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20150221071605 NBNS3504 N Renal Nursing Topic 1 2 Tutorial 1

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20150221071605 NBNS3504 N Renal Nursing Topic 1 2 Tutorial 1
Faculty of Nursing &
Allied Health Sciences

NBNS3504
NBNS3504
RENAL
RENAL NURSING
NURSING

Faculty of Nursing &
Allied Health Sciences

TOPIC
TOPIC 1
1
ASSESSMENT
ASSESSMENT OF
OF
RENAL
RENAL NURSING
NURSING

Mar 14, 2015

NBNS3504

2

Faculty of Nursing &
Allied Health Sciences

Topic
Topic 1:
1: Learning
Learning Outcomes
Outcomes
By the end of this topic you should be able to: • discuss the structure and main functions of the kidney
• explain the basic renal process of filtration re-absorption and secretion
• explain the assessment of renal function
Mar 14, 2015

NBNS3504

3

Faculty of Nursing &
Allied Health Sciences

Applied
Applied Anatomy
Anatomy and and Physiology
Physiology of of Renal
Renal
System
System

Mar 14, 2015

NBNS3504

4

Faculty of Nursing &
Allied Health Sciences

Structure
Structure of of the the Kidney
Kidney
• Paired organs, 140gm each
• Location - retro-peritoneal, against the dorsal abdominal wall
• Enclosed in a fibrous capsule • Embedded in fatty tissue
• Urine passes from the kidneys, through the ureters to the urinary bladder Mar
14, 2015
NBNS3504

5

Faculty of Nursing &
Allied Health Sciences

Structure
Structure of of the the Kidney
Kidney
• Each kidney is made up of one million nephrons richly supplied with blood • Empty into a smaller number of collecting ducts • Anatomically divided into outer portion cortex and inner section
- medulla
Mar 14, 2015

NBNS3504

6

Faculty of Nursing &
Allied Health Sciences

Functional
Functional unit unit of of the the Structure of the
Kidney
Structure of the
Kidney
kidney kidney NEPHRONS

Contains 5 components,
1. Bowman’s capsule – forming a blind-ending capsule around a knot of capillaries called the glomerulus (the site of filtration)
2. Proximal convoluted tubule (the site of bulk-phase reabsorption & some secretion)
3. Loop of Henle (where the concentration & dilution of urine mainly occur)
4. Distal convoluted tubule (the site of ‘fine-tuning’ reabsorption & more secretion)
5.
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