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401 - Confirm Physical Status
Section 4 - Urinary System
61
Nursing
Undergraduate 1
08/21/2013

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Term
PRIMARY FUNCTION OF THE URINARY SYSTEM
Definition
Filter blood to remove waste products & to maintain normal pH.

Maintain the volume and composition of body fluids within normal limits. Rids body of waste products & regulate concentrations of electrolytes in body fluids to main normal pH of blood.
Term
STRUCTURES OF THE URINARY SYSTEM
Definition
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KIDNEYS
URETER
URINARY BLADDER
URETHRA
Term
KIDNEY - LOCATION & FUNCTION
Definition
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LOCATION: * Rear of abdominal cavity in retroperitoneum one each side. * Right Kidney is generally higher than Left Kidney. * Generally bean shaped FUNCTION OF THE URINARY SYSTEM: * Filter blood, remove wastes, excrete wastes in the urine * Maintenance of acid–base balance, and regulation of blood pressure * Reabsorption of water & glucose
Term
URETER - LOCATION & FUNCTION
Definition
LOCATION:
* 2 x Ureters - each one is a narrow tube that descends from one kidney down to the bladder.

FUNCTION:
* Urine drains from the kidney into the bladder through the ureter.
* Wall of Ureter has 3 LAYERS
~ Outer - fibrous connective tissue
~ Middle - Muscular coat that contracts to propel urine
~ Inner - Traditional epithelium that's continuous with lining the renal pelvis & urinary bladder - secretes mucous to protect cell surface
Term
URINARY BLADDER - LOCATION & FUNCTION
Definition
LOCATION: Pelvic Cavity

FUNCTION: Temporary storage point for the urinary fluid before it is eliminated through urethra
Term
URETHRA - LOCATION & FUNCTION
Definition
LOCATION:
The ureters are retroperitoneal, which means that they are located in the retroperitoneal space (i.e. the area between the back/"posterior" surface of the parietal peritoneum and the front/"anterior" of the lumbar vertebrae).

FUNCTION:
* Final passageway for flow or Urine
* Urethra is a small tube that excretes the Urine from the Bladder to outside of the body with the help of Genitals.
Term
STATE BASIC TISSUE LAYER OF THE URINARY TRACT
Definition
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Mucous Coat (inner)
Muscular Coat (middle)
Fibrous Coat (outer)
Term
Identify Internal Structures of Kidney
Definition
[image]
Term
Identify Internal Structures of Kidney
Definition
[image]
Term
Label Microscopic Structure of Kidney (Nephron)
Definition
[image]
Term
Describe Structure of Nephron
Definition
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Removes waste by filtration of certain waster materials from the body & the reabsorbs water freed of waste for use in the body. Two main Divisions; Renal Corpuscle & Tubular System
Term
Process involved in Urination
Definition
1. Glomerular Filtration - blood enters Bowman's Capsule under Pressure; water & small molecules pass through the semi permeable membrane (plasma minus plasma proteins)

2. Tubular Reabsorption - occurs as the filtrate passes through the renal tubule; glucose amino acids, hormones, minerals, salts, vitamins & water reabsorbed. This reabsorption assists in the regulation of blood ph by maintaining fluid & electrolyte balance.

3. Tubular secretion - process where substances such as hydrogen & potassium ions move from the blood in the peritubular capillaries into the filtrate which then empties into the collecting tubules.
Term
Process of MICTURITION.
Definition
Micturition is the process by which urine is expelled from the bladder. It involves the contraction of the detrusor muscle, and pressure from surrounding structures. Urination also involves the relaxation of the external urethral sphincter.

