Exam 3 - Urinary Elimination Definitions Flashcards
Bacteremia
- a life threatening bloodstream infection
- also known as urosepsis
Bacteriuria
- bacteria in the urine
Catheter-associated urinary tract infection
- CAUTI
- costly and preventable
Catheterization
- the placement of a tube through the urethra into the bladder to drain urine
Cystitis
- irritation of the bladder
Dysuria
- burning or pain with urination
Hematuria
- blood in the urine
Micturition
- occurs when the brain triggers the bladder to empty, the bladder contracts, the urinary sphincter relaxes, and urine leaves the body through the urethra
Nephrostomy
- small tubes that are tunneled through the skin into the renal pelvis
- placed to drain the renal pelvis when the ureter is obstructed
Pelvic floor muscle training
- can help with urinary incontinence
Postvoid residual (PVR)
- the amount of urine left in the bladder after voiding and is measured with either ultrasonography or straight catheterization
Proteinuria
- protein in the urine
Pyelonephritis
- a serious upper UTI
Suprapubic catheter
- urinary drainage tube inserted surgically into the bladder through the abdominal wall above the symphysis pubis
Urinary incontinence (UI)
- the complaint of any involuntary loss of urine
Urinary retention
- inability to empty the bladder partially or completely
Ureterostomy
- a permanent incontinent urinary diversion created by transplanting the ureters into a closed off part of the ileum and bringing the other end out onto the abdominal wall forming a stoma
Urgency incontinence
- involuntary leakage associated with urgency
Stress incontinence
- involuntary loss of urine associated with effort or exertion on sneezing or coughing
Overflow incontinence
- continuous dribbling or leakage
Urgency
- an immediate and strong desire to voice that is not easily deferred
Frequency
- voiding more than 8 times during waking hours and/or at decreased intervals, such as less than every 2 hours
Hesitancy
- delay in start of urinary stream when voiding
Polyuria
- voiding excessive amounts of urine
Oliguria
- diminished urinary output in relation to fluid intake
Nocturia
- awakened from sleep because of the urge to void
Dribbling
- leakage of small amounts of urine despite voluntary control of micturition
Gross hematuria
- blood is easily seen in the urine
Microscopic hematuria
- blood not visualized but measured on urinalysis
Acute retention
- suddenly unable to void when bladder is adequately full or overfull
Chronic retention
- bladder does not empty completely during voiding, and urine is retained in the bladder
assessing for CVA tenderness
- costovertebral angle
- kidney infection
at what point should you be concerned with urine output
- when it is less than 30ml/hr for 2 hours
how can you obtain urine
- clean-voided or clean-catch/mid-stream urine specimen
- urinary catheter
- urinary diversion
abdominal xray - KUB
- determines size, shape, symmetry, location of structures of the urinary tract
- common uses: detect and measure urinary calculi
- NO special preparation
DOs for skin care
- identify and treat early
- use skin risk assessment tools
- use appropriate skin barrier products
- ensure adequate hydration
- consult WOCN if needed
DONTs of skin care
- use traditional soap and water
- double padding the bed
- leave soiled pads
single lumen/straight catheter
- intermittent catheterization
- one time catheterization for bladder emptying
indwelling catheter
- reminds in place over a period of time
triple lumen indwelling catheter
- used for continuous bladder irrigation or when medication instillation into the bladder is necessary
coude tip catheter
- a catheter with a curved end that helps maneuver through the prostatic urethra
suprapubic catheter
- urinary drainage tube inserted surgically into the bladder through the abdominal wall above the symphysis pubis
- used when blockage of urethra or when indwelling catheter causes irritation
external catheters
- males: condom catheter
- females: purewick
when should a patient be voiding after catheter removal
- within 6-8 hours