female urinary system nurs.230 dr essmat gemaey king saud university
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TRANSCRIPT
Female urinary system
Nurs 230
Dr essmat gemaey
King Saud University
Objectives
Upon completion of this session the students will be able to
bull Describe the anatomy and physiology of the urinary system
bull Identify landmarks that guide assessment of the urinary system
bull Perform assessment of the urinary system bull Differentiate normal from abnormal findings in
physical assessment of the urinary system
Overview of the urinary system
bull The urinary system is composed ofbull the kidneys ureters bladder and urethra bull The glomeruli are the filtering units of the kidney
and are responsible for removing wastes toxins and foreign matter from the blood
bull The normal function of the kidneys are bull prevents the accumulation of nitrogenous waste promotes fluid and electrolyte balance assists in maintenance of blood pressure and
contributes to erythropoiesis
Equipment
Includes
An examination gown
Clean nonsterile examination gloves
A stethoscope and a specimen container
Landmarks
bull The costovertebral angle is the area on the lower back formed by the vertebral column and downward curve of the last posterior rib
bull The rectus abdominis muscles are longitudinal muscles extending from the pubis to the ribs on either side of the midline
bull The symphysis pubis is the joint formed by the union of two pubic bones at the midline
Gathering the data
bull The general questions in the focused interview concern voiding patterns family history of renal disease and information about diagnostic testing
bull Questions in the focused interview include those related to illness infection symptoms behaviors and pain
bull The subjective data will include hygiene practices use of medications (especially analgesics) sexual practices risk factors including smoking and history of hypertension or diabetes
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Objectives
Upon completion of this session the students will be able to
bull Describe the anatomy and physiology of the urinary system
bull Identify landmarks that guide assessment of the urinary system
bull Perform assessment of the urinary system bull Differentiate normal from abnormal findings in
physical assessment of the urinary system
Overview of the urinary system
bull The urinary system is composed ofbull the kidneys ureters bladder and urethra bull The glomeruli are the filtering units of the kidney
and are responsible for removing wastes toxins and foreign matter from the blood
bull The normal function of the kidneys are bull prevents the accumulation of nitrogenous waste promotes fluid and electrolyte balance assists in maintenance of blood pressure and
contributes to erythropoiesis
Equipment
Includes
An examination gown
Clean nonsterile examination gloves
A stethoscope and a specimen container
Landmarks
bull The costovertebral angle is the area on the lower back formed by the vertebral column and downward curve of the last posterior rib
bull The rectus abdominis muscles are longitudinal muscles extending from the pubis to the ribs on either side of the midline
bull The symphysis pubis is the joint formed by the union of two pubic bones at the midline
Gathering the data
bull The general questions in the focused interview concern voiding patterns family history of renal disease and information about diagnostic testing
bull Questions in the focused interview include those related to illness infection symptoms behaviors and pain
bull The subjective data will include hygiene practices use of medications (especially analgesics) sexual practices risk factors including smoking and history of hypertension or diabetes
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Overview of the urinary system
bull The urinary system is composed ofbull the kidneys ureters bladder and urethra bull The glomeruli are the filtering units of the kidney
and are responsible for removing wastes toxins and foreign matter from the blood
bull The normal function of the kidneys are bull prevents the accumulation of nitrogenous waste promotes fluid and electrolyte balance assists in maintenance of blood pressure and
contributes to erythropoiesis
Equipment
Includes
An examination gown
Clean nonsterile examination gloves
A stethoscope and a specimen container
Landmarks
bull The costovertebral angle is the area on the lower back formed by the vertebral column and downward curve of the last posterior rib
bull The rectus abdominis muscles are longitudinal muscles extending from the pubis to the ribs on either side of the midline
bull The symphysis pubis is the joint formed by the union of two pubic bones at the midline
Gathering the data
bull The general questions in the focused interview concern voiding patterns family history of renal disease and information about diagnostic testing
bull Questions in the focused interview include those related to illness infection symptoms behaviors and pain
bull The subjective data will include hygiene practices use of medications (especially analgesics) sexual practices risk factors including smoking and history of hypertension or diabetes
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Equipment
Includes
An examination gown
Clean nonsterile examination gloves
A stethoscope and a specimen container
Landmarks
bull The costovertebral angle is the area on the lower back formed by the vertebral column and downward curve of the last posterior rib
bull The rectus abdominis muscles are longitudinal muscles extending from the pubis to the ribs on either side of the midline
bull The symphysis pubis is the joint formed by the union of two pubic bones at the midline
Gathering the data
bull The general questions in the focused interview concern voiding patterns family history of renal disease and information about diagnostic testing
bull Questions in the focused interview include those related to illness infection symptoms behaviors and pain
bull The subjective data will include hygiene practices use of medications (especially analgesics) sexual practices risk factors including smoking and history of hypertension or diabetes
