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Exam (elaborations)

NURB 3050 Exam 3 Study Guide @ 2024

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NURB 3050 Exam 3 Study Guide
@ 2024

functional unit of the kidneys - Answer nephron

major functions of the kidneys - Answer Regulate extracellular fluid

Excrete wastes

Secrete renin

Produce Erythropoietin

Activate Vitamin D

Regulate acid-base balance

Prostaglandin Synthesis

FEARS:

-F:luid

-E:lectrolytes, erythropoietin

-A:cid base regulation

-R:rids toxic waste

-S:ecretes renin

Bowmans capsule - Answer is where the process of the nephron function that filters the
solutes of the blood due to a pressure gradient(counter-current system for filtration)
that exists between the blood in the capillaries and fluid

-collects glomerular filtrate

loop of henle - Answer the section of the nephron tubule that conserves water and
minimizes volume of urine, concentrates the urine.

-electrolyte filtration

-concentrated urine is produced by a counter current exchange system in which fluid
flows in opposite directions through the parallel tubes of the loop of Henle; a
concentration gradient allows fluid to be exchanged across pathways

distal convoluted tubule - Answer is located between the loop of henle and collecting

, duct

-selective reabsorption and secretion occurs here, mos notably to regulate
reabsorption of water and sodium in exchange for secreting H+ and K+ (regulated by
aldosterone)

what is the patho of kidney stones? what can be the outcome of any renal obstruction -
Answer -calculi or urinary stones, are masses of crystals, protein, or other substances
that are a common cause of urinary tract obstruction

-can be located in the kidneys, ureters, and urinary bladder

-formation is related to supersaturation of one or more salts in urine, precipitation of the
salts from a liquid to solid state, growth through crystallization or aggregation, and the
presence or absense of stone inhibitors.

-calcium stones account for 70% of all stones requiring treatment

-urine concentration of substrare turns alkalinic, there is Ca carbonate or uric acid in
urine

nidus - Answer kidney stone nucleus that grows in renal tubule or renal pelvis

what can be the outcome of any renal obstruction - Answer -overactive or non active
bladder functioning, lead to urinary tract infections

what are some types of kidney stones? - Answer -calcium stones: 70% of all stones
requiring treatment

-struvite stones primarily contain magnesium ammonium phosphate as well as varying
levels of matrix that forms in an alkaline urine

-uric acid stones occur in persons who excrete excessive uric acid in the urine such as
those with gouty arthritis

renal colic - Answer moderate or severe pain originating in the flank and radiating down
to the groin usually indicates obstruction of renal pevis

how does anesthesia cause urinary retention - Answer it blocks nerves and pain signals
and is usually given with fluid which results in a combination of a full bladder without
nerve function to empty

glomerulonephritis - Answer -loss of negative charge in capillary membrane and
increased permeability of filter slits causing the swelling and inflammation of glomerulus

-can be immunologic or hereditary

-immune injury is a major cause such as circulating antigen-antibody immune
complexes into the glomerulus and reactions to antibodies in situ against planted
antigens.

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