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Fundamentals Test 2 > Ch 30 Bowel Test 2 Fundamentals > Flashcards

Ch 30 Bowel Test 2 Fundamentals Flashcards

1
Q

Functional unit kidney

A

Nephron

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2
Q

How much urine will be excreted per day to remove toxins

A

600 cc

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3
Q

What to monitor for pt with kidney stones

A

Place sieve in toilet / strained when voided

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4
Q

Trauma disription types catheters

A

Mallicot-sutured

Mushroom tip de pezzer

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5
Q

Coude catheter

A 
For prostate enlargement
Placed by urologist
Red
Rounded  bulbous tio
No balloon
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6
Q

Take aways for continuous bladder irrigation

A

Know the return should be pink to light red

Monitor output

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7
Q

Changes occur w aging kidneys

A

Decrease functioning nephrons
Decreased gfr
Decreased bladder tone- nocturia (1-2 times)
Decreased bladder emptying- uti leftover urine
Enlargement of prostate- urethral obstruction
Incontinence NOT normal otmal part of aging

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8
Q

Anuria

A

Less 100 ml q 24 w dialysis pts

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9
Q

Dysuria

A

Pain urination

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10
Q

Dysuria

A

Pain urination

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11
Q

Oliguria

A

Less than 400 ml

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12
Q

Polyuria

A

Over 1500 ml

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13
Q

Average urine output

A

30 cc per hour

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14
Q

map- like a ekg but for the kidneys

A

Mean arterial presence shiws good perfusion to kidneys

Should be over 65

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15
Q

Where is adh secreted from

A

Pituitary

Makes u keep urine in

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16
Q

Characteristics nml urine

A

Color. Nml yello/amber/clear
Abnormal colors Dark brown /smoky red- myoglobin or blood. Rhabdo

Clarity-transparent slightly ok
Very cloudy bacteria or uti

Odor- should smell like ammonia

Specific gravity- how thick or thin urine is-1=dehydration
. Greater than 3 is fluid overload

Ph- slightly acidic. 5.5-7

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17
Q

Cystitis

How to orevent

A 
Uti bladder information 
Wipe front to back 
increase fluids
Avoid citrus
Avoid bubble baths
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18
Q

Midstream clean catch urine what is it used for

A

Culture and sensitivity for uti
Urinate then midstream use that urine
Clean front to back

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19
Q

Taking specimen from indwelling catheter

A

From the self sealing catheter. Needless connector or 25 gauge needle

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20
Q

How much urine is needed from indwelling cather

A

3ml

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21
Q

Hiw long for soecimen to get to labs

A

15 minutes

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22
Q

How many hours after cath removal should u urinate

A

8 hours before u need a bladder scanner if urine need order for straight in and out cath

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23
Q

Doc orders sterile urine sample

A

Must use straight cath to get urine specimen

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24
Q

24 hiur urine take away

A

Throw first specimen out. If anything dumped out u restart. Place ice in basin.

25
Q

Glycosuria

A

Glucose in urine

26
Q

Proteinuria

A

Protein in urine

27
Q

Hematuria

A

Blood in urine

28
Q

Pyuria

A

Pus in urine

29
Q

Ketonuria

A

Ketones in urine

30
Q

Condomn catheter

A

Non invasive
Right size
Once placed on must have 1-2 inches at tip

31
Q

Putting catheter in

A

Dorsal recumbant position
Place onnnon movable bed piece
Perineal care at least 2 x daily and 7-10 inches down. Clean around and retract skin

32
Q

What to do after urine starts to flow in catheter

A

Advabce 1-2 inches more . Inflate balloon

33
Q

How much urine from midstream needed

A

1 ounce

34
Q

Bladder irrigation types

A

Continuous or intermittent

Urine shoukd be pink to light red

35
Q

Kegel

A

Training muscles stop flow.

36
Q

Intermittent bkadder irrigation

A

To remove blood clots , residual

37
Q

What is my role with kidney stones

A

Give a sieve send to lab, give pain meds

38
Q

When does the bladder empty

A

250-400 ml

39
Q

What is blockage of ureters caused by

A

Trauma or disruption of bladde

40
Q

What is dry sterile gauze used fir 4x4 or 2x2

A

Drainage

41
Q

Shiny non adherent non stick

A

Tefla

42
Q

Large oad doaks up alot

A

Abdominal pad

43
Q

Used stage 1 pressure ulcers the padding area

A

Thin film

44
Q

Used stage 2 and 3

A

Foam pad

45
Q

This is hydrocolloid 2 and 3

A

True duoderm infused with moisture padded to be used with stage 2 and 3 pressure injuries

46
Q

Opsite

A

No tegadrrm stage 1 before transparent

47
Q

Sharp debridement

A

Cutting off dead tissue

48
Q

Enzuymatic

A

Something poured 9n area to liquify so it can be removed

49
Q

Chemical debridement

A

Dakens solution- if they dont respond to anything else

Sterile maggots

50
Q

Explain autolytic

A

Self body makes enzymes that dissolve

51
Q

Mechanical

A

Whirlpool hydrotherapy. Wound washout

52
Q

Keflex

A

Wrap around

53
Q

Mesh

A

Sleeve over iv

54
Q

3lastic bandage

A

Ace

55
Q

Montgomery strap

A

Silk tape

56
Q

3rd intention use thiss to clean dressing changed every 3 weeks

A

Wound vac

57
Q

Explain wound irrigation

A

Check order 4 right solution

Hold syringe 1 inch from wound.

58
Q

What dressing change is performed every 4-6 hours.

A

Wet to dry

59
Q

Wet to damp dressing

A

Every 2 hours

Fundamentals Test 2 (3 decks)

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