Class 35- Urinary Elimination

Question 0

Nephrons

Answer 0

Filter and produce urine via the glomerulus capillaries with collection in Bowman’s Capsule

Question 1

A&P

Answer 1

Urinary elimination

Question 2

Hilum

Answer 2

Renal pelvis (muscle) collects urine

Question 3

Ureter

Answer 3

(smooth muscle) transports urine to the bladder

Question 4

Peristalsis

Answer 4

Movement in the upper respiratory tract is accomplished by this

Question 5

Movement in the upper urinary tract is halted during…

Answer 5

Micturition

Question 6

Lower urinary tract

Answer 6

Bladder = Sterile urine container (detrusor muscle)
Pelvic muscles
Urethral sphincter muscle

Question 7

Difference btwn male and female

Answer 7

Male- 5 inches long

Female- 1.5 to 3 inches long

Question 8

Normal urine production

Answer 8

Adult- 60-120 ml/hr (aware at 250 to 450ml)
Child- 0.5 to 1 ml/hr (aware at 50 to 200ml)
Infant- 2ml/kg/hr

Question 9

Normal void

Answer 9

90-300ml

Residual- 30-100ml

Question 10

Enuresis

Answer 10

Bed wetting

Because of sleep habits, regression, cultural differences

Question 11

How do diuretics work?

Answer 11

Cause less reabsorption of water in the kidneys

Question 12

Anuria

Answer 12

Less than 100ml in 24 hrs

Question 13

Oliguria

Answer 13

100-400ml in 24 hrs

Question 14

Dysuria

Answer 14

Burning, irritation

Question 15

Orthostatic albuminuria

Answer 15

Too much protein in urine when person is in sitting position

Question 16

Too often?

Answer 16

More than 10x’s a day

Question 17

Glycosuria

Answer 17

Glucose in urine

Question 18

Nocturia

Answer 18

Continent but up at night

Question 19

Polyuria

Answer 19

Diuresis large amnts of urine usually causing polydipsia as well

Question 20

Retention

Answer 20

Inability to void on command

Question 21

Normal urine lab tests

Answer 21

pH- 4.6 to 8

SG 1.015-1.025

Question 22

Causes of transient incontinence

Answer 22

Lasts less than 6 months

D... Delirium, fear, ETOH abuse
I... Infections
A... Atrophy
P... Pharmaceuticals
P... Psychological disorders
E... Excessive urine output
R... Restricted mobility
S... Stool impaction

Question 23

Mixed incontinence

Answer 23

More than one type of incontinence at a time

Question 24

Overflow incontinence

Answer 24

People who cannot completely empty their bladders

Question 25

Functional incontinence

Answer 25

Due to limitations on movement, thinking, or communication

Question 26

Reflex incontinence

Answer 26

Spastic or over active bladder

Question 27

Total incontinence

Answer 27

From injury or trauma

Question 28

Indwelling vs intermittent vs suprapubic

Answer 28

``` Balloon is inflated with sterile water to anchor into bladder No ballon (for residual or specimen) Surgical incision in bladder ```

Question 29

Urologic stent

Answer 29

Thin tube inserted into the ureter to prevent or treat obstruction of urine flow from the kidney

Question 30

Ileal conduit

Answer 30

Diversion of urine after a patient has had their bladder removed

Question 31

Urostomy

Answer 31

Artificial opening (stoma) for the urinary system

Question 32

Kock continent ileal reservoir

Answer 32

?

Question 33

Stoma carre

Answer 33

Swelling for 6 weeks | Protrudes 1.5 to 2 inches