Bowel and Bladder Elimination Flashcards
Melena
upper GI tract bleeding
Bloody Red Stool
lower GI tract bleeding
Dark stool
can be due to eating meat
Light Stool
can be due to drinking milk
How is odor of stool determined
pH, high pH means worse odor
Order of auscultation and palpation of GI
RLQ, RUQ, LUQ, LLQ
Fecal Impaction
hard stool stuck in rectum; sign is small amounts of watery poop coming out
Fiber
can cause increased defecation
Barium Enema
radiology, pt drinks barium and as liquid is moving ultrasound can see barium going through GI tract
EGD
procedure where a scope goes through GI tract; can go to top part of small intestine; can diagnose ulcers
Sigmoidoscopy and colonscopy
goes up intestines can diagnose chrons and IBS
Stool Samples
checks for what is in stool
FOBT
tests for blood in stool
BRAT Diet
Banannas, Rice, Apple Sauce, Toast
Stool Softeners
Colace
Osmotic
bring H2O into intestines; dulcolax (can cause cramping)
Magnesium Citrate
brings H2O into intestines, saline stimulant; use caution in pts with renal issues
Fleet
fastest result enema
Lubricant
mineral oils, lubes intestine walls and softens stool
Bulking
causes stool to absorb H2O and increases stool weight making intestines big and increasing peristalsis
Cleansing Enema
cleaning
Hypotonic Enema
tap water, distends intestine, large amount takes 15 min to work
Isotonic Enema
saline solution distends intestine, large amount takes 15 min to work
Hypertonic Enema
smaller volume, draw fluid out of intestinal space into intestine; takes 5-10 min to work
Soapsuds Enema
Irritates intestinal system stimulating peristalsis; takes 10-15 min to work
Retention Enema
retained in bowel for long amount of time
Return Flow enema
someone with gas, small volume of fluid in intestine, then drawn back out
Illeostomy
allows waste to come from ileum: liquid form
Colostomy
allows waste of colon to be excreted; more formed feces
Permanent Colostomy
allows pt. intestines to repair themselves; usually from severe trauma
Double Barrel Colostomy
2 stomas next to eachother one for feces and one for mucus
Loop Colostomy
keeps stoma stable and open
Fecal Drainage Device
folley for rectum
Cytoscope
scope that is put in uretha and goes to bladder; can diagnose UTI and prostate issues
Pyelogram
administer contrast via IV and pt is watched by radiography
BUN and Creatine
measure amount of waste products in blood
Normal pH of urine
4.5-8; becomes alkaline when sitting out
Specific Gravity
1.015-1.025; more concentrated= higher specific gravity
Glucose and Ketones
should not be detected in urine; can be sign of diabetes
Bilirubin
RBC breakdown, con indicate liver disease if present in urine
Culture and Sensitivity
finds bacteria and what med would work best to treat it
Clean Catch
pt starts voiding –> stops –> voids into specimen cup –> stop –> void rest into toilet
24 hour urine
pt voids and discard 1st one, but collect the rest for 24 hours; need doctor order
Never take specimen from folley bag
Never take specimen from folley bag
UTI
2nd most common infection, common in women, e. coli is most common cause
Renal Calcui
kidney stones
Acute Renal Failure
sudden stop of kidney function
End-stage renal failure
long standing decrease in function of renal system
Nephropathy
deterioration of kidney function
Nephrotoxic
anything toxic to kidneys
Anuria
no urine
Oliguria
small amount of urine
Dysuria
painful urination
Polyuria
frequent urination
Proteinuria
protein in urine
Pyuria
pus in urine
Urgency
feeling of having to go
Enuresis
involuntary voiding
Nocturia
frequently going at night time
Nocturnal Enuresis
bed wetting, usually from UTI
Crede’s Maneuver
push on bladder to promote urination
Indwelling Cath
folley
Self Cath
cath themselves
Supra Pubic Cath
cath is placed in pubic area when there is a problem with uretha
Bladder Irrigation
ordered when debris is in bladder
Ureterostomy
ureters directed through abdominal wall; pt wears external bag
Ileal Conduit
ureters are surgically connected to part of small intestine and small intestine is brought to abdominal wall