urinary assessment chap 45 Flashcards
which med taken by a renal pt is concerning to a nurse?
ibuprofen (NSAIDS) is processed by the kidneys.
if nurse cannot palpate kidney is that bad?
No- kidneys should not be felt upon palpation
what should nurse expect to see in a pt after cystoscopy?
blood tinged urine
Rifampin
phenazopyridine
turns urine bright red
turns urine dark orange
where is kidney located?
retro- perineal in the back. Right one should be felt in a very skinny person, but not the left one.
kidneys
run on a lot of hemodynamic control. about size of the person's fist located retro peritoneally adrenal gland on top of each cushioned by fat and connective tissue Hilus is on he medial side
nephron
functional unit of kidney
Loop of Henley
where Lasix (furosemide) takes effect
Blood supply of kidneys
Renal artery arises from aorta
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GFR glomerular filtration rate (in adult)
Normal is 125mL/min
measured by 24 hour urine collection have pt void then start collecting all urine for 24 hours and store it on ice until 24 hours is up. to compare to creatinine clearance from labs
BUN
blood, urea, nitrogen= wastes that kidneys are filtering off helps us determine the function of the kidneys
elevated BUN= kidneys not doing a good job of condensing
other functions of kidney?
creation of erythropoietin
Ace inhibitors
work by preventing angiotensin 1 from changing to angiotensin 2
ureters
drain from kidneys to the bladder
bladder
reservoir for urine. can hold 600mL to 1 L at a time -
-detrusor muscle contracts bladder and stops and starts urination
Trigone muscle
controls ability of urine to pass through the bladder