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Elderly female with urinary system issues (General Function (Elimination…
Elderly female with urinary system issues
Anatomy
Kidneys
Urinary Bladder
Urethra
Ureters
General Function
Elimination of metabolic wastes (kidneys)
Regulation of ion levels (kidneys)
Regulation of blood pressure (kidneys)
Regulation of acid-base balance (kidneys)
Elimination of Biologically active molecules
Formation of calcitriol (kidneys)
Production and release of erythropoietin (kidneys)
Potential to engage in gluconeogenesis (kidneys)
Structure of a nephron
Renal Corpuscle
glomerulus, afferent arteriole, efferent arteriole, glomerular capsule (visceral & parietal layer, capsular space), vascular & tubular pole
Renal Tubule
PTC, nephron loop, descending & ascending limb, thick & thin segments, DCT
Nephron Function
Filtration
glomerulus
ALBUMIN, AGT, ANG I, ANG II, Prorenin, Renin
Reabsorption
renal Tubule-PCT
NaCl, K,H20, HCO3-, glucose aa, Ca, Mg
Secretion
DCT-collecting ducts
diuretics, uric acid
General Functions
DM II
resists or doesn't produce enough insulin
Hypertension
high blood pressure- force of blood against artery walls is too high
Osteoporosis
disease in which the density and quality of bone are reduced
With her hypertension, the kidneys help to regulate blood pressure by excreting fluid in the urine. If her blood pressure is too high, her kidneys may not be working correctly
With osteoporosis, if the kidneys are not functioning properly, they will not balance the minerals necessary for born growth
With DM II, it could potentially be the factor that is making the kidneys not function properly. In DM II, blood glucose and blood sugar is too high, which damages your kidneys
Blood in urine is a common symptom of a urinary tract infection, so maybe consider that as well
High blood pressure on the kidneys can cause weakening of the organ or even death
DM II on the kidneys can cause them to not function properly because they are not able to filer the excess blood glucose and blood sugar
Osteoporosis on the kidneys will cause it no not produce the minerals needed for bone growth, resulting in weak bones and more susceptible to fractures
high blood pressure and osteoporosis are related because excess urinary calcium secretion induces secondary parathyroidism to increase serum level by calcium release from bone, which may lead to osteoporosis
The blood in her urine could be caused by a UTI, or could be the beginning signs of kidney disease