Kidney
Functions & more
Name that disease
Sign & Symptom
Nursing care
100
What is the functional unit of the Kidney?
Nephron
100
What is the role of the renal tubule?
Allows reabsorption and urinary secretion
100
Damage to the glomeruli can be caused by Streptococcus infection, autoimmune reaction, heavy use of NSAIDS.Can be acute or chronic.
Glomerulonephritis
100
What are the signs & symptoms of Glomerulonephritis
-Headache, Dizziness, Epistaxis -Urinary problems: Oliguria, Anuria, nocturia -Change in urinary composition: heamaturia, proteinuria, Dark coloured urine. - An increase in creatinemia, Azotemia and Kalemia. -Fatigue & Anemia - Greyish tone skin & pruritus -Confusion & convulsions -Digestive problems -Weight loss
100
Mrs. Dover has Urolithiasis and now suffering with Renal colic what nursing care would you give?
- Hydrate abundantly - filter urine for stone -Monitor for Haematuria & pyuria (colour, quanity) - Administer meds that reduce uric acid - Suggest Pt to take hot baths Administer meds for renal colic * narcotics * Antispasmodics -
200
What is the passage where the kidney contains blood vessels and the ureters enter and exit?
Hilum
200
What is the function of the Glomerulus?
Filter out water & blood solutes such as mineral salts & products of nutrients breakdown, without allowing large proteins or blood cells to pass.
200
A sudden near total loss of kidney function from a drop in BP.
Acute Kidney failure
200
What are the signs & symptoms of pyelonephritis
Acute: Chills,Hyperthermia,Lateral pain, Constovertebral tenderness, Dysuria & Pollakiuria Chronic: Polyuria, Pollakiuria, excessive thirst, Chronic fatigue, loss of appetite & weight loss
200
Mrs. Smith suffers from Acute Glomerulonephritis. What is the nursing care you would give to her?
- Observe bed rest (only for acute) -Provide a diet low in protein, low sodium, low potassium -Increase carbohydrate intake - Follow prescribed Fluid restriction -Provide proper skin care -Record weight daily or as prescribed -Administer prescribed meds *Hypertensives *Diuretics *Antibiotics ( In the case of Chronic Corticosteroids) -
300
Name 2 hormones that stimulate tubular reabsorption
1) ADH 2 Aldosterane
300
What are normal substances found in urine?
1)Electrolytes 2) Phosphates 3) Nitrogen 4) Urea 5) Uric acid 6) Creatinine 7)Ammonia 8) Fatty acids 9 Pigments 10) Hormones
300
Inflammation of the urethra caused by a STI?
Urethritis
300
What are the signs & symptoms of Renal colic
-Intense, paroxymal lumber pain -Pain radiating into abdomen, bladder,genitals & inner thighs -Nausea,vomiting,diarrhea, and abdominal discomfort -Tachycardia -Urinary urgency -Haematuria
300
Mr. Jones suffers with Pyelonephritis what nursing care would you give?
- Preform regular urine cultures -Suggest PT to drink lots of water -Administer prescribed meds *Analgesics if needed * Antimicrobials
400
Region of the Kidney that contain the renal pyramids?
Medulla
400
There are 2 parts to the urinary system what are they?
1) Secreting part * 2 kidneys 2) Excreting part * Ureters * bladder * urethra
400
All bladder dysfuctions caused by a lesion to the nervous system?
Neurogenic bladder
400
What are the signs & symptoms of bladder retention?
-Lower abd pain -Bladder distention -↑BP -Tachycardia -Overflow(tiny frequent amounts) can be possible
400
Mrs. Parker has Cystitis, what is the nursing care you would give to her?
-Hydrate Abundantly - Suggest PT to take hot baths - Suggest drinking cranberry jucie - give prescribed meds * urinary analgesics * Antispasmodics * Antimicrobials (In the case of Urethritis treat PT & partner for STI)
500
What 3 layers cover the kiney?
1) Renal capsule the inner layer 2) Perirenal fat the middle layer 3) Renal fascia the outer layer
500
What is the functions of the kidney
1) Elimination of metabolic waste products exp: urea, Bilirubin,Creatinine & uric acid. 2)Excreting foreign substances exp: Drugs, meds & toxins 3) Maintain blood PH 4) Regulating body fluid balance 4) Electrolyte regulation. 5)Regulate BP (BP control) 6) Calcium(Ca) absorption 7) Maintaining the level RBC (erythropoietin).
500
An infection of the renal pelvis and the tubular and interstital tissues of the kidney.Can be acute or Chronic. What is it?
Pyelonephritis
500
What are the signs & Symptoms of Cystitis & urethritis?
-Dysuria - Burning sensation during urination -Pollakiuria -Urinary urgency -Suprapubic spasms -Urethral discharge ( in cystitis Fever accompanies the inflammation reaction)
500
Mr. Farmer is experiencing Acute Renal (kidney) failure, what nursing care will you give him?
- Observe bed rest -Provide a diet low in protein, low sodium, low potassium -Increase carbohydrate intake - Follow prescribed Fluid restriction -Provide proper skin care -Record weight daily or as prescribed -Administer prescribed meds *Hypertensives *Diuretics *Antibiotics *Anticonvulsives if needed