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urinary
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Terms in this set (23)
how much blood is in the kidneys (% throughout whole body)
20-25% of blood- cardiac output
what is the functional unit of the kidnye
Nephron
where are waste products filtered from the blood
glomerulus
Urine formation begins, semipermeable membrane allows for filtration
Amount of blood filtered each minute by the glomerulus is the....
GFR- glomerular filtration rate
total blood supply to kidney 1200 mL/min- 20-25% of cardiac output
Cuplike sac at the beginning of the tubular component of the nephron- first step in filtration of blood to form urine. wraps around the glomerulus
Bowman's capsule
What is responsible for reabsorption and secretion, includes proximal convoluted tubule, loop of Henle, distal tubule, collecting tubule
tubular system
What is the function of the kidneys?
Filter and maintain homeostasis, water reabsorption, excretion, regulate electrolytes- NA, K , CL, Na, HCO3
Activate Vitamin d- help for strong and healthy bones, need vitamin d in order to have calcium
What is erythropoietin and what does it do
hormone produced by kidneys. secreted as a result of hypoxia and decreased renal blood marrow. If there is not enough blood flow to kidneys- THIS IS RELEASED to help make RBC.
kidney failure can lead to anemia-decreased HGB,HCT
What meds would help
Epogen
Procrit
(Erythropoietin drugs- treat anemia)
If the hemoglobin is low or pt is symptomatic, what might the doctor consider doing?
blood transfusion
No BP No......
PP
As we age, the size of the kidneys will decrease in size how much percent by age 30?
20-30%
by age 70, 50% of glomerular have lost their function
Most common bacterial infection in woman caused by bacteria E.COLI
UTI urinary tract infection
what are the signs and symptoms of UTI
burning, frequency, urgency, 70-95% of cases are without structure abnormalities or stones- just happens
If a UTI is left untreated what can it lead to
Pyelonephritis
Urosepsis- septic shock-death
What is an example of an upper urinary tract infection
pyelonephritis- inflammation of renal parenchyma and collecting system
What is an example of a lower urinary tract infection
Cystitis- inflammation of bladder
what is urethritis
inflammation of urethra
What is the solid part of the kidney where process of waste and secretion takes place
Renal parenchyma
Uncomplicated UTI classificaiton
normal urinary tract infection, only involves bladder, hasn't gone anywhere, just a UTI
Complicated UTI classification
something else going along with UTI. Obstruction, stones, catheter, abnormal GU tract, diabetes, neurologic disease.
what is the best test for pylenophritis
CT SCAN
What meds would you use for an uncomplicated or inital UTI
Trimethoprim, Sulfamethoxazole, nitrofurantoin cephalexin, fosfomycin
other- ampicilin, amoxicllin , cephalosspaorins
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