NRSG 4502 Lecture Notes - Lecture 8: Renal Function, Acute Kidney Injury, Renal Pelvis
18 Mar 2016
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Document Summary
Primary responsibility of kidney is to maintain composition and volume of body fluids in equilibrium: glomerular filtration: urine is the product. Secondary: erythropoietin: needed for production of rbc, renin: secreted by kidneys in response to; Developmental differences development of kidneys during first weeks of embryonic life completes about age one year. Reduces ability to reabsorb na+ & water. Infant in state of mild acidosis (7. 11 7. 36) Bladder capacity (boy > girls; capacity near adult by age 12) Condition that may involve urethra, bladder (lower uti), ureters, renal pelvis or renal parenchyma (upper uti) - any part of the gu system. Peak incidence (if no structural abnormalities) 2-6 years. Females 10-30x greater risk for utis (except during neonatal period) Shorter urethra & close to anal opening females. When potty training, females learning to wipe front to back. First line defense - evacuation in lower urinary tract by voiding. Catheterization**: under age 2, method of choice.
