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Rosa Razo
                         October 17, 2012




Sources: http:// www.webmd.com/a-to-z-guides
•   BUN – source: http://www.webmd.com/a-to-z-
    guides/blood-urea-nitrogen
•   A blood urea nitrogen (BUN) test measures the amount
    of nitrogen in your blood that comes from the waste
    product urea. Urea is made when protein is broken
    down in your body. Urea is made in the liver and
    passed out of your body in the urine.
•   A BUN test is done to see how well your kidneys are
    working. If your kidneys are not able to remove urea
    from the blood normally, your BUN level rises.. Heart
    failure, dehydration or a diet high in protein can also
    make your BUN level higher. Liver disease or damage
    can lower your BUN level. A low BUN level can occur
    normally in the second or third trimester of pregnancy.
•   A BUN test may be done with a blood
    creatinine test. The level of creatinine in your
    blood also tells how well your kidneys are
    working-a high creatinine level may mean your
    kidneys are not working properly. BUN and
    creatinine tests can be used together to find the
    BUN:creatinine
•   A BUN-to-creatinine ratio can help your doctor
    check for problems, such as dehydration, that
    may cause abnormal BUN and creatinine
    levels.
•   To see if your kidneys are working normally.
•   To see if your kidney disease is getting worse.
•   To see if treatment of your kidney disease is
    working A blood urea nitrogen (BUN) test is done to
•   Check for severe dehydration. Dehydration
    generally causes BUN levels to rise more than
    creatinine levels. This causes a high BUN-to-
    creatinine ratio. Kidney disease or blockage of
    the flow of urine from your kidney causes both
    BUN and creatinine levels to go up.
•   RP is a diagnostic x-ray in which dye is
    inserted through the urethra to outline the
    bladder, ureters, and renal pelvis
•   Generally, this test is performed during a
    procedure called cystoscopy – evaluation of the
    bladder with an endoscope
•   During a cystoscopy, contrast dye, which helps
    enhance the X-ray images, can be introduced
    into the ureters via a catheter.
•   ESWL uses shock waves to break a kidney
    stone into small pieces that can more easily
    travel through the urinary tract and pass from
    the body
•   ESWL may be used on people with a kidney
    stone that is causing pain or blocking the urine
    flow. Stones that are between 4 mm (0.16 in.)
    and 2 cm (0.8 in.) in diameter are most likely to
    be treated with ESWL.
•   You lie on a water-filled cushion, and the surgeon uses
    X-rays or ultrasound tests to precisely locate the stone.
    High-energy sound waves pass through your body
    without injuring it and break the stone into small
    pieces. These small pieces move through the urinary
    tract and out of the body more easily than a large stone.
•   The process takes about an hour.
•   You may receive sedatives or local anesthesia
•   Your surgeon may use a stent if you have a large stone.
    A stent is a small, short tube of flexible plastic mesh
    that holds the ureter open. This helps the small stone
    pieces to pass without blocking the ureter
•   A UTI is an infection in the urinary tract
•   Infections are caused by microbes—organisms too
    small to be seen without a microscope—including
    fungi, viruses, and bacteria
•   Bacteria are the most common cause of UTIs.
    Normally, bacteria that enter the urinary tract are
    rapidly removed by the body before they cause
    symptoms.
•   Bacteria may overcome the body’s natural defenses
    and cause infection, causing an infection in the urethra
    (urethritis)
•   A bladder infection is called cystitis. Bacteria may
    travel up the ureters to multiply and infect the kidneys.
    A kidney infection is called pyelonephritis.
•   Most are caused by bacteria that live in the
    bowel
•   The bacterium Escherichia coli (E. coli) causes the
    majority of UTIs
•    Microbes called Chlamydia and Mycoplasma can
    infect the urethra and reproductive system but
    not the bladder
•   Chlamydia and Mycoplasma infections may be
    sexually transmitted and require treatment of
    sexual partners
   People with spinal cord injuries
   People with other nerve damage around the
    bladder
   Anyone with an abnormality of the urinary
    tract that obstructs the flow of urine (i.e.kidney
    stone or enlarged prostate)
   People with diabetes
   Urinary catheterization is the insertion of a
    catheter into a patient's bladder. The catheter is
    used as a conduit to drain urine from the
    bladder into an attached bag or container
   Urinary catheterization is used to maintain
    urine output in patients who are undergoing
    surgery
   Patients who are confined to the bed and
    physically unable to use a bedpan
   Critically ill patients who require strict
    monitoring of urinary output
   Trauma to the urethra and/or bladder may
    result from incorrect insertion of the catheter
   Repeated irritation to the urethra during
    catheter insertion may cause scarring and/or
    stricture, or narrowing, of the urethra
   Catheter may introduce bacteria into the
    urethra and bladder, resulting in urinary tract
    infection

