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41 Cards in this Set
- Front
- Back
- 3rd side (hint)
Loss of voluntary control of bladder |
incontinence |
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involuntary urination by child older than 4 yrs |
enuresis |
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intra-abdominal pressure forces urine through sphincter (Coughing, Multiple Pregnancies, Laughing) |
stress incontinence |
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____ result from incompetent bladder sphincter |
overflow incontinence |
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inability to empty bladder |
retention |
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normal urine, specific gravity 1.010 - 1.050 |
straw coloured with mild odour |
Urinalysis: Appearance |
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may indicate the presence of large amount of blood, bacteria, and pus |
cloudy |
appearance |
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may indicate hematuria, excessive bilirubin/ highly concentrated urine |
dark colour |
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infection or certain dietary products/ medications |
unpleasant or unusual odour |
would result in? |
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heavy purulence & presence of gram + and gram - organisms |
urinary infection |
a sign of? |
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blood indicates ___ Hematuria |
Small: infection, inflammation, tumours Large: hemorrhage, increased glomerular permeability |
Abnormal components of urine |
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protein indicates ___ Proteinuria |
leakage of albumin or mixed plasma protein |
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bacteria & pus indicates ___ (Bacteriuria & pyuria) |
infection |
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specific gravity indicates __ |
ability of tubule to concentrate urine low - dilute urine high - concentrated urine (renal failure) |
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urinary casts indicates ___ |
inflammation of kidney tubules |
inflammation |
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glucose & ketones indicates__ |
diabetes mellitus not well controlled |
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______ indicate kidney as a cause of hypertension |
elevated renin levels |
blood test |
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____ indicate failure to excrete nitrogen wastes caused by decrease GFR |
elevated serum urea & serum creatinine levels |
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____ indicates decreased GFR & failure of tubule to control acid -base balance |
metabolic acidosis |
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____ indicates decreased erythropoietin secretion or/and bone marrow depression |
anemia |
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____ depend on related fluid balance |
electrolytes |
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antistreptolysin O use for diagnosis of post streptococcal glomerulonephritis |
antibody level |
blood tests |
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____ & ____ studies urine specimen to identify cause and select drug treatment |
C & S |
other tests |
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radionuclide imaging, angiography, ultrasound, CT, MRI, visualize structures and possible abnormalities, flow patter and filtration rate |
radiologic tests |
other tests |
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used to assess GFR (ex- insulin or creatinine) |
clearance test |
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visualizes lower urinary tract used to perform biopsy or remove stones |
cystoscopy |
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used to acquire tissue specimen |
biopsy |
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used to remove excess sodium ions and water from body |
diuretic drugs ( hydrochlorothiazide/ mild diuretic , furosemide / potent) |
treatment/drug |
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provides filtration and reabsorption (artificial kidney) used to sustain life after kidney fail |
dialysis |
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in hospital, dialysis centre or home with special equipment and training |
hemodialysis |
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waste move from blood to dialysate |
bicarbonate ions moves into blood |
constituents move b/w the two compartment of hemodialysis |
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patient's blood moves from implanted shunt or catheter into an artery to machine -exchange of waste, fluid and electrolyte -semipermeable membrane separating dialysate and blood -after exchange blood returns |
hemodialysis |
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usually 3 times a week ( lasting 3-4 hours) |
hemodialysis |
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complications: -shunt becoming infected -blood clots may form -pt increased risk of infection with hepatitis B, C or HIV if standard precautions not followed |
hemodialysis |
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usually done on ____ |
outpatient basis |
peritoneal dialysis |
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done at night (during sleep) or when ___ |
ambulatory |
peritoneal dialysis |
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peritoneal member serves as ___ |
semipermeable membrane |
peritoneal dialysis |
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catheter in entry and exit point inserted ___ |
into the peritoneal cavity |
peritoneal dialysis |
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peritoneal dialysis takes more time then ____ |
hemodialysis |
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complications: |
infection resulting in peritonitis |
peritoneal dialysis |
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fluid enters peritoneal cavity through catheter and remains there allowing for the |
exchange of waste and electrolytes to occur by diffusion and osmosis then drained from cavity by gravity into a container |
peritoneal dialysis |