Term
What is the primary function of the Urinary system? |
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Definition
to remove waste products from the blood |
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Term
what is the urinalysis method? |
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Definition
- cheap
- non invasive
- get important info. about urinary tract
- useful indicator of renal function
- errors may occur beacuase it is easy
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Term
What does Urinalysis depend on? |
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Definition
quality of sample and observational skills of the person performing the analysis |
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Term
What does a complete urinalysis include? |
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Definition
- Gross examination
- USG
- Biochemical analysis
- Sediment examination
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Term
Examples of preanalytical errors of urinalysis |
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Definition
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Term
Examples of analytical errors of urinalysis |
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Definition
- Improper procedure
- Inability to recognize structures
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Term
Example of postanalytical error of urinalysis |
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Definition
incorrect/inaccurate documentation |
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Term
When do you use urinalysis |
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Definition
- evaluation of the urinary tract
- screening process
- geriatric screening
- pre-anaesthetic screening
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Term
Methods of collecting Urine |
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Definition
- voided sample
- manual expression
- catheterized sample
- cystocentiesis
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Term
What is the Voided sampling method? |
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Definition
- clean and not sterile
- no trauma
- increased amount of bacteria and cells
- caught medstream because the urine will be less contaminated
- don't use this method for bacterial cultures
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Term
What is the manual Expression method? |
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Definition
- must be careful of the bladder
- increased amount of bacteria and cells
- clean and not sterile
- caught midstream
- only used when patient is asleep because they have no muscle tone
- don't do if patient is blocked
- don't use for bacterial cultures
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Term
What is the Catheterization method? |
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Definition
- use a sterile syringe
- increased amount of RBC's
- caught midstream
- may or may not have bacterial culture
- this method isn't usually used
- female patients must be sedated
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Term
What is the Cystocentesis method? |
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Definition
- increased amount of RBC's
- no bacteria because the bladder is steriale
- urine culture
- sterile technique
- take sample directly from bladder
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Term
What problems arise if you get your urine sample from the floor or table top? |
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Definition
the urine may contain bacteria and/or cleaning solvents |
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Term
can you use urine collected from the floor or table top? |
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Definition
only if the collection method is documented, but you can't use it for chemical analysis |
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Term
Can collection methods impact the results of urinalysis? |
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Definition
- yes
- microscopic findings are influenced by bacteria, epithelial cells and other introduced methods from collection method
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Term
Is it good to find WBC's and bacteria in a urine sample? |
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Definition
no, it indicates that the kidneys aren't working properly |
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Term
Quality Control for Urine samples |
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Definition
- proper collection/storage
- proper identification
- proper procedure
- no expired reagents
- tightly sealed containers
- controls available (chem sticks: in water they are negative and there are bacteria on the sticks)
- standard volume of 3mL
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Term
What is the informaiton you need to provide for urine samples? |
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Definition
- time urine was collected
- method of collection (effects what is seen)
- not any medications (effects chemical tests)
- time urinalysis was performed (must be within 30min to 1 hr)
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Term
What is on the lable of the container that the urine sample is in? |
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Definition
- animal name (both first and last)
- animal number
- owner name
- collection method
- collection time
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Term
collection containers for urinalysis |
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Definition
clean, dry, opaque and properly labelled
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Term
urinalysis collection container if used for bacteria culture? |
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Definition
sterile and collection method indicated |
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Term
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Definition
- it is a volatile environment and changes as soon as it exits the body
- the best results of urinalysis is asap
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Term
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Definition
first morning sample is ideal |
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Term
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Definition
- if sample not analyzed in 30 mins and a preserve called formalin (saves sedament) is added (but for only 6-12 hrs)
- before analyzing allow urine to warm up to room temperature otherwise chemical tests and sediment can be altered
- gently invert to distribute any formed elements
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Term
What happens when urine is cold? |
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Definition
reaction time is longer, get crystals, USG is all messed up, etc... |
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Term
Leaving Urine at room temperature |
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Definition
- makes the sample useless
- bacteria begins to grow
- increases pH (causes a decreases in cellular components)
- increases turbdity
- decreases glucose and bilirubin
- disintegration of casts, red blood cells, cyrstals
- bacteria eat glucose
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Term
GROSS examonation of urine |
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Definition
- involves all observations made without a microscope or chemical tests/reagents
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Term
What are the 5 observations of GROSS examination? |
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Definition
- volume
- colour
- turbidity
- odor
- foam (doesn't happen any more)
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Term
What is observation of Volume during GROSS examinations? |
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Definition
- 24 hr collection to assess volume
- things to look for
- micturition
- anuria
- oliguria
- polyuria
- pollakiuria
- polydipsia
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Term
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Definition
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Term
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Definition
no pee = may be problem with kidney, etc... |
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Term
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Definition
decreased output of uring (peeing less than normal) |
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Term
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Definition
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Term
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Definition
urge to pee, but only tinkle (i.e.: small infrequent urination) |
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Term
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Definition
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Term
What are 7 factors that affect urine output? |
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Definition
- fluid intake
- external losses
- environmental conditions
- food (can vs dried)
- activity level (the more active the patient, the more they drink)
- species (some urinate more than others)
- animal size
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Term
What colours may you observe during GROSS examinations? |
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Definition
- colorless to pale yellow
- dark yellow to orange
- yellow
- yellow green
- red to red brown to brown/black
- blue
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Term
What affects the colour of urine? |
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Definition
- drugs
- food
- disease
- medication
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Term
what does the colour of urine indicate? |
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Definition
- clear/pale yellow = normal
- the darker the urine the more concentrated
- hydrations status
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Term
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Definition
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Term
what does the colour of urine depend on |
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Definition
concentration of the urine |
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Term
