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Renal/Urinary Assessment

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    Assessment of the Renal/Urinary System
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  • This is the ___________. It is the functional unit of the kidney and forms urine by filtering waste products and water from the blood.
    Nephron
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  • These large particles are too big to filter through the glomerular capillary walls and are not normally present in the urine.
    Red and White blood cells, albumin, glucose and proteins.
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  • Glomerular Filtration Rate (GFR) is controlled by ___________ and ____________. The average GFR is ________mL/min.
    Blood pressure and blood flow. 125mL/min.
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  • Changes in the renal system related to aging include:
    Decreased GFR, decreased size of kidney, nocturia, urinary incontinence, retention
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  • Subjective data collection for renal/urinary assessment may include:
    Pain, color of urine, changes in urination, medical history, diet/drinking changes
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  • BUN vs Creatinine: Which is the best indicator of kidney function and why?
    Creatinine; is excreted solely by the kidneys
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  • Normal BUN/Creatinine levels:
    BUN-10-20mg/dL Creatinine-0.5-1.2mg/dL
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  • Describe the step-by-step process in obtaining a urinalysis using the "clean catch" method?
    explain procedure, clean before voiding, initiate voiding then stops and resumes voiding into the specimen cup.
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  • A specific gravity of 1.050 obtained from an urinalysis may indicate:
    dehydration (concentrated urine), decreased blood flow to the kidneys.
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  • This method of urine collection is used to determine creatinine clearance:
    24-hour urine collection
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  • X-ray assessment that may show obvious stones or obstructions is a:
    Kidneys, Ureters, Bladder (KUB) Xray
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  • This non-invasive sonogram may be used in clients experiencing postvoid residual volumes:
    Bedside sonography/bladder scanner
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  • Direct visualization of the bladder and/or the urethra can be done by the following procedures:
    Cystoscopy and Cystourethroscopy
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  • These tests use a series of x-rays to visualize function and structure of the bladder and urethra
    Cystography and Cystourethrography
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  • Bladder puncture is a complication of cystoscopy and cystourethroscopy. What are signs and symptoms of bladder puncture?
    severe abdominal pain, nausea, vomiting
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  • Performed percutaneously to determine causes of unexplained kidney problems or direct treatment
    Kidney Biopsy
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