Urination is usually stimulated by the distention of the bladder as it fills with urine. When the walls of the bladder contract, nerve receptors are stimulated, and the urination reflex is triggered. The urination reflex causes the internal urethral sphincter to open and the external urethral sphincter to relax. This relaxation allows the bladder to empty.
Hold app 600ml & usual needs to go when 200-300 mls is held
Term
What is the normal amount of Urine secreted by an adult
Definition
125ml/hr x 60min/hr = 7500ml / hr

The Glomerular Filtration Rate (GFR)
7500ml/hr x 24hr/day = 180 000ml/day / 1000 = 180ltrs per day
Term
Wast is the structure in which blood is filtered to produce Urine?
Definition
BOWMAN'S CAPSULE
Term
Urine flows from the pelvis of the kidney down the ..... to the bladder?
Definition
URTERERS
Term
The Bladder is situated in the ....... cavity?
Definition
PELVIC
Term
The Bladder acts as a .......... ?
Definition
RESEVOIR
Term
A moderately full Bladder can hold about .... mls of URINE?
Definition
300-600 mls
Term
Urine leaves the Bladder via a tube called the .......?
Definition
Urethra
Term
The act of passing urine from the bladder to the outside is called ..... ?
Definition
MICTURITION
Term
What Percentage of urine is water?
Definition
96%
Term
What is one the waste products excreted by the kidney called?
Definition
UREA (urea, creatinine, bilirubin, and ammonia)
Term
What is the average urinary output of an adult in mls / 24hr period?
Definition
1500-1800
Term
The kidneys at rest receive about ...... percent of cardiac output.
a. 5%
b. 10%
c. 15%
d. 25%
e. 50%
Definition
25%
Term
Which of the following is NOT an Organ of the Urinary System?
a. kidney
b. adrenal gland
c. ureter
d. urethra
e. bladder
Definition
ADRENAL GLAND
Term
The excretory function of the urinary system is performed by the?
a. kidneys
b. adrenal gland
c. ureters
d. urethra
e. bladder
Definition
KIDNEYS
Term
Movement of urine through the ureters occurs through?
a. gravity alone
b. smooth muscle peristalsis alone
c. gravity & smooth muscle peristalsis
d. ciliary movement
e. cilia & gravity
Definition
GRAVITY & SMOOTH MUSCLE PERISTALSIS
Term
Which of the following is NOT a function of the Urinary System?
a. adjust blood volume and pressure
b. thermoregulation
c. stabilize blood pH
d. conserve nutrients
e. conserve water
Definition
THERMOREGULATION
Term
The dense fibrous layer that anchors the kidney to surrounding tissues is called the?
a. renal fascia
b. hilum
c. fibrous capsule
d. renal sinus
e. cortex
Definition
RENAL FASCIA
Term
The superficial granular region of the kidney is called?
a. cortex
b. column
c. papilla
d. medulla
e. pyramids
Definition
CORTEX
Term
Granular tissue separating adjacent pyramids of the medullar is called the?
a. cortex
b. column
c. papilla
d. renal fascia
e. hilum
Definition
COLUMN
Term
A conical section of the renal medulla extending from the cortex s called?
a. cortex
b. column
c. papilla
d. renal fascia
e. pyramids
Definition
PYRAMIDS
Term
The medial point of entry & exit to the kidney is called the?
a. cortex
b. column
c. papilla
d. renal fascia
e. hilum
Definition
HILUM
Term
The urine of each kidney lobe is collected directly into?
a. minor calyx
b. major calyx
c. renal pelvis
d. collecting tube
e. glomerulus
Definition
MINOR CALYX
Term
The functional unit of the kidney is called the?
a. nephron
b. glomerular capsule
c. glomerulus
d. collecting tube
e. cortex
Definition
NEPHRON
Term
The part of the renal corpuscle that is responsible for collecting filtrate is the?
a. nephron
b. glomerular capsule
c. glomerulus
d. collecting tube
e. cortex
Definition
GLOMERULAR CAPSULE
Term
An osmotic gradient is established by the?
a. nephron loop
b. glomerular capsule
c. glomerulus
d. proximal convoluted tube
e. distal convoluted tube
Definition
NEPHRON LOOP
Term
