1.0-1.5g from creatine and creatine phosphate)
  5. Urea (10-35g from proteins and amino acids)
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13
Q

Organic Constituents

A
  1. Glucose (< 0.16g)
  2. Ketone bodies (< 3g)
  3. Proteins (< 0.15g)
  4. Amino acids (1-3g)
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14
Q

Inorganic constituents

A
  1. Cl (120-240)
  2. Na (100-150
  3. HPO^2 4 (10-40)
  4. SO^2 4(30-60)
  5. NH4 (30-50)
  6. K (60-80)
  7. Ca2 (4-11)
  8. Mg2 (3-6)
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15
Q

Routine urine examintation, most useful tool for clinicians as an indicator or health or disease

A

Urinalysis

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16
Q

Four main groups of urine analysis

A
  1. Physio-Chemical properties
  2. Chemical examination
  3. Microscopic examination
  4. Bacterial screening
17
Q

(5) Physcio-Chemical properties

A
  1. Color
  2. Appearance
  3. Volume
  4. Specific gravity
  5. Odor
18
Q

(9) Chemical examination

A
  1. pH
  2. Sugar
  3. Protein
  4. Ketone bodies
  5. Bilirubin
  6. Urobilinogen
  7. Occult blood
  8. Nitrate
  9. Ascorbic acid
19
Q

(8) Microscopic examination

A
  1. WBCs
  2. Epithelial cells
  3. RBCs
  4. Casts
  5. Crystals
  6. Bacteria
  7. Yeasts
  8. Nonbacterial organisms
20
Q

(2) Bacterial screening

A
  1. Gram straining
  2. Colony count
21
Q

Characteristics of Urine

A
  1. volume
  2. specific gravity
  3. reactions/pH
  4. color/appearancce
  5. odor/taste
  6. constituents of urine (inorganic, organic, pathologic constituents)
22
Q

The normal volume of urine per day

A

600 to 2500mL per day

23
Q

Factors that affect volume of urine

A
  1. amount of water intake
  2. external temperature (higher = lower volume)
  3. individual and mental state
  4. diet
24
Q

substances that stimulate the kidney causing an increase in the volume of urine excreted

A

Diuretics

ex. water, alcohol, salty & spicy foods, xanthines, high protein diet

25
Q

A condition where there is an increase amount of urine excretion

A

Diuresis

26
Q

a condition in which the volume of urine is above normal

A

Polyuria

27
Q

condition where there is no urine secreted at all

A

Anuria

28
Q

condition where urine is less than normal

A

Oliguria

29
Q

A condition where there is a tendency of an individual to void at night

A

Nocturia

30
Q
A