Elimination Flashcards
Rice
Eggs
Lean meats
All move slow through the GI tract, must increase fluid intake
Low Residue Foods
healthy fecal elimination needs 2000-3000 ml/day even if inadequate or output excessive body cont. reabsorb fluid from the chyme as it passes in colon.
Fluids
acid reflux; heart burn; backward flow of acidic secretions
Pyrosis
indirect gauge of general health
Elimination Process
micturition, voiding, and urination all refer to emptying the bladder
Urination
250-450 ml of urine in the body stimlates
nerve ending in the bladder; stretch receptors in bladder wall
good muscle tone maintains the elasticity and contractility; allowing the bladder to fill and adequately empty completely.
Detrusor muscle
fecal incontinence
encopresis
Urinary incontinence is Not a normal part of aging
older adults
production of abnormally lg amounts of urine by the kidneys
-Can cause excessive fluid loss, leading to intense thirst, dehydration and weight loss.
Polyuria or diuresis
medical conditoin in which extreme thirst leads to compulsive intake of excessive amounts of fluid is assoc with polyuria
Polydipsia
absence of urine
Anuria
scan urine output; usually less than 500 ml/day or 30 ml/hr (adult)
-often indicates impaired blood flow to the kidneys or impending renal failure, could be decrease fluid intake
Oliguria
1200-1500 ml/day 24 hrs
normal findings
4.5-8 abnormal more than 8 or less than 4.5
pH of the urine
1.005-1.030 normal
less than 1.005 abnormal or more than 1.030
Less indicates diabetes, insipidus, overhydration, renal disease, severe potassium deficit.
More than 1.030 dehydration, fever, diabetes mellitus, vomiting, diarrhea, contrast media
Sp. Gravity of urine
2-8 mg/dL normal protein in urine
Abnormal more than 8 mg/dL
Protein in urine
increase urine production
diuretics
reduce urinary frequency
anticholinergics
stimulate bladder contractions and promote urination
cholinergics
work in the Loop of Henle, by blocking reaborption of Na and Cl
Loop diuretics
act on the distal tubule to block Na reabsorption and increase K, and h2o excretion
Thiazide diuretics
sparing diuretics work in the distale tuble allowing Na to be excreted while inhibiting K excretion; preventing the Lg K loss
Potassium sparing diuretics
peristalsis of colon; after you put something in stomach 5-15 mins after you eat. Strongest in the am. if schedule.
Gastro colic reflex
term to bear down to defecate is
Valsalva maneuver