URINARY SYSTEM Flashcards
A 2 bean - shaped organs which are located retroperitoneally in costovertebral angle (CVA)
Kidneys
Light in color and granular in appearances.
Cortex
It is surrounded by Bowman’s Capsule
Glomerulus
Contains the loop of Henle, Vasarecta and Renal Pyramids
Medulla
The kidney receives how many percent of total amount of Cardiac output
20-25%
It is a basic structural unit of kidney; responsible for urine formation.
Nephrons
It secretes renin
Juxtamedullary nephrons
Normal value of GFR
125ml/min
Normal UO in ml/hr
40-60 ml/hr
Normal UO Per day
1,500/day
It is where the urine flows out and go through the renal pelvis
Renal pyramids
It is Responsible for H20 reabsorption
Loop of Henle
It regulates renal blood flow and improve normal renal tissue perfusion
Vasa recta
A type of nephron which responsible for urine formation
Cortical Nephrons
In case of Renal Failure what is the only acid base imbalanced occur
Metabolic Acidosis
DOC for hyperkalemia
Kayexalate/ Sodium Polystyrene sulfonate/exchange resin
What is the action of Kayexalate in case of R.F
It exchanges for sodium Ions in the body and eliminates excess potassium
Is there a need to give a small amount of insulin for the pt. who had hyperkalemia? Why?
Yes because Potassium have close affinity with glucose
What are the 2 organs helps in activation of Vit. D?
Liver and Kidneys
In case of R.F related to Hypercalcemia what complication may occur?
Renal Osteodystrophy
Responsible for guarding the cell
Calcium
What will happen with the pt. with hypercalcemia?
M T S C P C
Muscle Twitching
Seizures
Convulsions
Paresthesia
Cell excitability
What manifest in pt. with hypernatremia
presence of edema
Explain the RAAS
Presence of hypovolemia/decreased BP
Juxtamedullary will release renin
Renin stimulates liver to produce angiotensinogen
Converted to Angiotensinogen 1 by ACE released by the lungs
Then Angiotensinogen will now activated that causes vaso
stimulate the released of ADH
It is the hormone secreted by the kidney that stimulates bone marrow to produce RBC. Carries oxygenated blood to the tissues and cells
Erythropoietin
DOC for anemia
Epoetin/ Epoetin Alfa
Released by the atria of the heart in response to increased volume and stretch occurs in increased extracellular volume.
Atrial Natriuretic Peptide
It is a hormone that inhibits ADH
Atrial Natriuretic Peptide
Located Posterior to the symphysis pubis
Urinary bladder
In female urinary bladder lies immediately in front of the?
Vagina/uterus
In male urinary bladder lies immediately in front of the?
Rectum
Urinary bladder holds about?
500 - 800 ml of urine
It is a smooth triangular portion of the base of the bladder outlined by these openings
Trigone wall
A muscle that contract to propel urine out of to urethra
Detrusor
It allows the bladder to expand or contract accdg to the amount of urine it holds
Detrusor
A thin - walled muscular tube that channels urine to the outside of the body
Urethra
How many inches of female’s urethra?
1 1/2 inches
How many inches of male’s urethra?
5 - 6 inches
Red, Dark color of urine
Presence of blood in the urine
Smoky color of urine
Microscopic Hematuria
Cloudy color of urine
Infection
Colorless color of urine
FVE / Overhydration
Very Dark yellow color of urine
FVD/Dehydration
Red/Red Brown color of urine
Pt. is taking Terocin/Rifampicin
Orange color of urine
Severe DHN