Urinary A&P

Urinary A&P - Urinary A&P Urinary A&P

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Unformatted text preview: Urinary A&P Urinary A&P http://www.sumanasinc.com/webconte http://www.sumanasinc.com/webconte About dipsticks ( not that last guy About dipsticks ( not that last guy you went out with…) Time is important Just enough to wet all the reagent areas at once Doesn’t need to soak Watch how I hold the barrel of the bottle Have one person in the group be responsible for time Check the color at the appointed time Specific Gravity Specific Gravity SPGR of water is 1.0 (1cc weighs 1 gm) Urine ranges from 1.001­1.0030 ADH ALDOSTERONE ANP etc Osmotic diuresis Loop diuresis Measuring Sp Gravity Measuring Sp Gravity pH pH 4.5­8.0 Normal is around 6.0 (slightly acidic because we are ridding the body of excess acid) Glucose Glucose Normally filtered at the glomerulus All the glucose in the filtrate is reabsorbed by the tubular cells and returned to the blood if the serum glucose is less than 100 mg/dl If active transport abilities are exceeded then it spills in urine Albumin Albumin Protein normally not filtered in the glomerulus So presence of Albumin is abnormal High Blood pressure Damaged Glomerulus Pregnancy Bacterial toxins Heavy metals Glomerulonephritis Ketone Bodies Ketone Bodies Metabolites of fat metabolism may occur in small amts Presence in urine indicates excessive fat metabolism and may cause acidosis Starvation Low CHO diets With Glucosuria……….Diabetes Mellitus RBC’s RBC’s Should not be filtered or excreted Presence is usually abnormal Kidney stones Infections Physical trauma, catheter Painless hematuria without cause is the most common presentation of renal neoplasia Hemoglobin Hemoglobin Protein breakdown of RBC’s Sign of Hemolysis Nitrites Nitrites Active alive bacteria produce Nitrites E.coli specifically and other gram Neg rods Sign of a bladder infection…………!! Urobilinogen Urobilinogen Feces is brown because of bilirubin pigments Enterohepatic circulation brings back some urobilinogen into the blood and either re secreted into the gut or excreted by the kidney Hepatitis, cirrhosis, Biliary disease WBC WBC Should not be filtered cellular element Inflammation or infection in the urinary tract somewhere On to some anatomy….. On to some anatomy….. TRIGONE Your Job today……. Your Job today……. Follow Kinko’s guide pp 44,45 Part one …dipstick the 4 different urines Understand different constituents of urine Part two….find everything on the models and their function Cat (if you think you cant find the kidney) Histology (activity 2 page 449) Before you leave….. Before you leave….. Let me see your result sheet…… Remember……exam is in 2 weeks Review and open labs next week…… Any questions????? ...
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This note was uploaded on 02/04/2011 for the course BIOL 2222 taught by Professor Jones during the Summer '11 term at Kennesaw.

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