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Skills, 1st Sem > Elimination > Flashcards

Elimination Flashcards

1
Q

ARF

A

acute renal failure

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2
Q

anuria

A

failure of kidneys to produce urine

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3
Q

dysuria

A

painful or difficult urination

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4
Q

ESRD

A

end stage renal disease. The final stage of nephropathy is called kidney failure, end-stage renal disease, or ESRD. According to the CDC, diabetes is the most common cause of ESRD

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5
Q

enuresis

A

involuntary urination, esp. by children at night

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6
Q

hematuria

A

presence of blood in urine

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7
Q

oliguria

A

production of abnormally small amounts of urine

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8
Q

nephropathy

A

the deterioration of kidney function. The final stage of nephropathy is called kidney failure, end-stage renal disease, or ESRD

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9
Q

nephrotoxic

A

rapid deterioration in the kidney function due to toxic effect of medications and chemicals. Nephrotoxins are substances displaying nephrotoxicity

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10
Q

nocturia

A

a condition in which you wake up during the night because you have to urinate

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11
Q

micturition

A

the action of urinating

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12
Q

pessary

A

a removable device that is inserted into the vagina (birth canal) to provide support in the area of a prolapse

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13
Q

proteinuria

A

high levels of protein in your urine

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14
Q

pyuria

A

the presence of pus in the urine, typically from bacterial infection

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15
Q

urgency

A

a sudden, strong need to urinate

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16
Q

urge incontinence

A

when you have a strong, sudden need to urinate that is difficult to delay. The bladder then squeezes, or spasms, and you lose urine

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17
Q

stress incontinence

A

too little tone. happens when physical movement or activity — such as coughing, laughing, sneezing, running or heavy lifting — puts pressure (stress) on your bladder, causing you to leak urine

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18
Q

mixed incontinence

A

occurs when a combination of urge incontinence and stress incontinence symptoms are present. Frequent urges to use the restroom (overactive bladder) combined with leaks during physical activity, coughing or sneezing (stress incontinence) are symptoms of mixed incontinence.

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19
Q

overflow incontinence

A

just can’t hold anymore. You experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely

20
Q

functional incontinence

A

also known as disability associated urinary incontinence. It occurs when the person’s bladder and/or bowel is working normally but they are unable to access the toilet. This may be due to a physical or a cognitive condition

21
Q

transient incontinence

A

urine leakage that is caused by a temporary (transient) situation such as an infection or new medicine. Once the cause is removed, the incontinence goes away

22
Q

unconscious incontinence

A

occurs when a person is unaware of the need to urinate

23
Q

enuresis incontinence

A

the medical term for bedwetting. Incontinence is accidental or intentional urination in children who are at an age where they should be able to have control of their bladders. Girls usually obtain bladder control before boys do

24
Q

nocturnal incontinence

A

also called nighttime incontinence or nocturnal enuresis — is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected

25
Q

anticholinergic to inhibit involuntary bladder contractions. Indicated for ppl. with overactive bladder, including urinary frequency and urgency

A

Oxybutynin or Tolterodine tartrate

26
Q

french sizing in catheters - the larger the size __________

A

the larger the lumen

27
Q

urinary diversion: nephrostomy

A

coming directly from the kidney. straight from renal pelvis to collection bag

28
Q

urinary diversion: ileal conduit

A

they take a portion of the ileum (last portion of small intestine) and connect the ureters to it and then divert the ileum to the surface of the abdomen to become the stoma

29
Q

recommend _____ ml’s of water a day

A

1500 ml

30
Q

position for an enema

A

SIM’s: left side lying with right knee flexed

31
Q

Reanastomosis

A

reconnecting the bowel

32
Q

stomas reach their mature size when?

A

6-8 weeks after surgery

33
Q

cut opening of wafer how much bigger than stoma?

A

1/16 - 1/8th “ larger than stoma

34
Q

what’s a colostomy?

A

surgical formation of an opening from the colon to the surface of the body

35
Q

what’s an ileostomy?

A

*surgical creation of an external opening into the ileum to bypass the large intestine
*the stoma is typically located in the lower right quadrant

36
Q

colostomy: ascending colon

A

*right abdomen
*output is typically liquid to semi-liquid and is very irritating to peristoma

37
Q

colostomy: transverse colon

A

*mid-abdomen
*this location is used for a temporary ostomy, with the stoma constructed as a loop
*output is pasty

38
Q

colostomy: descending colon

A

*left upper abdomen
*the output is semi-formed

39
Q

colostomy: sigmoid colon

A

*left lower abdomen
*location for a permanent ostomy
*output is formed

40
Q

what’s a urostomy?

A

a urinary diversion that allows urine to exit the body after removal of diseased or damaged section of urinary tract

41
Q

when the entire bladder is removed __________ can be created

A

ileal conduit: a loop of intestinal ileum is separated to be used as a conduit for urine. The ureters are attached to the ileal conduit, and the open end is brought out through the abdominal wall to form the stoma. The remaining ileum is reconnected to the rest of the digestive tract

42
Q

people’s average urine output per hour is typically _____ ml/hour

A

30 ml/hour

43
Q

what’s a cecostomy?

A

a surgical opening created in the cecum, the first section of the large intestine, with an opening to the abdominal wall for diversion of feces

44
Q

what’s a loop colostomy?

A

involves a large and usually temporary stoma that is created by pulling a loop of intestine onto the abdominal wall and creating two openings in the loop

45
Q

which urinary diversion option will allow a patient to have some control over urinary elimination?

A

*Kock’s pouch
*It is a continent ileal bladder conduit that does not require an external drainage collection device because the client self-catheterizes every 2 to 4 hr to remove urine
*This device will allow the client to have some control over urinary elimination

Skills, 1st Sem (5 decks)

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