Elimination Flashcards
which 3 sets of muscles prevent incontinence
urethra
internal sphincter
pelvic floor muscles with external sphincter
how does the amount of urine produced change with age
decrease with age
how does high sodium foods affect urine production
increases
where are vitamin K produced
large intestine
which foods increases the likelihood of diarrhea
alcohol
caffeinated stuff
dairy
high fat foods
fructose in beverages
spicy foods
apples, peaches, pears
contain sweeteners
stress incontinence
coughing, sneezing, laughing, or physical activity increases pressure on the bladder
reflex incontinence
nerve damage
overflow incontinence
incomplete bladder emptying -> overfilling when full
functional incontinence
physical inability to reach the toilet in time
urge incontinence
urge to eliminate but leaks before doing so
nocturnal enuresis
nighttime bedwetting
why are males more likely to develop urinary retention
enlarged prostate
symptoms with urinary retension
difficulty urinating
pain
abdominal distension
weak or slow urine stream
urinary leakage
what procedure is done to look inside the urethra and bladder
cystoscopy
constipation is defined as
less than 3 BM per week; with hard, lumpy, difficult to pass stools
diarrhea symptoms that require follow up
fever of 102F or higher, lasting longer than 2 days or 6 BM/day, abdominal pain, blood/black feces
what is bowel incontinence reffered to as in children
encopresis
kidney infection is called what from UTI
pyelonephritis
manifestations of kidney stones
sharp pain
bloody urine
urinary frequency
painful, burning urination
fever, chills, nausea, vomiting
kidney failure is defined as
loss of 15% of expected kidney function
signs of kidney failure
reduced urine output
joint pain
increased BP
heart disease
anemia
itching
Irritable bowel syndrome (IBS)
abdominal pain and changes to BM patterns - diarrhea or constipation
ulcerative colitis (UC)
inflammation and ulcerations of the large intestine or colon
Crohn’s disease
inflammation of the GI tract mostly small intestine
nephrostomy
drains urine directly from the kidney to an external pouch; temporary, removed once kidneys heal
neobladder
new bladder made from a small piece of bowel
continent cutaneous reservoir
attached to abdomen and requires catheter
cystostomy
more invasive; catheter in bladder
J-pouch
pouch with ileum; with ileostomy until healed
kock pouch
continent(controlable) ileostomy system;catheter required to empty
uroflowmetry
measures urine speed and volume
postvoid residual measurement
urine left in bladder after voiding
cystometric test
bladder capacity
leak point pressure measurement
bladder pressure when starting to leak
electromyography
calculates electrical impulses of nerves and muscles of bladder and sphincters
video urodynamic test
picture and video of bladder when filling and emptying
cystoscopy
view lining of urethra and bladder
ureteroscopy
view lining of ureters and kidneys
endoscopic retrograde cholangiopancreatography (ERCP)
pancreatic and bile duct issues such as gallstones, infections, pancreatitis, pancreatic masses
lower GI series
bleeding, change in BM habits, chronic diarrhea, unexplained weight loss, abdominal pain, diverticula, fistulas, polyps
upper GI series
nausea, vomiting, abdominal pain, difficulty swallowing, hernias, unexplained weight loss
fecal occult blood test (FOBT)
is there blood in stool
what to avoid eating while doing FOBT
red meat, broccoli, turnip greens, ibuprofen, aspirin, vitamin C
goal of bladder irrigation
remove/prevent clots in bladder; shouldn’t be a painful procedure
goal of nasogastric tubes (NG)
into nostril to stomach to remove contents and decompress area
dysuria
painful urination
polyuria
high volume urination
oliguria
very little urine
pyuria
pus in urine
diuresis
lots of urine