Term
| How many L of urinary output a day? |
|
Definition
1-2L
varies w/temp and fluid intake |
|
|
Term
|
Definition
filter blood
located against back muscle (between spine/last rib)(pain here indicates infection)
receive 25% of cardiac output |
|
|
Term
|
Definition
| peristaltic waves allow urin to enter bladder |
|
|
Term
|
Definition
stores urine
pushes above synthesis pubis |
|
|
Term
|
Definition
|
|
Term
| which spinchter do we control? |
|
Definition
|
|
Term
|
Definition
| the act of urinating/voiding |
|
|
Term
| what is an accurate perfusion amount? |
|
Definition
30mL per hour
-enough cardiac output |
|
|
Term
|
Definition
|
|
Term
| where does glomerular filtration take place? |
|
Definition
|
|
Term
| when can humans control urine output? |
|
Definition
|
|
Term
| name some factors influencing urination |
|
Definition
grwoth/development
social,
culture,
psychological,
muscle tone- OB/trauma,
fluid intake,
surgery,
meds,
trauma |
|
|
Term
| When ADH is suppressed what happens? |
|
Definition
|
|
Term
|
Definition
retention- restless, pressure, distention
UTI- E.Coli
incontinence
diversion
continuous incontinent drain |
|
|
Term
|
Definition
total
temporary medical condition
unpredictable times |
|
|
Term
|
Definition
mental/physical impairment
-outside of urinary system
unpredictable loss
ex. can't get to bathroom
-too far away
-can't get to walker |
|
|
Term
|
Definition
over distended
-normally wet
0PVR, frequency, nocturia |
|
|
Term
stress incontinence
urge incontinence |
|
Definition
hard to differentiate the two
stress- increased pressure w/leakage
-sphincter can't get hold tight
urge- involuntary pass of urin after urge to hold
-spasms |
|
|
Term
|
Definition
| involuntary loss @ predictable times and volumes |
|
|
Term
|
Definition
delirium
infection
atrophic urethritis
pharmaceuticals
psychological
excess urine output
restricted mobility
stool impaction |
|
|
Term
|
Definition
increased freq
burning
cloudy
odor
blood urine |
|
|
Term
|
Definition
pain w/voiding
-inflammation, trauma |
|
|
Term
|
Definition
more than 8x when awake
-fluid intake, inflammation, pressure |
|
|
Term
|
Definition
delay in start of urination
-anxiety, urethral edema |
|
|
Term
|
Definition
excess urine voiding
-fluid, DM or DI, diuretics |
|
|
Term
|
Definition
diminished output because of decreased intake
-renal disease, dehydrated, ADH |
|
|
Term
|
Definition
awake from sleep to urinate
-fluids, renal, cardiac output |
|
|
Term
|
Definition
leakage
-retention, stress |
|
|
Term
|
Definition
blood in urine,
-trauma, cancer |
|
|
Term
|
Definition
| leftover urine after voiding |
|
|
Term
| what are 2 common meds that affect urination? |
|
Definition
|
|
Term
| when should diuretics be given? |
|
Definition
| not @ night time because of increased urgency |
|
|
Term
| do you need doc to order I&O? |
|
Definition
| no, but don't ever restrict fluid intake without order. |
|
|
Term
|
Definition
palpate
skin nucosa
kidneys (CVA angle)
bladder
urethral meatus
discharge
I&O
urine-color, small, clarity |
|
|
Term
|
Definition
increased if dehydrated
decreased if overhydrated |
|
|
Term
|
Definition
|
|
Term
|
Definition
24 hours
8a-8a
waste first
collect every drop after that |
|
|
Term
|
Definition
1. Waste
2. void in cup
3. don't finish in cup
*don't touch inside of cup |
|
|
Term
| what technique is used w/ clean void? |
|
Definition
|
|
Term
|
Definition
sterile specimen bag w/first use
part of tubing w/fresh urine |
|
|
Term
| noninvasive diagnostic exam |
|
Definition
KUB-xray, flat plate of abd
IV pyelogram- consent, allergies, bowel prep, NPO, IV
CAT SCAN- slices of body, glomurelar function rate (GFR) |
|
|
Term
|
Definition
endoscopy
cytoscope
urodynmaic |
|
|
Term
|
Definition
| urinary retention r/t weakened muscles and foley removal |
|
|
Term
| what is an adequate daily fluid intake? |
|
Definition
6-8 glasses
drink 1 cup after voiding |
|
|
Term
| how to promote bladder emptying |
|
Definition
position
sensory
double void
timed voiding |
|
|
Term
| what is bladder compression |
|
Definition
NEED PCP CONSULTATION
compress bladder, contract abd wall, hold breath |
|
|
Term
|
Definition
clean technique
single use |
|
|
Term
|
Definition
foley (16-18 adult
-balloon, filled w/10ml sterile water
-used fro obstruction, I&O, continuous draining
-closed system decreases infection
-8 hrs after BM
-peri-care 4inces from cath to urethra
cath removal-asepsis |
|
|
Term
| alternatives to catheters |
|
Definition
suprapubic-surgical
condom
absorbent pads/briefs |
|
|
Term
|
Definition
incontinent-change 3-7 days
continent- change 4-6x a day |
|
|
Term
| pelvic floor muscle training |
|
Definition
|
|
Term
|
Definition
incontinence associated dermatitis
decrease infection
comfort-pyridium for UTI's
ureterostomy |
|
|
Term
|
Definition
if female had hysterectomy, put on as a male
gel 1-2 in above symphosis pubis |
|
|
Term
| what position for cath insertion? |
|
Definition
female-dorsal recumbent
male-supine |
|
|
Term
|
Definition
|
|
Term
| can a leg bag be used in bed? |
|
Definition
|
|
