To describe:
The normal anatomy and physiology of the renal system.
Introduction:
Explanation of Solution
Pictorial representation:
The normal anatomy and physiology of the renal system are described below:
The principal system that is involved in the excretion of waste is the urinary system. From the blood, the metabolic waste is removed by the kidney. The kidney plays an important role in regulating blood pressure and blood volume. The back of the abdominal cavity is the place where the kidney (bean shaped) is located. Vertebrae T12 to L3 is the level where the kidney lies. The left kidney is located slightly higher than the right kidney (lower). This is due to the large right lobe of the liver that occupies the space above the right kidney. The middle part of the left kidney is nearly crossed by Rib 12. The kidneys are retroperitoneal, along with the renal artery, vein, ureters, adrenal glands, and the urinary bladder.
The structural unit of the kidney is referred to as nephron. One million nephrons are present in each kidney. The filtering process takes in the glomerulus. The glomerulus is a bunch of capillaries that is encapsulated by the glomerular capsule. The time taken for filtering the blood is called as glomerular filtration rate (GFR).
The glomerular filtration rate is controlled by the afferent arterioles (approaching the glomerulus) and the efferent arterioles (exiting the glomerulus). The proximal tubule or proximal convoluted tubule plays an important role in returning 60% - 70% of water and sodium from the filtered fluid into the blood. The nephron is surrounded by the blood vessels that permit the reabsorbed substances directly to reach the blood stream. This process (one of the active transport) needs the adenosine triphosphate molecule as an energy source. The active transportation of potassium and sodium ions returns back into the bloodstream, which is known as passive reabsorption (water and chloride). The water and chloride ions follow (passively) the potassium and sodium ions by means of osmosis. The loop of Henle (ascending) is the area where 20% - 25% of sodium ion is reabsorbed back into the blood. In the loop of Henle, sodium is passively reabsorbed, and chloride is actively reabsorbed.
In the distal convoluted tubule or distal tubule, the remaining (5%-10%) sodium is reabsorbed. The sodium ion is actively filtered in the distal tubule. This process is controlled by aldosterone. The final pathway (common) for the remains that begin in the glomerulus is called as collecting duct. The antidiuretic hormone plays an important role to raise water absorption (into the blood). Hence, excess water is prevented from being excreted in the urine.
The glomerular filtration rate’s measurement is used in the detection of some kidney diseases. Yet, the quantity of NaCl could not be assumed by the glomerular filtration rate; there are two causes to explain this reason. (1) The glomerulus is not able to filter the NaCl in urine that is produced by the renal tubule. (2) The tubule reabsorbs all the NaCl that the glomerulus has filtered.
Want to see more full solutions like this?
- Conditions of participation, Accident (medical), Complaint, EMTALA, Incidint Reporting System, Informed Consent, Malpractice, Legal Health Record, National Patient Saftey Goals what would be a good definition and an example for each of these wordsarrow_forwardtime 0543 0700 0907 PIP = 32 37 38 Pplat = 24 23 24 I:E ratio = 1:2.5 1:2 1:2.2 BS: I & E wheeze coarse crackles distant exp. wheezes and coarse crackles What do these changes indicate?arrow_forwardNeed to be answered for each drug: Simple explanations please! What the drug does: Drug/Nutrient Interactions: GI Side Effects:arrow_forward
- Complete and upload an observation Analysis and evaluation – Section 2, using your chosen observation tool. Case Study 1b - Cooper Carol has asked you to support the babies and toddler’s room educators this week. She has requested that you complete an observation on Cooper, who is a 10-month-old toddler. Carol wants to see how well you conduct an observation and is interested in how you manage to communicate in any observations made, using a strengths-based, non-judgemental, anti-biased approach, as this is a fundamental part of creating a supportive and respectful culture at Little Catalysts ELC. Video: Cooper's play (6:45 min) Resources Module 7 eLearns Educators’ Guide to the Early Years learning Framework for Australia Video: Cooper's play (6:45 min) Template: Learning Story Observation – Analysis Section 2 Template: Running Record Observation – Analysis Section 2 Template: Anecdotal Record Observation – Analysis Section 2 ACECQA Unpacking the planning cycle: Part 2 In the…arrow_forwardYou have chosen a career in the medical field. Often you will see the news or social medial report on stressors that nurses experience. What activities will help you alleviate stress and decompress from a difficult day? Respond using your self-care routines and stress-management techniques. If you do not have a self-care routine, what activities do you plan to incorporate in the future. Please cite in text sources and list references.arrow_forwardNutrition Intervention (education, like your talking to the pt) Nutrition monitoring and evaluation Need to know: Fluid needs Feeding frequnecy Foods that thicken stools Foods that thicken stools Foods that cause discomfort vitamin type neededarrow_forward
- Need: What labs are high Nutrition Intervention (what to educate her on, like you're talking to her) Nutrition Monitoring and Evaluationarrow_forwardA 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/dayarrow_forwardTwo kind verbarrow_forward
- Nutrition Internventionarrow_forwardMrs. Sara Bellum Lab data: All High GFR: 10 mL/min/1.73^2 Creatinine: 2.5 mg/dL BUN: 33 mg/dL HbgA1c: 9.2% Potassium: 5.5 mEq/L Phosphourous: 5 mg/dL Mrs. Sara Bellum's questions to answer: How much protein to eat What types of protein to eat What other liquids can she drink How to avoid being thirsty Dairy options and amount What kind of founds cound as fluid Are veggie dinners ok How much water to drink Nutrition intervention Are carbs ok with pts with ckd Calories: 1300-18200 kcal/day Protein: 52-62 g protein/kg Fluid: 18 ounces (6 cups) per day Sodium (less than 2,300 milligrams a day) Potassium Calciumarrow_forwardQuestions to as a CKD patient with diabetes during an assessment (as a dietitian)?arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning