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Med Surg > Chp 55: Urinary > Flashcards

Chp 55: Urinary Flashcards

1
Q

UTI

A
  • common reason seak health care
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2
Q

LOWER UTI

A

cystitis - bladder
Prostatitis - prostate
Urethritis

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3
Q

UPPER UTI

A

Pyleonepritis: acute chronic
Interstitial nepritis
Renal abcess perinal abcess- in the kidney

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4
Q

Factors of UTI

A

hygiene bacteria;
urethrovesical reflux (wrong way)
uropathogenic bacteria - ph good for urine
Shorter Urthera women

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5
Q

URETHROVESICal

A

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

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6
Q

URETHEROVESICAL REFLUX

A

BACK UP REFILLING BLADDER

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7
Q

UTI: ASSESMENT

A

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

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8
Q

UTI: DX

A

BIG DIAGNOSIS: knowledge defcicit

acute pain

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9
Q

UTI: COMPLICATIONS

A

Sepsis) urosepsis)
AKI
CKD
infection damage filters in kidney

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10
Q

UTI: GOAL

A

teaching and make sure they are comfortable

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11
Q

UTI: interventions

A

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

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12
Q

Urinary Incontience

A

underdiagnosed and underreported (embarrassed by it ) symptom of an issue NOT NORMAL PART OF AGING

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13
Q

STRESS INCONTIENCE

A

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

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14
Q

URGE INCONTIENCE

A

bladder is FULL and you have to go RIGHT NOW too much pressure on sphincter

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15
Q

FUNCTIONAL

A

LACK OF MUSCLE CONTROL cannot keep SPinchter close under PRESSURE- OLDER ADULTS KEAGALS

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16
Q

IARROGENIC

A

DONT KNOW WHATS CAUSING IT

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17
Q

MIXED INCONTINENCE

A

STRESS AND URGE BUT YOUR FINE DONT COUGH SNEEZE LAUGH

18
Q

INCONTINENCE: TX

A

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

19
Q

URINARY RETENTION

A

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

20
Q

UROLITHISASIS

A

PAIN HEMATURIA URINARY STONES- calculi stones ureter

21
Q

NEPHROLITHIASIS

A

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

22
Q

RENAL STONES : TREATMENT

A

GO little scope into bladder with lens and pull it out

23
Q

LITHROTRISY

A

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

24
Q

RENAL STONES: EDUCATION

A

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

25
Q

GENITOURINARY TRAUMA

A

Uretheral : ACCIDENTS SPORTS INJUREIS OR FALLS
URETHRAL NOT PROTECTED BY BONE- blunt trauma to lowr abdomen and pelvis fracture
BLADDER: pelvic fx mutiple trauma blow to lower abdomen

26
Q

Urethral

A

blunt trauma to lower abdomen and pelvis FALL
s/s classic triad: blood at meatus inability to void DISTENDED BLADDER not be able to void but bladder distended (something to void but cannot)

27
Q

URETHRAL: TX

A

DO NOT PUT CATHETER MAY DAMAGE FURTHER

28
Q

GENITORURINARY TRAUMA: MANAGMENT

A

control hemmrrhage pain infection montior for oliguria shock s/s acute PERITONITS(rigidity abdomen board like) injury to bladder or perforation can irriated
SURGICAL: SUPRAPUBITC THROUGH ABDOMEN

29
Q

GENITOURINARY: NURSING MANAGMENT

A

ASSES FREQUELNLY TAKE CARE OF INCISON FLUID INTAKE FEVER IS ISSUE FLANK PAIN HEMATURIA

30
Q

URINARY TRACT CANCER

A

CAN HAVE ANYWHERE MOERE COMMON AS THEY GET OLDER LEADING CAUSE OF DEATH SMOKING INCREASES

31
Q

URINARY TRACT CANCER: SYMPTOMS

A

VISIBLE HEMATURIA : PELVIC OR BACK PAIN IDICATE METATISS TO BONE

32
Q

URINARY TRACT CANCER : DX

A

ureterscopy biopsy

33
Q

BLADDER CANCER MANAGMENT

A

surgery - TURP resection of prostate or fulguration

chemo radiation

34
Q

TURP

A

3 WAY FOLER AIR PORT AIRPORT EXPECT CLOTS LOTS OF FLUID

35
Q

Cystectomy

A

urostomy urters come down from kidneys to outside

nephrostomy bypass uterters

36
Q

Urinary diversion

A

taking ureters connecting them to bowel will pee out to but sphincter to control flow still can be contient

37
Q

BLADDER CANCER: NURSING MANAGMETN

A

MONTIOR UIRNE VOLUME HOURLY

stoma skin care ENCOURAGE FLUIDS

38
Q

URINARY DIVERSON

A

BLADDER CANCER PELVIC MALIGNACIES BIRHT DEFECTS TRAUMA SRICTURES NERUOGEINC BLADDER LAST RESORT

39
Q

CUTANEOUS : DIVERSON

A

ILEAL CONDUIT CUTANEOUS URESTOMY - TRHOUGH SKIN

THROUGH SKIN

40
Q

CONTINENT URINARY DIVERSON

A

INDIANIA POUCH TAKE ILLEUM ADN CECUM AND CONNECT URTERS TOO IT AND CREATE TUNNEL WITH ILLEIUM PUT CATHER TO STOMA AND DRAIN FLUID OUT (CATH THROUGH OSTOMY)

41
Q

KOCK POUTCH

A

PUT INTO STOMA

Med Surg (9 decks)

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