Chp 55: Urinary Flashcards
UTI
- common reason seak health care
LOWER UTI
cystitis - bladder
Prostatitis - prostate
Urethritis
UPPER UTI
Pyleonepritis: acute chronic
Interstitial nepritis
Renal abcess perinal abcess- in the kidney
Factors of UTI
hygiene bacteria;
urethrovesical reflux (wrong way)
uropathogenic bacteria - ph good for urine
Shorter Urthera women
URETHROVESICal
OUT SUCK IN
bladder full urine squeexes and pee when release sucks a little from urthera into bladder
urthera back up to bladder not completey emptying bladder = infection
URETHEROVESICAL REFLUX
BACK UP REFILLING BLADDER
UTI: ASSESMENT
PAIN bringing upon urination frequency nocturia incontinence hematuria (irritated)
dont know they have uti URINYALIS0 WBC or RBC HONEYMOON CYSITIS - people go on the honeymoon (GO PEE AFTER SEX)
Contraceptic: spercimidal lubricants trapy bacteria in urtheria
Personal hygiene: wipe front to back dont wear thongs
urine , urinalysis and urine cultueres
OLD AGE: first sign confusion , dont tend to run fevers as quickly and goes on a little longer
GET URINE SAMPLE: cloudy , debri in it (WBC) SEND TO LAB DO CULTURES
UTI: DX
BIG DIAGNOSIS: knowledge defcicit
acute pain
UTI: COMPLICATIONS
Sepsis) urosepsis)
AKI
CKD
infection damage filters in kidney
UTI: GOAL
teaching and make sure they are comfortable
UTI: interventions
antibiotics pain medication or antispasmodics(FLOMAX- open you up ) PRYDIOME -PAIN- turns urine red and orange and will stain.
Heat to the perineum to relieve pain help spasm
FLUID INTAKE INCREASE
AVOID TEA COFFEE CITRUS SPICES COLA ALCOHOL SPICES
FREQUENT VOIDING
PT EDUCATION
Urinary Incontience
underdiagnosed and underreported (embarrassed by it ) symptom of an issue NOT NORMAL PART OF AGING
STRESS INCONTIENCE
have so much stress on URTHERA
LAUGH SNEEZE COUGH leak a little bit COMMON AFTER CHILD BRITH
IMMEDIATE STRESS AND INCREASE PRESSURE ON BELLY CAVITY puts pressure on sphincter
URGE INCONTIENCE
bladder is FULL and you have to go RIGHT NOW too much pressure on sphincter
FUNCTIONAL
LACK OF MUSCLE CONTROL cannot keep SPinchter close under PRESSURE- OLDER ADULTS KEAGALS
IARROGENIC
DONT KNOW WHATS CAUSING IT
MIXED INCONTINENCE
STRESS AND URGE BUT YOUR FINE DONT COUGH SNEEZE LAUGH
INCONTINENCE: TX
treat it does take time, muscle training educate verbally and in writing . KEEP LOG how often are you going
BEHIOVARL INTERVENTIONS: GOING COMPLETLY
MEDICATION GET UP GO PEE FREQUENTLY
URINARY RETENTION
INABLITLY TO EMPY COMPLETLY.
Residula urine: amount urine left in the bladder after voiding not getting it all out should be none left
60 and oler 50 to 100 mL of residul
POSTOPERATIVE SPASMS: GET UP AND PEE
Diabetes prostatic enlargement urthreal pathology neruo issue pregnant trauma - cause neuropathy can get obsruction urethra stricture
muscle relaxer will have a hard time getting a good squeeze
UROLITHISASIS
PAIN HEMATURIA URINARY STONES- calculi stones ureter
NEPHROLITHIASIS
FLANK PAIN HEMATURIA kidney stones , stone is scrapping urter causing irriation and inflammation blockage of urine still will be pekinG but not as much
TX: STRAIN URINE
ULTER DIET
URINE THAT SITS= INFECTION
DX: Xtray or CT (where it is or is blockage or how big stone is ) BUN AND CREATININ ELEVATED IMPARING FUNCTION (BLOCKAGE) STRAIN URINE SAVE STONE AND DO STONE ANAYLIS
PAIN HAPPENS WHEN GETS INTO URTER SO URINE CANT GET BY (HORRIBLE NAUSEATING PAIN THEN STOPS)
MAN ALL FOURS NAUSEAUS
RENAL STONES : TREATMENT
GO little scope into bladder with lens and pull it out
LITHROTRISY
sound waves to break up stone see where stone is and concnetrated and use waves to make a big stone into little stones to make it pass- less invasive less risk of infection
RENAL STONES: EDUCATION
GET ONCE WILL GET AGAIN
MONITOR URINE PH
prevent other stones: avoid mineral lots of fluid dietary education SODA big culprit
MEDICATION EDUCATION : TORODAL ANTIINFLAMMATORY KIDNY STONE IRRATATION ADN INFLAMMATION
