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NURS 347 EXAM 5 UROLOGY > Bladder Dysfunction > Flashcards

Bladder Dysfunction Flashcards

1
Q

What are the two bladder dysfunction?

A

Urinary Incontience
Urinary retention

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2
Q

What is urinary incontinence?

A

Involuntary leakage of urine

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3
Q

Urinary Incontience is more prevalent in which group of people and gender
However it’s important to know that isn’t is because of what ?

A

Older adults
Women
Not consequence of aging

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4
Q

Gender differences in urinary Incontience is what?
Male (3)
Women (2)

A

Common with BPH
Prostate cancer
Overfilled incontinece from urinary retention

Stress and urge incontience

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5
Q

Etiology and Pathophysiology
Urinary incontience
Explain what/how/why it occurs?

A

It’s when the bladder pressure is greater than urethral closure pressure

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6
Q

Urinary Incontience causes what?
What’s the acronym?
(3)
(2)
(3)
(2)

A

D : Delirium, dehydration, depression
R : restricted mobility, rectal impaction
I : infection; inflammation, impaction
P : Polyuria, polypharmacy

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7
Q

What are the 5 types of urinary incontience?

A

Stress
Urge
Overflow
Reflex
Functional

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8
Q

Stress Incontience is associated with what?

Patients will have what type of muscles?

Most common in which gender and how ?

Caused by (3)

Treatment ?

A

Increased intraabdominal pressure
Weak pelvic floor muscles
Women & birth/decrease estrogen
Cough, laughing, change in position
Pelvic floor strengthening with kegel exercise

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9
Q

What is urge Incontience?
What are the symptoms (3)
What is treatment (3)

A

Sense of urgency due to overactive bladder

Increased urgency to void
Difficulty holding urine once urge develops
Leaks when hearing water running

Asses for UTI
Bladder training
Pelvic floor training

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10
Q

What is overflow Incontience?
What are symptom (3)
What is treatment (2)

A

Caused by overdistended bladder

Distended bladder
High post void residual
Nocturia

Bladder training
Intermittent or indwelling catheter

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11
Q

What is reflex Incontience?
Symptoms (3)
Treatment (2)

A

Urine leakage when bladder volume reaches specific volume usually related to SCI ( spinal cord injuries )

Decreased awareness of bladder filling
Incomplete emptying
Unaware of urine leakage

Bladder emptying schedule
Monitor for urinary retention

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12
Q

What is functional Incontience?
Symptoms ( 3)
Treatment (3)

A

Cause of Incontience unrelated to urinary tract

Altered mobility
Sensory deficit
Decreased assess to bathroom

Improve access to bathroom
Modification in the environment make it easier to avoid functional Incontience
Mobility aids

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13
Q

What are diagnostic studies we can do for urinary Incontience? (4)

A

Urinalysis
Post void residual
Urodynamic studies
Ultrasound

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14
Q

We may want to also do a physical and basic evaluation on patients who are having urinary incontience. What would we be looking for? (3)

A

General health
Pelvic exam
Bladder log
( onset & factors that promote it )

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15
Q

Interprofessional care for urinary Incontience is?(9)
Treating anagram!!

A

Treats transient, revisible factors
Individualize patient preference
Life style modifications
Schedule voding
Pelvic floor muscle
Anti Incontience devices
Containment devices
Drugs therapy
Surgery therapy

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16
Q

What’s an anagram to help me remember Interprofessional care?(9)
Treating anagram!!

A

Treat
Individuals
Life
So
People
Aren’t
Coming
Down to
Surgery

17
Q

What is the nursing management for Urine incontience? (5)

A

Identify physical and emotion concern
Main dignity, privacy & self worth

Life style modifications
Behavioral treatments
Products to contain urine

18
Q

Urinary Incontience inpatients, it’s super important as you as a nurse to get up and get them where?

A

Going to the bathroom ever 3-4 hours

19
Q

Urinary retention what is it?

A

Inability to empty bladder with voiding

20
Q

Urinary retention may be associated with what ? (2)

A

Leakage or post void dribbling ( overflow )

21
Q

What is acute urinary retention? (2)
What is chronic urinary retention?

A

Inability to pass urine ; medical emergency

Incomplete emptying despite urination

22
Q

Individuals who have chronic urinary retentions ; what is the most common post void residual ; PVR ?
Normal vs abnormal

A

Normal 50 - 75 ML
Over 200ML

23
Q

Etiology & Pathophysiology
How does urinary retention happened? (3)
(2)(1)(4)

A

Bladder outlet obstruction
Bladder can’t empty due to severe bloackage
( mainly in men with enlarged prostate )

Deficiency destrusor contraction
- muscles can’t contact with enough force or time to empty bladder

Neurologic diseases
- diabetics; overdistenrion, chronic alcohol use, anticholingrix drugs

24
Q

What are diagnostic studies for urinary retention? (4)

A

Urinalysis
Post void residual
Urodynamic studies
Ultrasound

25
Q

What are the 4 Interprofessional care for urinary retention ?
What are we going to do?

A

Behavioral therapy
Scheduled toileting ( double voiding )
Catherization
Drug therapy

26
Q

We may also request surgical therapy to help with the obstruction
Transurethral or open techniques are for ? (4)

A

Prostate enlargement or cancer
Bladder neck contracture
Urethral strictures
Dyssynergia of bladder neck

27
Q

You may also have abdominal or trans vaginal approach for surgery which is for what?

A

Pelvic organ prolapse

28
Q

Acute urinary retention is an emergency so we are going to do what?
We are going to tell patients to Minimize risk of this by? (2)

If the patient is unable to void, we are going to tell them to ? (3)

A

Insert catheter as ordered

Drinking small amounts through the day
Avoid alcohol

Drink coffee or tea
Warm bath
Seek care

29
Q

What is nephrostomy tubes used for?

A

Temporary insertion through small flank incision into renal pelvis to preserve renal function when ureter completely obstructed

It’s attached to a drainage bag

30
Q

When having a nephrostomy tubes we much avoid? (3)

A

Kinking, compression, clamping!!

31
Q

You always want to check around the patient site for any excessive pain or drainage around the tube, what is this called?

A

Patency

32
Q

Complications of nephrostomy tubes are? (2)

A

Infection & secondary stone formation

33
Q

Additional information
You want to aspecting technique
No more than 5ml sterile saline
No clamping!!

A

NURS 347 EXAM 5 UROLOGY (16 decks)

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