Lab 5 Flashcards
What does the kidney do?
Maintain homeostasis - regulate acid-base balance, electrolyte conc., extracellular fluid volume, regulation of blood pressure
What occurs in nephrons?
Filtration, reabsorption, & secretion
Proteinuria
Large not usually in urine - increase permeability of glomerulus - renal infection, DM, jaundice, hyperthyroidism
Glucosuria
Easily filtered but resorbed by renal tubules via mediated transport systems - increase glucose conc = renal threshold met
Ketonuria
CHO deprivation (starvation/ high protein diet) - metabolised fat for energy - intermediate product of acid metabolism
Bilirubin in urine
Phagocytic cells of spleen & bone marrow - breakdown haem in senescent haemoglobin & bilirubin - conjugate with glucuronic acid - urobilin - jaundice, liver disease, bile duct obstruction
What sediment is in urine
Epithelial cells, crystals( increase in kidney stones & gout), bacteria (UTI), casts(masses of material harden in the shape of a tubule), RBC (UTI & menstruation)
Dipstick
Pathological change in patients urine - Bayer multistix
What is the liquid part of the centrifuged urine called?
Supernatant
When should urine samples be taken?
Midstream