chapter 45 nursing assessment urinary system copyright © 2007, 2004, 2000, mosby, inc., an...
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Chapter 45Chapter 45
Nursing AssessmentNursing AssessmentUrinary SystemUrinary System
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Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.
Structures and FunctionsStructures and Functionsof the Urinary Systemof the Urinary System
KidneysKidneys MacrostructureMacrostructure MicrostructureMicrostructure Blood supplyBlood supply Physiology of urine formationPhysiology of urine formation
• Glomerular functionGlomerular function
• Tubular functionTubular function Other functions of the kidneyOther functions of the kidney
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Fig. 45-1
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Fig. 45-2
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Fig. 45-3
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Fig. 45-4
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Structures and FunctionsStructures and Functionsof the Urinary System (cont’d)of the Urinary System (cont’d)
UretersUreters BladderBladder UrethraUrethra Urethrovesical unitUrethrovesical unit
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Fig. 45-5
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Gerontologic ConsiderationsGerontologic ConsiderationsEffects of Aging on the Urinary SystemEffects of Aging on the Urinary System
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Assessment ofAssessment ofthe Urinary Systemthe Urinary System
Subjective dataSubjective data Important health informationImportant health information
• Past health historyPast health history
• MedicationsMedications
• Surgery or other treatmentsSurgery or other treatments
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Assessment ofAssessment ofthe Urinary System (cont’d)the Urinary System (cont’d)
Functional health patternsFunctional health patterns• Health Perception–Health Management PatternHealth Perception–Health Management Pattern
• Nutritional-Metabolic PatternNutritional-Metabolic Pattern
• Elimination PatternElimination Pattern
• Activity-Exercise PatternActivity-Exercise Pattern
• Sleep-Rest PatternSleep-Rest Pattern
• Cognitive-Perceptual PatternCognitive-Perceptual Pattern
• Self-Perception–Self-Concept PatternSelf-Perception–Self-Concept Pattern
• Role-Relationship PatternRole-Relationship Pattern
• Sexuality-Reproductive PatternSexuality-Reproductive Pattern
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Assessment ofAssessment ofthe Urinary System (cont’d)the Urinary System (cont’d)
Objective dataObjective data Physical examinationPhysical examination
• InspectionInspection
• PalpationPalpation
• PercussionPercussion
• Auscultation Auscultation
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Fig. 45-6
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Diagnostic StudiesDiagnostic Studiesof the Urinary Systemof the Urinary System
Urine studiesUrine studies UrinalysisUrinalysis Creatinine clearanceCreatinine clearance UrodynamicsUrodynamics
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Fig. 45-7
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Fig. 45-8
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Fig. 45-9