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RENAL ASSESSMENT (Kidneys (Macro (retroperitoneally; cushioned by fat &…
RENAL ASSESSMENT
Kidneys
Macro
retroperitoneally; cushioned by fat & connective tissue; Capsuled in a fibrous membrane cover; Hilus on medial side (arteries and nerves enter; Veins and ureters exit)
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Blood supply
Renal artery arises from aorta; divides into smaller branches; each forms an afferent arteriole; Afferent arteriole divides into a capillary network; the glomerulus
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Objective Data
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Inspection
Skin, mouth, face, extremities, abdomen, weight, general state of health
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Gerontologic Changes
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Physiologic Changes
Altered hormonal levels result in (Decreased ability to concentrate urine & Altered excretion of water, sodium, potassium and acid)
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Subjective Data
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Functional health patterns (Health perception-Health management pattern; Nutritional-metabolic pattern; Elimination pattern; Activity-exercise pattern; Sleep-rest pattern; Cognitive-perceptual pattern; Self perception-self concept pattern; Role-relationship pattern; Sexuality-reproductive pattern)
Urethra
Extends from bladder neck to external meatus; Conduite for urine; Length- F- 1-2 in (3-5 cm); M- 8-10 in (20-25 cm)
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Bladder
Capacity- 600 to 1000 mL of urine; Trigone; Bladder muscle (detrusor) Urination, micturition, voiding
Uretrovesical unit
formed by bladder, urethra & pelvic floor muscles; Voluntary control of this unit is defined by continence; Distention of the bladder stimulates stretch receptors; Impulses sent to brain