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
transient incontinence
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
urge incontinence
state in which a person experiences involuntary passage of urine that occurs soon after a strong sense of urgency to void
27
urinary diversion
surgical creation of an alternate route for excretion of urine
28
urinary incontinence
any involuntary loss of urine
29
urinary retention
inability to void although urine is produced by the kidneys and enters the bladder;excessive storage of urine in the bladder
30
urinary sheath (external condom catheter)
soft, pliable sheath made of silicone material that is applied externally to the penis, and directs urine away from the body,
31
urination
process of emptying the bladder
32
urine
waste product excreted by the kidneys
33
anuria
24 hour urine output is less than 50 ml
34
dysuria
painful ro difficult urination
35
glycosuria
presence of glucose in the urine
36
oliguria
24 hour urine output less than 400 mL
37
proteinuria
protein in urine
38
pyuria
pus in urine
39
Characteristics of Urine: Color
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
Urine: Odor
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
Urine: Turbidity
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
Urine: pH
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
Urine: Specific Gravity
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
Urine: Contituents
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