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NURS B202 > Ch. 37 Urinary Elimination > Flashcards

Ch. 37 Urinary Elimination Flashcards

1
Q

autonomic bladder

A

bladder no longer controlled by the brain because of injury or disease, void by reflex only

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2
Q

Bacteriuria

A

condition that occurs when bacteria enter the bladder during catheterization, or when organisms migrate up the catheter lumen or the urethra into the baldder, bacteria in the urine

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3
Q

continent

A

having self control over urination

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4
Q

continent urinary diversion (CUD)

A

surgival alternative that uses a section of the intenstine to create an internal reservoir that holds urine, with the creation of a catheterizable stoma

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5
Q

cutaneous ureterostomy

A

a type of incontinent cutaneous urinary diversion in which the ureters are directed through the abdominal wall and attached to an opening in the skin

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6
Q

enuresis

A

involuntary urination, most often used to refer to a child who involuntarily urinates during the night

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7
Q

functional incontinence

A

state in which a person experiences an involuntary, unpredictable passage of urine

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8
Q

hematuria

A

blood in the urine, if present in large enough quantities, urine may be bright red or reddish brown

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9
Q

ileal conduit

A

urinary diversion in which the ureters are connected to the ileum with a stoma created on the abdominal wall

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10
Q

incontinence-associated dermatitis

A

moisture associated skin break down caused by prolonged contact of the skinw ith urine or feces

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11
Q

incontinent

A

experiencing involuntary or uncontrolled loss of urine or feces

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12
Q

indwelling urethral catheter

A

catheter that remains in place for continuous urine drainage (Foley catheter)

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13
Q

intermittent urethral catheter

A

straight catheter used to drain the bladder for short periods (5-10 mins)

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14
Q

micturition

A

process of emptying the bladder, urination, voiding

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15
Q

mixed incontinence

A

symptoms of urge and stress incontinence are present, although one may predominate

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16
Q

nephrotoxic

A

capable of causing kidney damage

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17
Q

nocturia

A

excessive urination during the night

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18
Q

overflow incontinence

A

involuntary loss of urine associated with overdistention and overflow of the bladder

19
Q

postvoid residual (PVR)

A

urine that remains in the bladder after the act of micturition, residual urine

20
Q

reflex incontinence

A

emptying of the bladder without the sensation of the need to void

21
Q

specific gravity

A

characteristic of urine that can be determined with manufactured plastic strips or an instrument, urinometer or hydrometer

22
Q

stress incontinence

A

state in which the person experiences a loss of urine of less than 50 mL that occurs with increased abdominal pressure

23
Q

suprapubic catheter

A

catheter inserted into the bladder through a small abdominal incision above the pubic area

24
Q

total incontinence

A

continuous and unpredictable loss of urine, resulting from surgery, trauma, or physical malformation

25
Q

transient incontinence

A

occurence that appears suddenly and lasts for 6 months or less and usually is caused by treatable factors, such as confusion secondary to acute illness, infection, and as a result of medical treatment, such as the use of diruetics or intravenous fluid administration

26
Q

urge incontinence

A

state in which a person experiences involuntary passage of urine that occurs soon after a strong sense of urgency to void

27
Q

urinary diversion

A

surgical creation of an alternate route for excretion of urine

28
Q

urinary incontinence

A

any involuntary loss of urine

29
Q

urinary retention

A

inability to void although urine is produced by the kidneys and enters the bladder;excessive storage of urine in the bladder

30
Q

urinary sheath (external condom catheter)

A

soft, pliable sheath made of silicone material that is applied externally to the penis, and directs urine away from the body,

31
Q

urination

A

process of emptying the bladder

32
Q

urine

A

waste product excreted by the kidneys

33
Q

anuria

A

24 hour urine output is less than 50 ml

34
Q

dysuria

A

painful ro difficult urination

35
Q

glycosuria

A

presence of glucose in the urine

36
Q

oliguria

A

24 hour urine output less than 400 mL

37
Q

proteinuria

A

protein in urine

38
Q

pyuria

A

pus in urine

39
Q

Characteristics of Urine: Color

A

normal: pale, yellow, straw colored or amber depending on concentration.
Special consids: urine is darker than normal when it is concentrated. food, and meds may alter color

40
Q

Urine: Odor

A

normal: aromatic. develops ammonia odor because of bactera.
Consids: food may alter smell. sweet scent is urine high in glucose. fetid odor for heavily infected

41
Q

Urine: Turbidity

A

fresh urine should be clear or translucent. as stands, becomes cloudy.
consids: cloudiness in fresh urine is abnormal, may be due to RBC, WBC, bacteria, vaginal discharge, sperm, or prostatic fluid

42
Q

Urine: pH

A

normal: 5-6, range 4.5-8. alkaline as standing. alkalinity may be promoted through diet or stone development
Consids: high protein, very acidic. citrus fruits, dairy, and veggies increase alkalinity, certain drugs influence

43
Q

Urine: Specific Gravity

A

normal: measure of density. 1.015-1.025
Consids: concentrated will have high, diluted will have low. high gravity without kidney disease = dehyradration and vice versa

44
Q

Urine: Contituents

A

Normal: Organics include urea, uric acid, creatinine, hippuric acid, indican, urene pigments, undertermined nitrogen. Inorganic: ammonia, sodium, chloride, iron, phsophorus, sulfu, potassium, and calcium
Consids: abnormal : blood, pus, albumic, glucose, ketone bodies, casts, gross bacteria and bile

NURS B202 (23 decks)

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