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Chapter 9 – urinary system

  • 1. Rosa Razo October 17, 2012 Sources: http:// www.webmd.com/a-to-z-guides
  • 2. BUN – source: http://www.webmd.com/a-to-z- guides/blood-urea-nitrogen • A blood urea nitrogen (BUN) test measures the amount of nitrogen in your blood that comes from the waste product urea. Urea is made when protein is broken down in your body. Urea is made in the liver and passed out of your body in the urine. • A BUN test is done to see how well your kidneys are working. If your kidneys are not able to remove urea from the blood normally, your BUN level rises.. Heart failure, dehydration or a diet high in protein can also make your BUN level higher. Liver disease or damage can lower your BUN level. A low BUN level can occur normally in the second or third trimester of pregnancy.
  • 3. A BUN test may be done with a blood creatinine test. The level of creatinine in your blood also tells how well your kidneys are working-a high creatinine level may mean your kidneys are not working properly. BUN and creatinine tests can be used together to find the BUN:creatinine • A BUN-to-creatinine ratio can help your doctor check for problems, such as dehydration, that may cause abnormal BUN and creatinine levels.
  • 4. To see if your kidneys are working normally. • To see if your kidney disease is getting worse. • To see if treatment of your kidney disease is working A blood urea nitrogen (BUN) test is done to • Check for severe dehydration. Dehydration generally causes BUN levels to rise more than creatinine levels. This causes a high BUN-to- creatinine ratio. Kidney disease or blockage of the flow of urine from your kidney causes both BUN and creatinine levels to go up.
  • 5. RP is a diagnostic x-ray in which dye is inserted through the urethra to outline the bladder, ureters, and renal pelvis • Generally, this test is performed during a procedure called cystoscopy – evaluation of the bladder with an endoscope • During a cystoscopy, contrast dye, which helps enhance the X-ray images, can be introduced into the ureters via a catheter.
  • 6. ESWL uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract and pass from the body • ESWL may be used on people with a kidney stone that is causing pain or blocking the urine flow. Stones that are between 4 mm (0.16 in.) and 2 cm (0.8 in.) in diameter are most likely to be treated with ESWL.
  • 7. You lie on a water-filled cushion, and the surgeon uses X-rays or ultrasound tests to precisely locate the stone. High-energy sound waves pass through your body without injuring it and break the stone into small pieces. These small pieces move through the urinary tract and out of the body more easily than a large stone. • The process takes about an hour. • You may receive sedatives or local anesthesia • Your surgeon may use a stent if you have a large stone. A stent is a small, short tube of flexible plastic mesh that holds the ureter open. This helps the small stone pieces to pass without blocking the ureter
  • 8. A UTI is an infection in the urinary tract • Infections are caused by microbes—organisms too small to be seen without a microscope—including fungi, viruses, and bacteria • Bacteria are the most common cause of UTIs. Normally, bacteria that enter the urinary tract are rapidly removed by the body before they cause symptoms. • Bacteria may overcome the body’s natural defenses and cause infection, causing an infection in the urethra (urethritis) • A bladder infection is called cystitis. Bacteria may travel up the ureters to multiply and infect the kidneys. A kidney infection is called pyelonephritis.
  • 9. Most are caused by bacteria that live in the bowel • The bacterium Escherichia coli (E. coli) causes the majority of UTIs • Microbes called Chlamydia and Mycoplasma can infect the urethra and reproductive system but not the bladder • Chlamydia and Mycoplasma infections may be sexually transmitted and require treatment of sexual partners
  • 10. People with spinal cord injuries  People with other nerve damage around the bladder  Anyone with an abnormality of the urinary tract that obstructs the flow of urine (i.e.kidney stone or enlarged prostate)  People with diabetes
  • 11. Urinary catheterization is the insertion of a catheter into a patient's bladder. The catheter is used as a conduit to drain urine from the bladder into an attached bag or container
  • 12. Urinary catheterization is used to maintain urine output in patients who are undergoing surgery  Patients who are confined to the bed and physically unable to use a bedpan  Critically ill patients who require strict monitoring of urinary output
  • 13. Trauma to the urethra and/or bladder may result from incorrect insertion of the catheter  Repeated irritation to the urethra during catheter insertion may cause scarring and/or stricture, or narrowing, of the urethra  Catheter may introduce bacteria into the urethra and bladder, resulting in urinary tract infection