Elimination Flashcards

1
Q

What are feces and urine?

A

Urine: body’s liquid waste, also called urination, micturition, voiding
Feces: bowel movement (bm) is body’s solid waste, defecation is excretion of feces

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2
Q

What is urine composed of?

A

→ turned by kidneys
→ excess water, carbon dioxide, small amounts of solid wastes, and abnormal substances being filtered from blood

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3
Q

Adult average size forms of urine and what does an excess or deficiency of urine cause

A

→ 500 - 2,400 mL of urine every 24 h
→ excess of body fluid that collects in tissues and often causes puffiness called edema (over hydration)
→ deficiency leads to dehydration

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4
Q

When do we need to pee?

A

→ urge to urinate triggered when 250 mL of liquid is collected
→ for adults around 400 - 500 ml
→ 6-8 ounces per day

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5
Q

Characteristics of urine: color

A

Colour: light yellow, amber
Varies with level of hydration

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6
Q

Edema

A

Too much fluid, over hydration leads to dilute or colourless urine

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7
Q

Orange-brown or concentrated urine

A

Dehydration

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8
Q

Clarity

A

→ cloudy if it contains abnormal substances like bacteria, blood, mucous, shreds, pus
→ otherwise fresh urine is transparent or clear

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9
Q

Odour

A

→ fresh urine has aromatic odour
→ odour increases with concentration

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10
Q

Volume

A

→ typical amount is 250 - 400 mL for adults

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11
Q

Specific gravity

A

Most urine hat specific gravity compared to water, of 1.010 to 1.025

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12
Q

Acidity

A

Slightly alkaline, low pH

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13
Q

Abnormal components

A

→ may indicate dysfunction or disease somewhere in body

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14
Q

UTI ( urinary tract infections)

A

→ common, occur when microorganisms contaminate sterile urinary track though urethral opening
→ more common in women than men because female uretura is shorter

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15
Q

Urinary calculi

A

→ stones that occur in kidney ( renal calculi) or bladder ( cystic bladder )
Formed because of excreted substances by body
→ if stone becomes lodged in ureter, extreme pain in lower back (renal(olic) can happen

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16
Q

Bowel elimination: why?

A

→ occurs because of gastrointestinal illness or in other body systems
→ bowel responds to smallest change in person’s eating or exercise or illness

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17
Q

Characteristics of feces: colour

A

→ yellowish brown ( due to presence of bile)

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18
Q

Consistency

A

→ usually soft and formed
→ if rectum has not been emptied as needed and excess liquid has been absorbed stool will be hard and dry
→ diarrhea will be watery unformed stools

19
Q

Shape

A

→ same shape as bowels interior:, round, oval, cylindrical

20
Q

Odour

A

→ characteristic odour

21
Q

Density

A

→ weight concentration of waste products in relation to water, heavy enough to sink in water

22
Q

Abnormal components

A

→ presence mucus or pus in stool indicates inflammation or infection in digestive system

23
Q

Fecal impaction

A

→ so hard and dry or putty that cannot be expelled by client, ever after laxatives
→ symptoms include pain in abdomen, feeling of pressure

24
Q

Patterns of pooping: when does it occur?

A

→ regular intervals when mass of feces moves into colon through muscular actions intestinal wall, peristalsis
Unique to everyone
→ not necessary to poop everyday

25
Flatus: what is it? Flatulence?
→ intestinal gas, flatulence refers to the condition → normal intensive creates has as part of digestive process. Most flatus is reabsorbed through vasculature of intestinal wall, some goes escapes w defecation
26
Abdominal signs and symptoms: sounds
→ auscultate (listen) for bowel sounds (BS) in each quarter of abdomen → action of peristalsis can cause distinctive sounds head w a stethoscope → after auscultation bowel sounds, gently palpate client's abdomen (normally soft and pliable)
27
Diminished/ absent sounds
Bowel is functioning improperly
28
Hard, swollen, tender abdomen
May have flatus, fecal impaction/ interstitial obstruction
29
Assisting w urinary elimination: urinary catheter
→ latex /vinyl tube inserted to remove urine * 24 inches, inserted into bladder through urethra using sterile technique * straight catheter is inserted, urine is drained
30
Retention catheter
Anchored catheter that continuously trains urine from bladder
31
Assisting W bowel elimination: what is it and how?
→ bullet-shaped soft wax like mass in inserted i not body opening for purpose of giving meds or lubrication
32
Enema
Introduction of solution into rectum & color to stimulate peristalsis causing pooping
33
Cleansing enema
→ instillation of enough fluid in color to help soften feces
34
Commercially prepared disposable enema (fleet enema )
Contains small amount of hypertonic solution 120 ml most common size As hypertonic solution, pulls water from color tissue into intestinal lumen by osmosis
35
Carminative enema
Stimulates peristalsis so flatus expelled,w stool
36
Destroy intestinal parasites
Anthelmintic drugs
37
Emollient enema
Small amount of Olive to protect mucous membrane of colon
38
Medicated enema
Drug into rectum
39
Harris flush
→ prescribed to relieve intestine gas & distemben
40
Bowel retraining: why and now?
* Done it client is unable to have bowel movement naturally or is incontinent of stool * used for ppl w paralysis
41
What helps with pooping?
Physical activity, fluid intake, diet
42
Tips for flatus
1. Make client walk 2. Dangle on edge of bed 3. Turn to left side 4. Avoid ice in water S. Avoid straws 6. Apply warm compress on abdomen
43
Vomiting
Emesis → involuntary action that expels stomach contents → pulse & blood pressure drop
44
Signs of vomiting
Nausea, weakness, frequent swallowing, profuse perspiration,dizziness,pallor (paleness), shakiness