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41 Cards in this Set

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Loss of voluntary control of bladder

incontinence

involuntary urination by child older than 4 yrs

enuresis

intra-abdominal pressure forces urine through sphincter


(Coughing, Multiple Pregnancies, Laughing)

stress incontinence

____ result from incompetent bladder sphincter

overflow incontinence

inability to empty bladder

retention

normal urine, specific gravity 1.010 - 1.050

straw coloured with mild odour

Urinalysis: Appearance

may indicate the presence of large amount of blood, bacteria, and pus

cloudy

appearance

may indicate hematuria, excessive bilirubin/ highly concentrated urine

dark colour

infection or certain dietary products/ medications

unpleasant or unusual odour

would result in?

heavy purulence & presence of gram + and gram - organisms

urinary infection

a sign of?

blood indicates ___


Hematuria

Small: infection, inflammation, tumours




Large: hemorrhage, increased glomerular permeability

Abnormal components of urine

protein indicates ___


Proteinuria

leakage of albumin or mixed plasma protein

bacteria & pus indicates ___


(Bacteriuria & pyuria)

infection

specific gravity indicates __

ability of tubule to concentrate urine




low - dilute urine


high - concentrated urine (renal failure)

urinary casts indicates ___

inflammation of kidney tubules

inflammation

glucose & ketones indicates__

diabetes mellitus not well controlled

______ indicate kidney as a cause of hypertension

elevated renin levels

blood test

____ indicate failure to excrete nitrogen wastes caused by decrease GFR

elevated serum urea & serum creatinine levels


____ indicates decreased GFR & failure of tubule to control acid -base balance

metabolic acidosis


____ indicates decreased erythropoietin secretion or/and bone marrow depression

anemia


____ depend on related fluid balance

electrolytes

antistreptolysin O use for diagnosis of post streptococcal glomerulonephritis

antibody level

blood tests

____ & ____ studies urine specimen to identify cause and select drug treatment

C & S

other tests

radionuclide imaging, angiography, ultrasound, CT, MRI,


visualize structures and possible abnormalities, flow patter and filtration rate

radiologic tests

other tests

used to assess GFR


(ex- insulin or creatinine)

clearance test

visualizes lower urinary tract


used to perform biopsy or remove stones

cystoscopy

used to acquire tissue specimen

biopsy

used to remove excess sodium ions and water from body

diuretic drugs ( hydrochlorothiazide/ mild diuretic , furosemide / potent)

treatment/drug

provides filtration and reabsorption (artificial kidney) used to sustain life after kidney fail

dialysis

in hospital, dialysis centre or home with special equipment and training

hemodialysis

waste move from blood to dialysate

bicarbonate ions moves into blood

constituents move b/w the two compartment of hemodialysis

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

usually 3 times a week ( lasting 3-4 hours)



hemodialysis

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

usually done on ____

outpatient basis

peritoneal dialysis

done at night (during sleep) or when ___

ambulatory

peritoneal dialysis

peritoneal member serves as ___

semipermeable membrane

peritoneal dialysis

catheter in entry and exit point inserted ___

into the peritoneal cavity

peritoneal dialysis

peritoneal dialysis takes more time then ____

hemodialysis

complications:

infection resulting in peritonitis

peritoneal dialysis

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