Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
The urine is a watery solution containing many waste products,
especially urea. It is generally amber in color, varying in shade with
circumstances, with an aromatic, characteristic odor when fresh. It
is acid in reaction and has a specific gravity of about 1020, though
this too varies with circumstances. Besides water, which is its chief
constituent, it contains urea, uric acid, organic acids, urates,
inorganic salts, including sodium chloride and phosphates of calcium
and magnesium, a certain amount of ammonia, and certain pigments. Its
acidity is due to acid sodium phosphate in solution but varies with the
food, and in disease the urine may become alkaline when passed. After
standing a few hours in a warm place it decomposes and becomes alkaline.
The quantity, which is normally three pints or fifteen hundred cubic
centimeters in twenty-four hours, varies with the amount of fluid
drunk, the amount of perspiration, etc. The amount secreted depends
chiefly, however, upon the flow of the blood through the kidneys; the
greater the flow of blood, the larger the amount of urine formed; and
the blood flow is determined by blood pressure and by vasomotor action.
Secretion also seems to be increased by the presence of urea, which
apparently serves as a stimulant to the kidney cells.
The excretion of waste materials takes place by three main channels,
the lungs, skin, and kidneys, and the materials are of four kinds,
_urea_, _carbon dioxide_, _salts_, and _water_. The lungs carry off
carbon dioxide and water chiefly, the skin these and inorganic salts,
while the kidneys eliminate practically all the urea as well as
inorganic salts and water. When the kidneys are not working the skin
carries off much urea. In fact, a close relationship exists between the
kidneys and the skin in the matter of excretion. Thus, with increased
perspiration in warm weather comes decreased urine, while in cold
weather the blood is sent in and the urine increased in amount.
To incite action of the kidneys drugs known as _diuretics_ may be used.
These act in two ways, by stimulating the kidney cells directly and by
acting on the general circulation or nervous system. Any emotional or
nervous excitement increases the flow of urine.
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