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Medical-Surgical Nursing, 8th Ed., Ignatavicius & Workman, 2015
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65 - Assessment of the Renal/Urinary System

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Medical-Surgical Nursing, 8th Ed., Ignatavicius & Workman, 2015 | Registered Nurse (RN) School Study Aid

65 - Assessment of the Renal/Urinary System
10 Picmonics to Learn | 16 mins
Urinary Excretory Anatomy
Characteristics
Renal Medulla
Renal Cortex
Nephron
Bowman's Capsule
Glomerulus
Proximal Tubule
Loop of Henle
Distal Tubule
Collecting Duct
Ureter
Urinary Bladder
Urethra
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2 mins
Proximal Tubule
Characteristics
Na+ Reabsorbed Via Active Transport
Water Follows Na+
Most Of Glucose Reabsorbed
Most Of Amino Acids Reabsorbed
Bicarbonate Exchanged For H+
Drugs and Toxins Excreted
Filtrate Osmolarity Same As Plasma
Leads To Loop Of Henle
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2 mins
Loop of Henle
Characteristics
Descending Limb
Water Follows Na+
Medullary Hypertonicity
Increased Water Reabsorption
Vasa Recta
Na+ Reabsorbed Via Active Transport
Ascending Limb
Reabsorbs Na+, K+, Cl-
Decreased Concentration of Filtrate
Impermeable to Water
Distal Tubule
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2 mins
Distal Tubule
Characteristics
Hormonally Regulated
Aldosterone Causes Na+ Reabsorption
Na+ Reabsorbed Via Active Transport
Water follows Na+
Parathyroid Hormone Causes Ca2+ Reabsorption
Leads to Collecting Duct
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1 min
Collecting Duct
Characteristics
Na+ Reabsorption
Vasopressin Causes Water reabsorption
Concentrates Filtrate
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2 mins
Erythropoietin
Mechanism
Stimulates RBC Production
Indications
Chronic Renal Failure
Anemia
Side Effects
Increased Risk of Thrombosis
Pelvic and Limb Pain
Hypertension
Considerations
Do Not Shake
Monitor Hemoglobin (Hgb) Weekly
May Accelerate Tumor Progression
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2 mins
BUN (Blood Urea Nitrogen) Lab Values
10-20 mg/dL
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40 secs
Urine Specific Gravity Lab Value
1.003-1.030
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1 min
Creatinine Lab Values
Measures Renal Function
0.6 - 1.3 mg/dL
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1 min
Pyelogram
Indications
Visualizes Urinary Tract
Diagnose Urinary Disorders
Considerations
Bowel Prep (Enema)
IV Contrast Media
X-Ray (Radiopaque)
Increase Fluid Intake
Contraindications
Iodine Allergy
Decreased Renal Function
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2 mins

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