Bowel and bladder Flashcards
Kidneys is located in
10th to 12th rib
Helps external urethra spinchter (stop pee)
Pelvic floor muscle
Factors affecting ket 4 lang
Developmental, surgical, diagnostic (diuretics) food and fluid
Preventents water retention
Diuretics
Tip of renal pyramids to form renal pelvis
Calyx
Renal artery
Going in
Renal Vein
Going out
Have 2 components blood vessel and tubular
Nephrons
It is going in towards bownmas capsule
Afferent arteriole
Most impo for nephron. High pressure to move blood, fluids, electrolytes towards tubular
Glomerulus
Goes out to nephron to peritubular capillaries
Efferent arteriole
Urine production of 1yr old and adult
250-450 ml for baby
1500ml for adult
Production of abnormality large amount of urine by the kidneys
Polyuria
Low urine output 400ml only a day
Oliguria
Refers to lack of urine production less than 100ml a day
Anuria
Voiding at frequent intervals (more than 4-6/day)
Urinary frequency
Voiding 2 or more times at night
Nocturia
Sudden strong desire to void
Urgency
Voiding that is either painful or difficult
Dysuria
Involuntary urination in children 4-5y/o
Enuresis
When emptying of the ladder is impaired, urine accumulates and the bladder becomes over distended
Urinary retention
Occurs because of weak pelvic floor muscles or urethral hypermoblity causing urine leakage
Stress incontinence
Urgent need to void, inability to stop leakage ranges from drop to soak
Urge
Both SUI and Ui
Mixed incontinence
When bladder overfills and urine leaks out due to pressure on the urinary spinchter
Overflow incontinence
Results from side effects
Functional incontinence
Assessment for urinary tract 3
History, hydration status, diagnostic tests
Normal urine output
60ml/hr 1500/day
What is the indication if 3ml/hour
Low blood volume, kidney malfunction
Measured to assess the amount of retained urine after voiding and determine the need for interventions
PVR Postvoid residual
Normal PVR
50-100mL
Planning for urine elimination 3
Maintain and restore void pattern
Prevent infection
Contain urine with appropriate device(catheter)
Requires the involvement of nurse, te client, and support of people. Client must be alert and physically able to participate trining protocol
Continence training
Bladder retraining 3
Resist void
2-3 hrs bvoid then 4-6hrs
Practice deep slow breathing until void disappears
Timed or prompted voiding and scheduled toileting, attempts to keep clients dry 2-4hrs
Habit training
Clients who have flaccid bladder may use manual pressure on the bladder to promote emptying
Crede’s manuever
Weak, soft, lax bladder muscles
Flaccid bladder
Used a triple lumen catheter. Flushing or washing out with specified solution. Lower risk of UTI
uRINARY IRRIGATION
SURGICAL REROUTING OF URINE FROM KIDNEYS TO A SITE OTHER THAN THE BLADDER(PX W/ BLADDER CANCER, BYPASS)
Urinary diversion (leprostumy tube)
The urgeon transplants the ureters to an isolated section of the terminal ilieum. (Ileal conduit) Bringing one end to the abdominal wall.
Conventional ileal conduit
The surgeon brings the detached ureters through the abdominal wall and attaches it to an opening in the skin
Cutaneous urethrostomy
Surgeon introduces the ureters into a segment of ileum an cecum. Urine is drained periodically by inserting a catheter into the stoma
Indiana pouch
Knock pouch. Surgeon transplants the ureters to an isolated segment of small bowel, ascending colon or leocolonic segment develops an effective continence mechanism or valvee
Continent ileal urinary diversion
Expulsion of feces from anus and rectum. Aka bowel movement.
Defecation
Implementation for diarrhea 3
No cold and hot drinks
No high fibers and spicy
Drink a lot of oral fluids and bland foods
Factors affecting defecation 3
Same s urine
Diagnostic procedures
Anesthesisa and surgery
Pathologic Pain
Defined as fewer than three boels movement a week. Passage of dry, hard stool or no stool
Constipation
Mass or collection of hardened feces of fold on the rectum
Fecal impaction
Loss of voluntary ability to control fecal and gaseous discharge through nal spinchter
Bowel incontinence