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PCM III > Renal Procedures > Flashcards

Renal Procedures Flashcards

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1
Q

reading **

A

PCM lab manual page 170

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2
Q

urinalysis

A

assess systemic disorders - metabolic and endocrine

evaluate renal or urinary tract disease

prenatal evaluation

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3
Q

metabolic problems

A

likely to end up in urine

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4
Q

urinalysis methods

A

1 physical appearance
-color and clarity

2 dipstick

3 microscopic evaluation

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5
Q

male voiding sample

A

clean glans of penis

-collect mid-stream

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6
Q

female voiding sample

A

cleanse urethral meatus

collect mid-stream urine in sterile container

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7
Q

no voided sample of urinalysis**

A

vaginitis
menses
extremes in age
morbid obesity

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8
Q

patient cannot void

A

catheter urine sample

can also use needle - suprapubic

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9
Q

Puck

A

pediatric urine collection kit

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10
Q

pink urine

A

blood

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11
Q

orange urine

A

meds

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12
Q

blue-green urine

A

pseudomonas

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13
Q

brown/black urine

A

myoglobin
bilirubin
rhubarb
medication

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14
Q

cloudy urine

A

excess protein or cellular material

also with infection

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15
Q

state of hydration

A

specific gravity

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16
Q

diabetes or starvation

A

ketones

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17
Q

kidney disease or UTI

A

pH

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18
Q

kidney disease

A

protein

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19
Q

diabetes

A

glucose - threshold 180**

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20
Q

kidney disease, clot disorder, stone, cancer

A

blood in urine

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21
Q

liver damage

A

bilirubin

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22
Q

nitrites in urine

A

lots of bacteria

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23
Q

leukocyte esterase

A

UTI

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24
Q

leukocyte and nitrate positive

A

74% predictive value for UTI

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25
negative leukocyte and nitrate
97% predictive value for NO UTI
26
micro eval of urinalysis
``` WBC - infection RBC epithelial cells - contamination** casts crystals - kidney stones bacteria or yeast infection ```
27
rare trace
<2 cells
28
occasional
1+ 3-5 cells
29
frequent
2+ 5-9 cells
30
many
3+ large amount of cells
31
TNTC
4+ packed field
32
RBC in urine
``` bleeding disorder cancer glomerulonephritis stones exercise ```
33
WBC in urine
90% infections
34
RBC cast
glomerulonephritis
35
WBC cast
acute pyelonephritis
36
crystal formation
1 augmented concentration calcium oxalate - supersaturation 2 decreased supersaturayion capacity 3 presence of crystals with promoter effect
37
gout
uric acid crystals
38
UTI
E. coli
39
Cr clearance
with urine
40
bence jones proteins
multiple myeloma urine protein electrophoresis
41
measure of fluid status
catheterization of bladder
42
stricture of urinary tract
CI for catheter
43
pelvic trauma
CI for catheter fx pelvis
44
complications of catheter
infection and hematuria
45
foley catheter
2 ports - 1 is balloon if it stays long time
46
straight catheter
urine sample - brief catheter
47
long term catheter
chronic retention neurogenic bladder with retention incontinent with complicated skin breakdown or infection comfort measures for terminally ill
48
suprapubic catheterization
generally males - longer urethra if can't do urethral catheter
49
CI suprapubic catheterization
uncooperative pt anti-coag tx infection in this region of skin
50
suprapubic catheterization procedure
1cm lateral 5cm above pubic symphysis** insert directed inferiorly at 60 degrees
51
percutaneous suprapubic aspiration
just to get out urine sample not good for draining
52
baldder scan
ultrasound -can outline extent of bladder size volume of bladder
53
flow cystometry
two catheters inserted fills bladder while other measures pressure
54
cystoscopy
way of looking into bladder need to anesthetize
55
urinary incontinence or suspected tumor
cystoscopy
56
CI of cystoscopy
UTI or pyelonephritis
57
IVP
intravenous pyelogram X-ray of kidneys, ureters, bladder which uses contrast material - iodine based stones, cancer, enlarged prostate size of stones/tumors - difficult to measure
58
start at
37 minutes
59
suprapubic catheterization
generally males - longer urethra if can't do urethral catheter
60
CI suprapubic catheterization
uncooperative pt anti-coag tx infection in this region of skin
61
suprapubic catheterization procedure
1cm lateral 5cm above pubic symphysis** insert directed inferiorly at 60 degrees
62
percutaneous suprapubic aspiration
just to get out urine sample not good for draining
63
baldder scan
ultrasound -can outline extent of bladder size volume of bladder
64
flow cystometry
two catheters inserted fills bladder while other measures pressure
65
cystoscopy
way of looking into bladder need to anesthetize
66
urinary incontinence or suspected tumor
cystoscopy
67
CI of cystoscopy
UTI or pyelonephritis
68
IVP
intravenous pyelogram X-ray of kidneys, ureters, bladder which uses contrast material - iodine based stones, cancer, enlarged prostate size of stones/tumors - difficult to measure
69
start at
37 minutes
70
suprapubic catheterization
generally males - longer urethra if can't do urethral catheter
71
CI suprapubic catheterization
uncooperative pt anti-coag tx infection in this region of skin
72
suprapubic catheterization procedure
1cm lateral 5cm above pubic symphysis** insert directed inferiorly at 60 degrees
73
percutaneous suprapubic aspiration
just to get out urine sample not good for draining
74
baldder scan
ultrasound -can outline extent of bladder size volume of bladder
75
flow cystometry
two catheters inserted fills bladder while other measures pressure
76
cystoscopy
way of looking into bladder need to anesthetize
77
urinary incontinence or suspected tumor
cystoscopy
78
CI of cystoscopy
UTI or pyelonephritis
79
IVP
intravenous pyelogram X-ray of kidneys, ureters, bladder which uses contrast material - iodine based stones, cancer, enlarged prostate size of stones/tumors - difficult to measure
80
extracorporeal lithotripsy
ESWL - to break up kidney stones ultrasonic waves passed through body pulverize into small fragments
81
intracorporeal lithotripsy
patient under cystoscopy laser to break stones
82
infant circumcision
benefits outweight risks - american academy of pediatrics
83
CI for circumcision
hypospadium or epispadius -can use foreskin to relocate urethra atypical genitalia - cant tell male or female
84
gomco clamp
for circumcision metal bell best for good lookin dick.
85
adult circumcision
phimosis, paraphimosi, recurrent balantitis recurrent infections CI - psych disorder
86
adult circumcision complication
wound disruption with erection
87
undesired fertility
indication for vasectomy
88
CI for vasectomy
stress - divorce, financial infection, coag disorder

PCM III (17 decks)

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