1. Chapter 45 Nursing Assessment Urinary System Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.

2. Structures and Functions of the Urinary System  Kidneys  Macrostructure  Microstructure  Blood supply  Physiology of urine formation Glomerular function Glomerular function Tubular function Tubular function  Other functions of the kidney

3. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-1

4. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-2

5. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-3

6. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-4

7. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Structures and Functions of the Urinary System (cont’d)  Ureters  Bladder  Urethra  Urethrovesical unit

8. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-5

9. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Gerontologic Considerations Effects of Aging on the Urinary System

10. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Assessment of the Urinary System  Subjective data  Important health information Past health history Past health history Medications Medications Surgery or other treatments Surgery or other treatments

11. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Assessment of the Urinary System (cont’d)  Functional health patterns Health Perception–Health Management Pattern Health Perception–Health Management Pattern Nutritional-Metabolic Pattern Nutritional-Metabolic Pattern Elimination Pattern Elimination Pattern Activity-Exercise Pattern Activity-Exercise Pattern Sleep-Rest Pattern Sleep-Rest Pattern Cognitive-Perceptual Pattern Cognitive-Perceptual Pattern Self-Perception–Self-Concept Pattern Self-Perception–Self-Concept Pattern Role-Relationship Pattern Role-Relationship Pattern Sexuality-Reproductive Pattern Sexuality-Reproductive Pattern

12. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Assessment of the Urinary System (cont’d)  Objective data  Physical examination Inspection Inspection Palpation Palpation Percussion Percussion Auscultation Auscultation

13. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-6

14. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Diagnostic Studies of the Urinary System  Urine studies  Urinalysis  Creatinine clearance  Urodynamics

15. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-7

16. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-8

17. Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved. Fig. 45-9