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What is urea?
Produced when foods containing protein, such as meat, poultry and certain vegetables are broken down in the body
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where does urea go?
It is carried in the bloodstream
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what are the functions of the kidneys?
- Remove liquid waste from the blood in the form of urine
- Keep a stable balance of salts and other substances in the blood
- Produce erythropoietin, a hormone that aids the formation of RBC
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how do kidneys work?
remove urea from the blood through filtering units called nephrons
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what is a nephron?
Each nephron consists of a ball formed of small blood capillaries called a glomerulus and a small tube called a renal tubule
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how is urine made?
- Urea + other waste substances = Urine
- Passes through the nephrons and down the renal tubules of the kidney
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what are the 2 ureters?
- Narrow tubes that carry urine down the kidneys to the bladder
- Muscles in ureter walls continually tighten and relax forcing urine downward, away from the kidneys
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what happens if urine backs up or stands still ?
A kidney infection can develop
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How frequently are small amount of urine emptied in the bladder from the ureters?
Every 10-15 seconds
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what is the bladder?
- Triangle shaped
- Hollow organ located in the lower abdomen
- Held in place by ligaments that are attached to other organs and the pelvic bones
- Bladder walls relax and expand to store urine
- Contract and flatten to empty urine through the urethra
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how much urine can the healthy adult bladder can store?
Up to 2 cups of urine for 2 to 5 hours
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what are the 2 sphincter muscles?
Circular muscles that help keep the urine from leaking by closing highly like a rubber band around the opening of the bladder
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what are the nerves in the bladder for?
Alert a person when it is time to uriniate, or empty the bladder
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what is the urethra?
- Tube that allows urine to pass outside of the body
- Brain signals bladder muscles to tighten and squeeze urine out of the bladder through the urethra
- Brain signals the sphincter muscles to relax to let urine exit the bladder through the urethra
- When all the signals occur in the correct order, normal urination occurs
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what is the chloride concentration []?
- When sodium is reabsorbed by the renal tubules, it is usually accompanied by chloride (to maintain electrostatic neutrality)
- Sodium excreted can be determined by Chloride concetration
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what are the steps to determine the chloride concentration?
- Use 10 drops of urine
- Add 1 drop of 20% Potassium chromate
- Add 2.9% silver nitrate solution, 1 drop at a time
- Shake after every drop
- Number of drops added = the number of grams of sodium chloride per litre of solution
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what is the specific gravity or density?
- Determined by a urinometer
- Fill the urinometer cylinder 3/4 full with urine and place the urinometer float in it
- Ratio between the weight of a given volume of a solution and the weight of the game volume of water
- ↑ Specific gravity of urine = more dissolved solids (urea, sodium, chloride) it contains
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what is a rough approximation of the total dissolved substances in urine?
- May be obtained by multiplying the final 2 figures of the specific gravity reading by 2.66 (Long's Coefficient)
- This gives a rough estimate of the number of grams of solid per litre of urine
- Ex. if specific gravity is 1.022, it contains about 2.66 x 22 = 58.5 grams of solid per liter
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what happens when the urine specimen is too small (less than 40ml)?
It may be diluted with distilled water
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how do you calculate the specific gravity of diluted urine?
you multiply the decimal portion by the dilution factor
Ex. If diluted urine has a specific gravity of 1.012 and the dilution factor was 2 then the specific gravity of undiluted urine will be 1.024
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what is the normal specific gravity of a 24 hour urine specimen?
- About 1.020 (range 1.016 - 1.025)
- Individual urine specimens can vary widely from a s low as 1.001 (after ingesting large amounts of fluid) to as high as 1.040 (when perspiring heavily)
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how to calculate the urine flow rate (ml/min)?
volume for each 60 mins (ml)/60 minutes (min)
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how to calculate the total urine flow rate (ml/min)?
Sum of volume of all urine samples except the 1st one / 120 min
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how to calculate the chloride concentration (g/l)?
total chloride content of all urine samples except the 1st one (g) / total volume in (ml)
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