Anatomy
The function of the kidney
What is:
Filtration of blood, production of urine, maintaining body's fluid balance
Signs and symptoms are:
Chills and fever, pollakiuria, dysuria, pain in flank
What is:
Pyelonephritis
Your client has chronic renal failure. What is the care pertaining to eat and drink?
What is:
Reduced protein and sodium, liquid restriction
This medication relaxes the urinary smooth muscles allowing for easier urination.
What is:
Alpha adrenergic blockers (Flomax, Cardura, Hytrin)
Used to determine the percentage of kidney failure
What is:
Serum creatinine
These tubes allow urine to flow from kidneys to the bladder.
What is:
Ureters
Signs and Symptoms:
Oliguria, generalized oedema,proteinuria
What is:
Chronic Renal Failure
Your client has pyelonephritis. What would be the care pertaining to eat and drink, and elimination?
Encourage hydration, monitor diuresis and urine characteristics
The main effect of an antibiotic
What is:
Prevent and treat infection
Used to determine a urinary infection
What is:
Urine culture
The functional unit of the kidney
What is:
The Nephron
Signs and Symptoms:
Pain and cramping in pubic region, sensation of full bladder with incapacity to void, bladder scan indicates more than 500 ml of urine in bladder.
What is:
Urinary Retention
You are caring for a client who has renal colic. What care procedure would you do to ensure the urinary casts would be able to be sent to the lab for analysis?
What is:
Provide the client with a urine filter and have them use it for each urination.
Two common side effects of diuretics
What is:
E+ imbalance, dehydration, vertigo, hypotension, transient hearing loss
An exam to check and measure various substances in the urine
What is:
Microscopic analysis of urine, urine analysis
The tube where urine leaves the bladder
What is:
The urethra
Two forms of this exist, spastic and flaccid
What is:
Neurogenic bladder
Your client has a urinary catheter and hematuria. Identify two care procedures that would make sense in this situation.
What is:
Monitor for blood clots, encourage hydration, speed up the irrigation (If available), monitor urine output, keep drainage bag lower than bladder, monitor urine colour, ensure the catheter is patent
Inhibits involuntary contractions of bladder smooth muscle
Increases capacity of bladder delay of initial urge to void
What is:
Anti-Cholinergic (Ditropan, Detrol, Urecholine)
Visualization of the interior of the bladder using an endoscope
What is:
Cystoscopy
A combination of voluntary and involuntary nerve impulses affecting the bladder
The voiding reflex
Intense paroxysmal lumbar pain, Hematuria, Tachycardia
What is:
Renal Colic
Your client has been trying to urinate for the last 4 hours, complains of bladder cramping and a feeling that the bladder is full. Identify three steps in your care for urinary retention. (1. 2. and 3.)
What is:
1.Bladder scan
2. Apply techniques to encourage urination on their own
3. Catheterize prn if more than 500 ml in bladder
Two side effects of Gravol, a medication commonly used for nausea and vomiting
What are:
Drowsiness, headache, dry mouth, vertigo
Measurement of blood cells (Erythrocytes, leukocytes,platelets) of venous blood.
What is
CBC or FSC