Urine with a red to brown color indicates? |
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Definition
- hematuria
- hemoglobinuria
- myoglobinuria
- centrifuge to determine cause
- check plasma color
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Term
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Definition
- heavy and sink to bottom
- indicate bleeding
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Term
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Definition
- intact RBC in urine = problem
- nemerous RBC's
- clear plasma color
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Term
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Definition
- hemoglobin in urine
- RBC's break down and release hemoglobin in urine
- plasma color is key
- red/pink plasma color
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Term
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Definition
- muscle break down
- always dark brown
- clear plasma color
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Term
what types of turbidity (i.e. how clear is the urine) are observend during GROSS examinations? |
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Definition
- clear = normal fresh urine in cats and dogs
- slightly cloudy
- moderatelly cloudy
- cloudy/opaque/turbid
- milky
- flocculent
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Term
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Definition
- species dependent
- asses cause by examining sedament under a microscope
- a dog with strubite crystals have turbid urine
- turbid urine is normal for horses, rats, rabbits, etc... becasue calcium carbonate is common in their urine
- the less you can see through the urine, the more turbid it is
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Term
What types of odour can be observed during GROSS examinations? |
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Definition
- normal smell
- strong/concentrated
- sweet/fruity (may indicate a diabetes)
- caused by ketones (when body can't use glucose and breaks down fat cells)
- foul/ammonia
- dark yellow = very strong
- green = extreally storng and usually indicates a UTI
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Term
Foam observation during GROSS examinations? |
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Definition
- indicates presence of proteins in urine = not good
- presistent foam may indicates a proteinuria
- types
- the longer it lasts, the more protein present
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Term
What is the Urinalysis Technique? |
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Definition
- perform macroscopic examination (color, turbidity, odour)
- perform chemical reagent tests
- centrifuge the sample
- determine specific gravity using supernotant
- evaluate sediment
- before refridgerating uring performe macro examination and chemical tests.
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Term
What is Urine specific Gravity (USG)? |
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Definition
- measures concentrating and diluting ability of kidneys
- measures the amount of solutes in urine and depends on the number and type of solute.
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Term
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Definition
hydration status of patient |
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Term
what are 2 types of solutes that can overestimate USG? |
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Definition
blucose & protein because they bend the light |
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Term
name 1 solute that will not effect USG? |
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Definition
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Term
what happens to an animal that is overhydrated? |
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Definition
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Term
what can cause overhydration?
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Definition
get too much fluid through IV |
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Term
what does diabetes do in an animal? |
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Definition
increases thrust, therefore may overhydrate them |
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Term
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Definition
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Term
how do you get a dilute USG? |
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Definition
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Term
USG for normal animals depends on? |
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Definition
- eating/drinking habits
- temperature of environment (i.e. if hot, fluids are lost and more water is drunk)
- collection time (morn. sample = more concentrated because there is little to no fluids being taken in)
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Term
Are ther always solutes in urine? |
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Definition
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Term
examples of why there may be solutes in urine? |
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Definition
- kidneys absorb what they can handle and flush out the excess
- eat too much sugar, kidneys will flush out excess in urine
- kidneys have a renal threshhold
-
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Term
What is the USG in the morning if kidneys are functioning? |
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Definition
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Term
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Definition
- to determine wether the kidneys are functioning properly
- determine hydration status
- differentiate between diseases such as diabetes insipidus & diabetes mellitus
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Term
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Definition
takes all particles into consideration |
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Term
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Definition
- not only based on USG
- inability of kidney to conserve water
- Dilute USG
- lower than expected USG
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Term
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Definition
- not only based on USG
- high USG
- lots of glucose in sample
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
when do you use either the refractometer or urinometer? |
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Definition
before or after centrifugation because there is little effect on USG from solutes that settle out after centrifuging |
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Term
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Definition
- Be consistent
- always note turbidity, temperature and refractometer type
- if fairly turbulent then cnetrifuge first
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Term
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Definition
brand new renal ineffeciencies and presence of protein |
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Term
trace amount of protein in dog urine |
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Definition
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Term
trace amount of protein in cat urine |
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Definition
kidneys threshhold exceded and not functoning |
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Term
what is the working part of the kidney |
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Definition
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Term
how much of the nephron can the kidney loose and still function? |
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Definition
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Term
what is common when animals are 7 yrs and older |
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Definition
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Term
what happens when animals go in shock? |
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Definition
not as much blood goes through the kidney |
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Term
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Definition
- excessive drinking
- excessive urine output
- dilutes USG
- the more water, the more solute and therefore the higher the USG
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Term
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Definition
- will see signs (driking more and peeing more)
- only 1/3 of nephron left
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Term
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Definition
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Term
what causes an increased USG? |
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Definition
- dehydration
- fluid loss
- increased excretion of urine solutes
- shock
- diabetes mellitus
- acute renal disease
- certain drugs
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Term
what causes a decreaed USG? |
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Definition
- polydipsia
- fluids
- chronic renal failure
- diabetes insipidus
- any diseases which kidneys cannot reabsorb water
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Term
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Definition
- disease process occuring
- low USG
- USG = 1.008 or less
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Term
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Definition
- high USG
- USG for a dog = greater than 1.030
- USG for a cat = greater than 1.035
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Term
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Definition
- give or take water, don't effect USG range
- fixed USG
- kidneys not concentrating or diluting
- USG range = 1.008-1.012
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Term
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Definition
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Term
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Definition
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Term
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Definition
limited/decreased urine output |
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