The arteriole network where filtration occurs is called the?
a. nephron loop
b. glomerular capsule
c. glomerulus
d. proximal convoluted tube
e. distal convoluted tube
Definition
GLOMERULUS
Term
Nutrient reabsorption occurs mostly in the?
a. nephron loop
b. glomerular capsule
c. glomerulus
d. proximal convoluted tube
e. distal convoluted tube
Definition
PROXIMAL CONVOLUTED TUBULE
Term
The part of the nephron that makes further adjustments in the composition of tubular fluid through a combination of secretion & reabsorption is the?
a. nephron loop
b. glomerular capsule
c. glomerulus
d. proximal convoluted tube
e. distal convoluted tube
Definition
DISTAL CONVOLUTED TUBULE
Term
The collecting system delivers urine to the?
a. urethra
b. bladder
c. calyces
d. ureter
e. nephron
Definition
CALYCES
Term
Juxtaglomerular nephrons are able to concentrate urine because of their?
a. location in the centre of the kidney
b. very short nephron loops
c. unusual glucose solubility
d. unusual pH sensitivity
e. very long nephron loops
Definition
VERY LONG NEPHRON LOOPS
Term
Approx % of the nephrons are juxtamedullary nephrons?
a. 10%
b. 15%
c. 25%
d. 50%
e. 85%
Definition
15%
Term
The renal cortex appears speckled under histological examination because of the presence of multiple?
a. nephron loops
b. collecting tubes
c. renal arteries
d. calyces
e. renal corpuscles
Definition
RENAL CORPUSCLES
Term
The renal medulla appears striated under histological examination because of the presence of multiple?
a. capsules
b. collecting tubes
c. renal arteries
d. calyces
e. renal corpuscles
Definition
COLLECTING TUBES
Term
AFFERENT
Definition
Carrying inward to a central organ or section, as nerves that conduct impulses from the periphery of the body to the brain or spinal cord.
Term
EFFERENT
Definition
carrying or conducting outwards from a part or an organ of the body, esp from the brain or spinal cord
Term
CYSTOSCOPY
Definition
A procedure where a tubular instrument equipped with a light and used to examine the interior of the urinary bladder and ureter
Term
DYSURIA
Definition
Painful or difficult urination
Term
MICTURITION
Definition
To excrete Urine or want to urinate
Term
NEPHRON
Definition
Any of the numerous filtering units of the vertebrate kidney that remove waste matter from the blood
Term
FILTRATION
Definition
The act or process of filtering, especially the process of passing a liquid or gas, such as air, through a filter in order to remove solid particles.
Term
REABSORPTION
Definition
To absorb again. To accommodate or accept again, as into a group or category
Term
SECRETION
Definition
The process of secreting a substance, especially one that is not a waste, from the blood or cells: secretion of hormones; secretion of milk by the mammary glands.

2. A substance, such as saliva, mucus, tears, bile, or a hormone, that is secreted.
Term
URINALYSIS
Definition
Laboratory analysis of urine, used to aid in the diagnosis of disease or to detect the presence of a specific substance, such as an illegal drug
Term
URETER
Definition
The long, narrow duct that conveys urine from the kidney to the urinary bladder.
Term
BLADDER
Definition
Any of various distensible membranous sacs, such as the urinary bladder or the swim bladder, that serve as receptacles for fluid or gas
Term
URETHRA
Definition
The canal through which urine is discharged from the bladder & through which semen is discharged in the male
Term
GLOMERULUS
Definition
A small cluster or mass of blood vessels or nerve fibers.

2. A tuft of capillaries situated within a Bowman's capsule at the end of a renal tubule in the vertebrate kidney that filters waste products from the blood and thus initiates urine formation
Term
POLYURIA
Definition
condition of discharging abnormally large quantities of urine, often accompanied by a need to urinate frequently
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