urinary system Flashcards

(44 cards)

1
Q

Function of Urinary System

A

Remove waste products from the body in the form of urine
Maintain water balance in the body

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2
Q

Structures of urinary system

A

Adrenal Glands
Kidneys
Renal Vessels
Ureters
Urinary Bladder
Urethra
Urinary meatus
Sphincter and pelvic floor muscles

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3
Q

Renal Vessels

A

Supply blood to and from kidneys
Renal artery supplies blood to kidney
Renal vein supplies blood from kidney to heart

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4
Q

Adrenal Glands

A

Help regulate amount of urine produced
Sit on top of the kidneys

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5
Q

Ureters

A

Tubes from kidney to bladder
Urine moves via peristalsis

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6
Q

Urinary Bladder

A

Collection container
Muscular, hollow organ
Urge to void when bladder approximately 250mL urine

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7
Q

Urethra & Urinary Meatus

A

Urethra:
Tube from bladder that leads outside of body
Men urethra is 8long Female urethra is 1.2 long
Urinary Meatus:
Opening at very end of urethra

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8
Q

Sphincter & Pelvic Floor Muscles

A

allow voiding to occur when relaxed

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9
Q

Kidneys

A

Bilateral bean shaped organ
posterior, protected by lower edge of rib
cage

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10
Q

Function of the Kidney

A

Filtration system for blood
Regulate blood volume
Help regulate electrolyte and acid-base balance
Long-term regulation of BP
Produce a hormone called erythropoietin (stimulates red blood cell production)

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11
Q

Nephron

A

Basic filtering units of a kidney
Responsible for separating nutrients and minerals in blood from toxins and waste products
Each nephron has own blood supply, including two capillary regions

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12
Q

Glomerulus

A

knot of capillaries located in Bowman’s capsule
Blood moves through capillaries of glomerulus and some is filtered out into Bowman’s capsule

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13
Q

Proximal Convoluted Tubule

A

Filtered blood from Bowman`s capsule enter proximal convoluted tubule
Re-absorption of filtrate occurs by capillaries

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14
Q

Loop of Henle

A

filtrate from Proximal Convoluted tubule becomes narrow and makes a U-turn
u-turn called the loop of henle

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15
Q

Distal Convoluted Tubule

A

Filtrate from loop of Henle enter Distal Convoluted tubule
exit out of the COLLECTING DUCT

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16
Q

3 main steps of nephrons GTT

A
  1. Glomerular Filtration
  2. Tubular Reabsorption
  3. Tubular Secretion
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17
Q

Characteristics of Urine

A

Clear (when fresh)
Pale yellow, amber or straw coloured
Very little or no odour
average void 30cc/hr
Changes in urine are good indicator of changes in body

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18
Q

Abnormal Findings of Urine

A

1 Consistency:
Cloudy (when fresh), mucous, crystals
May be bc urine sitting in bladder too long, food, or medications
2 Odour:
Strong ammonia smell, concentrated or old urine
Foul smelling, possible infection
Sweet/fruity smell, possible acetone from fat metabolism
3 Colour:
red (bright/brick coloured), bleeding
Dark yellow, dehydration
Foods/medications may cause colour changes
4 Amount:
Out of proportion to intake
Average output of urine is 1500mL per 24 hours

19
Q

what are some reasons for Increases in Urine Volume

A

Increased intake
Coffee, tea, alcohol, medications (diuretics)
Diabetes mellitus
Other hormone disorders

20
Q

what are some reasons for decreases in Urine Volume

A

Decreased intake
Kidney disease
medications
Vomiting
Diaphoresis (excessive sweating)
Diarrhea
Hemorrhage

21
Q

Possible Changes with Aging in urinary system

A

Decreased blood supply to kidneys, less volume to filter = less urine
Atrophy of kidneys, Less efficient filtrating once certain point reached
Decreased kidney function, Usually less urine or changed urine chemistry

22
Q

what may Frequency, urgency, or nocturia be caused from

A

Muscle atrophy
Decreased fluid intake
Decreased bladder size
enlarged prostate (males)

23
Q

what can happen with an enlarged prostate

A

Hard to start stream
Decreased force of stream
Incomplete emptying (retention)hanged urine chemistry

24
Q

effects of immobility on urinary system

A

Urinary stasis (pooling)
incomplete emptying of bladder
Urinary incontinence

25
Urinary stasis
pooling may cause: stone formation (calculi) from minerals in urine UTI prevention: increase fluid intake exercises reposition frequently natural position for voiding
26
Incomplete emptying of bladder
may cause: infection prevention: increase fluids position for voiding exercise
27
Urinary incontinence
may be caused by: loss of muscle control, dribbling or incontinence of voiding prevention: regular voiding schedule exercise and activity increase fluids positioning
28
TYPES OF INCONTINENCE
Stress incontinence Urge incontinence Overflow incontinence Functional Incontinence Reflex incontinence
29
EFFECTS OF INCONTINENCE
physiological: skin breakdown safety & security: increased falls love & belonging: loss of intimacy self-esteem: embarrassment about odours self-actualization: may affect spirituality if “angry” at deity
30
WAYS TO MINIMIZE INCONTINENCE
regular toileting
31
CARE FOR A CLIENT WITH INCONTINENCE
skin care & observation dry clothes and linens change incontinence product/brief as per manufacturer’s or employer’s instructions use the correct size product pericare with each product change
32
how To help clients regain continence
If no indwelling urinary catheter: assist to toilet at regular times promote normal urination If client has indwelling catheter: clamp at intervals (as per agency) allows bladder to “get used to” being full before emptying
33
CAUSES OF URINARY TRACT INFECTIONS (UTI)
poor medical asepsis improper pericare decreased fluid intake incomplete bladder emptying microbes introduced into GU system
34
CAUSES OF URINARY TRACT INFECTIONS WITH CATHETERS
kinks in tubing tubing on floor dependent (hanging down) loops of tubing lack of medical asepsis when opening to drain/change/clean bag poor technique when cleaning urinary meatus and/or catheter tubing
35
S&S OF UTI
confusion (elderly) behaviour change (eldery) frequency oliguria hematuria fever & chills urgency dysuria pyuria strong, foul smelling urine
36
CARE FOR PERSON WITH UTI
increase fluid intake eliminate causes treat S&S DIPPS antibiotics as ordered (nurse)
37
PREVENTION OF UTI
medical asepsis good peri-care (front to back) good catheter care make toileting comfortable physically and psychologically to promote bladder emptying toilet schedule acceptable to client
38
Renal calculi/calculus
kidney stones calculi (plural) calculus (single) immobility increases risk often severe pain s&s of abnormal urine/urination increase fluids to “flush out” calculus may strain urine to know when stone passes surgery if stone does not pass
39
RENAL FAILURE
kidneys not working may be due to factors “before” the kidneys, “within” the kidneys, or “after” the kidneys special diet (sodium, potassium restrictions) fluid orders (increase or limit) measure in & out or weigh daily
40
acute renal failure (ARF)
sudden onset, decreased urine oliguria should be reported immediately (e.g. brief not wet in a.m., client doesn’t void in the first few hours of shift)
41
chronic renal failure (CRF)
affects many systems: dry, itchy skin waste products are not eliminated efficiently edema provide good skin care
42
whats measured in i&os
blood, emesis/vomit, urine, wound drainage
43
Pyelonephritis
Kidney infection Inflammation of the kidney and pelvis
44
Pyuria
Pus in urine urine contains white blood cells or pus