Chapter 22

Question 1

Filters blood and produces urine

Answer 1

Kidneys

Question 2

Transport urine from kidneys to bladder, each person has a pair

Answer 2

Ureters

Question 3

Stores urine until it exits the body

Answer 3

Bladder

Question 4

Route that urine leave the body, shorter in women making them more prone to infection

Answer 4

Urethra

Question 5

What are the regions of the kidney?

Answer 5

Cortex, medulla, pelvis

Question 6

Found in the cortex
Functional and structural units of the kidney that form urine

Answer 6

Nephrons

Question 7

Each nephron composed of what?

Answer 7

Glomerulus

Question 8

What surrounds the glomerulus?

Answer 8

Glomerular (Bowman) Capsule

Question 9

What connects w/ the kidneys tubules?

Answer 9

Proximal convoluted tubule, loop of Henle, and distal convoluted tubule

Question 10

What surrounds the urethra and secretes fluids, along with/ seminal vesicles, into the urethra during ejaculation?

Answer 10

Prostate Gland

Question 11

What is located in the scrotum and creates spermatozoa?

Answer 11

Testes

Question 12

Ensuring scene safety, mechanism of injury/nature of illness, requesting additional resources, and determining the number of pt’s is what part of the assessment?

Answer 12

Scene size up

Question 13

Reabsorption of salt and water happens in this location, also helps concentrate urine

Answer 13

Loop of Henle

Question 14

Excessive amounts of urea and other waste products in the blood

Answer 14

Uremia

Question 15

Sleep pain caused by activation of pain receptors in internal areas of the body enclosed within a cavity, most common type of pain with urologic conditions

Answer 15

Visceral Pain

Question 16

Why do we put pt’s with suspected urologic emergencies on a cardiac monitor?

Answer 16

To monitor for electrolyte imbalances

Question 17

Generalized treatment should include what?

Answer 17

Pain management and anti emetics, consider crystalloid fluid for hemodynamic instability

Question 18

Usually develop in lower urinary tract, normal flora enter the urethra and grow, more common in women

Answer 18

UTI

Question 19

Develop when lower urinary tract infections go untreated, can lead to what?

Answer 19

Upper urinary tract infection, leads to polynephritis

Question 20

Inflammation of kidney lining

Answer 20

Pyelonephritis

Question 21

Collection of pus around the kidney, can result in sepsis and become life threatening

Answer 21

Perinephric abcess

Question 22

Painful urination, frequent urination, difficulty urination

Answer 22

Classic triad of symptoms for UTI

Question 23

Bladder pain in women and prostate pain in men

Answer 23

Indicates a UTI

Question 24

UTI Treatment?

Answer 24

Generally supportive
IV/Vitals/EKG
Provide treatment for N/V if needed
Pt’s w/ sepsis from UTI will need more aggressive care
Pain management as needed
Transport to appropriate facility

Question 25

Latex or plastic tube inserted into bladder, connected to drainage bag below level of bladder, allows continuous outflow of urine and a means to measure urinary output

Answer 25

Urinary Catheter

Question 26

Why is urine backflow bad for pt’s with catheter?

Answer 26

Increases risk of infection

Question 27

Incomplete emptying of bladder or complete inability to empty bladder

Answer 27

Urinary retention

Question 28

Loss of bladder control; inability to control release of urine from bladder; can occur from sneezing and cough; sign of other medical conditions

Answer 28

Urinary incontinence

Question 29

Sudden intense urge to urinate; followed by involuntary urine loss in seconds to minutes;