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Landmarks
bull The costovertebral angle is the area on the lower back formed by the vertebral column and downward curve of the last posterior rib
bull The rectus abdominis muscles are longitudinal muscles extending from the pubis to the ribs on either side of the midline
bull The symphysis pubis is the joint formed by the union of two pubic bones at the midline
Gathering the data
bull The general questions in the focused interview concern voiding patterns family history of renal disease and information about diagnostic testing
bull Questions in the focused interview include those related to illness infection symptoms behaviors and pain
bull The subjective data will include hygiene practices use of medications (especially analgesics) sexual practices risk factors including smoking and history of hypertension or diabetes
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Gathering the data
bull The general questions in the focused interview concern voiding patterns family history of renal disease and information about diagnostic testing
bull Questions in the focused interview include those related to illness infection symptoms behaviors and pain
bull The subjective data will include hygiene practices use of medications (especially analgesics) sexual practices risk factors including smoking and history of hypertension or diabetes
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Some of the renal or urinary system-focused questions
bull Ask patients include
1048633 Do you urinate more than usual (frequency urgency nocturia)
1048633 Any pain or burning upon urination
1048633 Any difficulty starting or maintaining the stream of urine
1048633 Any blood in your urine
1048633 Any difficulty controlling your urine
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Inspection
bull clientrsquos general appearance and assessment of mental status
bull The clientrsquos hydration status and skin color provide data about the function of the urinary system
bull The renal arteries are auscultated for bruits bull The costovertebral angles and flanks are
inspected for color symmetry and masses
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
bull Assess skin turgor for
bull dehydration which may
bull accompany diabetes or
bull diuretic use
bull Palpate abdomen for
bull bladder distention
bull Inspect urine specimen for
bull color and odor
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Posterior Exam
bullTo assess the kidney assess costovertebral angle tenderness Using indirect percussion place one hand over the 12th rib at the costovertebral angle on the personrsquos back
bullThump that hand with the ulnar edge of the other fist Normally a thud is felt but no pain
bullSharp pain occurs with an inflamed kidney
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Palpation for the kidneys
bull It should be noted that a kidney does not move discernibly on inspiration and if significantly enlarged may be bimanually palpable ie it can be ldquobouncedrdquo between your hands
bull To examine for the kidneys one hand should be placed on the abdomen and should remain fixed the other hand is then placed posteriorly and is used to flick the kidney between your hands
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
bullSearch for R kidney as L normally not palpablebullPlace hand under patientrsquos R kidney feel with
opposite hand on abdomen (hands in ldquoduck-billrdquo position) Press 2 hands together firmly ask pt to take deep breath you feel no change
bullCosto-Vertebral Angle- tendernessndashPlace ball of hand at CVA strike it with ulnar surface
of right (Sharp pain occurs with inflammation
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Palpation technique of kidney
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
bull Palpation of the costovertebral angle and flanks reveals tenderness or masses
bull Blunt percussion at the costovertebral angle produces pain or discomfort in the presence of kidney disease
bull The kidneys are not easily palpated except in the presence of enlargement or disease
bull The bladder is assessed for distention and surface characteristics
bull Percussion above the symphysis pubis is carried out to determine the location and degree of fullness
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Costovertebral angle tenderness
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Abnormal findings
ndashAbnormal findings in the urinary system include bladder cancer glomerulonephritis renal calculi renal tumor renal failure and
urinary tract infection ndashChanges in urinary elimination include
dysreflexia incontinence and urinary retention
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Some terms definitions
ndashcaculi ndash Stones that block the urinary track usually
composed of calcium struvite or a combination of magnesium ammonium phosphate and uric acid content in water
ndashglomerulus ndash Tufts of capillaries of the kidneys that filter
more than one liter (1L) of fluid each minute
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
hematuria Blood in the urine nocturia Nighttime urinationoliguria Diminished volume of urine
less than 400mlday
ANNURIA urine output less than 50mlday Pyuria presence of pus in urineUrgency strong desire to urinate
Noctoria excessive urination at nightIncontinence involuntary loss of urine
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
Urine - dipstick tests
A dipstick test is a test when a special chemically treated stick is dipped into urine to check for levels of sugar blood and ketene
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
1A sample of your urine is taken
2The nurse will stick a small plastic stick with special chemicals at one end into
urine
3 The stick will change colour at one end which will check how much sugar
ketone or blood if any is present
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-
- Slide 1
- Slide 2
- Slide 3
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Slide 10
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- Slide 19
- Slide 20
- Slide 21
- Slide 22
- Slide 23
-