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MODULE 9 URINARY SYSTEM
Caitlin Meservey
ESWL: Extracorporeal Shock Wave Lithotripsy
 ESWL is a non-invasive procedure that is used to treat kidney
stones
 High energy shock waves are directed at the site of the stones
(previously identified by ultrasound)
 Impact of shock waves cause stress on the stones, which
break them into small pieces that can then be passed through
the urinary tract
 Procedure typically takes about an hour and is normally
performed under light sedation
UTI: Urinary Tract Infection
 Infection caused by bacteria, which enters through the
urethra (tube that connects the bladder to the genitals)
 Symptoms: Cloudy or bloody urine, painful and frequent
urination, pain in the side or back, fatigue, fever, nausea,
vomiting
 Diagnosis: Urinalysis, a urine sample is collected. The
appearance of the urine is examined and a sample is
examined under a microscope, which can identify the
presence of bacteria. Urine culture, tests if urine sample
will grow bacteria, imagine of urinary tract
 Treatment: Antibiotics
(ex. Amoxicillin, Ciprofloxacin
Levofloxacin)
ARF: ACUTE RENAL FAILURE
 ARF is a sudden loss of kidney function, which develops
within 48 hours
 Kidneys are unable to filter waste products from the
blood, causing extremely high levels to accumulate
 Causes:
 Prerenal: Decrease blood flow to kidneys
 Intrinsic: Damage to the kidneys
 Postrenal: Obstruction of the urinary tract
 Diagnosis:
 Monitoring urine output
 Blood Tests: BUN, Creatinine
 Imaging Tests: Ultrasound, CT scan
 Treatment: Regulated fluid intake, low protein, salt,
potassium diet, Diuretic to remove excess fluid, IV
medication to control potassium levels, Dialysis to filter
blood
CRF: CHRONIC RENAL FAILURE
 CFR is kidney disease the gets progressively worse over
time, causes excess fluid, electrolytes and waste to build
up in the body
 Causes:
 Hypertension
 Diabetes
 Kidney diseases/infections
 Obstructions
 Symptoms: fatigue, poor appetite, insomnia, edema, dry
skin, muscle cramps, frequent urination
 Diagnosis: Blood test to calculate Glomerular Filtration
Rate (GFR), Ultrasound or CT scan of kidneys & urinary
tract, kidney biopsy
 Treatment: Control blood pressure, diabetes, low protein
diet, dialysis to remove waste products from blood, kidney
transplant
BUN: BLOOD UREA NITROGEN
 Test that measures the amount of urea nitrogen in the
blood and evaluates kidney function
 Urea nitrogen is a waste product produced by the liver
when protein is broken down, which then dissolves in
the blood stream
 The kidneys then filter and remove urea from the blood
stream and it is excreted in urine
 Normal range: 6-20 mg/dL
 Elevated BUN: High levels in the blood indicate reduced
filtration by the kidneys and impaired kidney function,
other causes:
 Urinary tract obstruction, GI bleeding, dehydration, high
protein diet, medications, congestive heart failure
 Low BUN: caused by liver failure, reducing the
production of urea nitrogen, low protein diet, excess
hydration

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Module 9 Urinary System Guide

  • 1. MODULE 9 URINARY SYSTEM Caitlin Meservey
  • 2. ESWL: Extracorporeal Shock Wave Lithotripsy  ESWL is a non-invasive procedure that is used to treat kidney stones  High energy shock waves are directed at the site of the stones (previously identified by ultrasound)  Impact of shock waves cause stress on the stones, which break them into small pieces that can then be passed through the urinary tract  Procedure typically takes about an hour and is normally performed under light sedation
  • 3. UTI: Urinary Tract Infection  Infection caused by bacteria, which enters through the urethra (tube that connects the bladder to the genitals)  Symptoms: Cloudy or bloody urine, painful and frequent urination, pain in the side or back, fatigue, fever, nausea, vomiting  Diagnosis: Urinalysis, a urine sample is collected. The appearance of the urine is examined and a sample is examined under a microscope, which can identify the presence of bacteria. Urine culture, tests if urine sample will grow bacteria, imagine of urinary tract  Treatment: Antibiotics (ex. Amoxicillin, Ciprofloxacin Levofloxacin)
  • 4. ARF: ACUTE RENAL FAILURE  ARF is a sudden loss of kidney function, which develops within 48 hours  Kidneys are unable to filter waste products from the blood, causing extremely high levels to accumulate  Causes:  Prerenal: Decrease blood flow to kidneys  Intrinsic: Damage to the kidneys  Postrenal: Obstruction of the urinary tract  Diagnosis:  Monitoring urine output  Blood Tests: BUN, Creatinine  Imaging Tests: Ultrasound, CT scan  Treatment: Regulated fluid intake, low protein, salt, potassium diet, Diuretic to remove excess fluid, IV medication to control potassium levels, Dialysis to filter blood
  • 5. CRF: CHRONIC RENAL FAILURE  CFR is kidney disease the gets progressively worse over time, causes excess fluid, electrolytes and waste to build up in the body  Causes:  Hypertension  Diabetes  Kidney diseases/infections  Obstructions  Symptoms: fatigue, poor appetite, insomnia, edema, dry skin, muscle cramps, frequent urination  Diagnosis: Blood test to calculate Glomerular Filtration Rate (GFR), Ultrasound or CT scan of kidneys & urinary tract, kidney biopsy  Treatment: Control blood pressure, diabetes, low protein diet, dialysis to remove waste products from blood, kidney transplant
  • 6. BUN: BLOOD UREA NITROGEN  Test that measures the amount of urea nitrogen in the blood and evaluates kidney function  Urea nitrogen is a waste product produced by the liver when protein is broken down, which then dissolves in the blood stream  The kidneys then filter and remove urea from the blood stream and it is excreted in urine  Normal range: 6-20 mg/dL  Elevated BUN: High levels in the blood indicate reduced filtration by the kidneys and impaired kidney function, other causes:  Urinary tract obstruction, GI bleeding, dehydration, high protein diet, medications, congestive heart failure  Low BUN: caused by liver failure, reducing the production of urea nitrogen, low protein diet, excess hydration