Fund Ch 29 + 30 Flashcards
absence of urine
anuria
condom with a tube attached to the distal end that is attached to a drainage bag
condom catheter
massage from top of bladder to bottom by starting above the pubic bone and rocking the palm of the hand steadily downward
Crede maneuver
inflammation of the bladder
cystitis
painful or difficult urination. occurs when there is inflammation present in the bladder or urethra, usually because of infection or trauma
dysuria
glucose in the urine
glycosuria
blood in the urine
hematuria
administration of a liquid drop by drop
instillation
acetone bodies in the urine
ketonuria
urination
micturition
voiding during the night
nocturia
decreased amount of urine output. occurs when urine output falls below 400 mL/24h. it may be a sign of kidney failure, blockage of urine outflow somewhere in the system or retention
oliguria
excessive urination. occurs when large amounts of urine are voided, with an output of greater than 1500 mL/24h. It is usually associated with either diabetes mellitus, in which there is an absence of insulin, or diabetes insipidus, in which there is decreased production of ADH
polyuria
excess of serum proteins in the urine
proteinuria
purulent exudate in the urine
pyuria
urine left in the bladder after urination
residual urine
narrowed lumen
stricture
above the pubic bone
suprapubic
urine retained in the bladder after voiding
urinary retention
instrument that measures the specific gravity (thinness or thickness) of urine
urinometer
artificial opening on the abdomen through which urine drains
urostomy
artificial opening on the abdomen through which urine drains
urostomy
liquefied food and digestive juices
chyme
artificial opening (stoma) created in the large intestine and brought to the surface of the abdomen for evacuating the bowels
colostomy
discharged fecal matter
effluent
abrasion of the skin
excoriation
intestinal gas released from the anus
flatus
increase in intestinal and colonic peristaltic activity following the arrival of food into the empty stomach
gastrocolic reflex
opening surgically created at the ileum to divert intestinal contents after lower portions of the bowel have been surgically removed
ileostomy
blood that has changed into a dark, tarry substance as it moves through the stomach or small intestine
melena
hidden of concealed
occult
diversion of intestinal contents from their normal path, resulting in an artificial opening into the intesting
ostomy
obstruction of the intestines from inhibition of bowel motility
paralytic ileus
area around stoma
periostomal
the action caused by muscle fibers in a tubular organ that propels contents through the organ in waves
peristalsis
circular muscle that closes an orifice
sphincter
stools with an abnormally high fat content
steatorrhea
opening
stoma
closure of glottis and tightening of abdominal muscles after intra-abdominal pressure increases when one holds one’s breath; may result in voluntary defecation
valsalva maneuver
Average urine output is ___
1000 to 1500 mL/day
(know) incontinence is not a normal part of aging
…
A preschool child voids ___
every 2 hours
How many times a day does the adult void
5 to 10
the adult male voids how many mL each void
300 to 500
the adult female voids how many mL
250
(know) there should be at least an hourly urine output of 30 mL. This reflects adequate kidney perfusion
…
specific gravity (thinness and thickness) of urine ranges between ___ and __
1.010 and 1.030
the urine pH range is __ to __
5.5 to 7.0
___ is present when less than 100 mL of urine is excreted in 24 hours. It may be caused by urinary suppression, or to the retention of urine
anuria
involuntary release of urine. Occurs with a variety of pathologic conditions. When it is due to decreased muscle tone, special exercises may prevent it.
incontinence
___ occurs when the person must get up to urinate during the night more than once or twice
nocturia
Adequate urine profusion, how would you confirm that or measure it.. How much an hour?
30 an hour
Provide continuous irrigation for someone who has had prostate cancer, what kind of catheter are you going to use for that
Alcock catheter
(know) Clean the meatus before inserting the catheter, that is the hole that you are cleaning on a female patient
…
After you removed a Foley catheter how long do you measure Input and Output
12 to 24 hours
(know) Someone is performing self urination catheter at home, that’s typically just a clean procedure not sterile
…
You need to know about irrigation, once you instill the solution, then what do you do
immediately after unclamp and the collection bag lowered below the bladder for proper drainage
(know) Someone is due to void after removal of a urinary catheter, they need to void within 8 hours after removal
…
(know) If you have a patient that is going to have barium studies done by x ray then you need to be implementing interventions with them from day one because it will cause them to be constipated
…
(know) If someone is using metamucil or bulk forming laxative they need to be drinking A LOT of water because it can cause them to be constipated
…
Someone has had constant diarrhea for 3 days and they are experiencing an acid base imbalance, what are you going to offer in small amounts frequently?
electrolyte replacement beverage
(know) Someone who is on antibiotic therapy and having diarrhea they need to be eating yogurt
…
How much can you use in an enema for an adult?
500 to 1000
How long should a patient retain an oil retention enema
20 min
(know) A cleansing enema who has not responded well to laxative use, you can warm the solution to 105F to help the patient retain the enema and keep it in
…
Know about catheterizing a built in reservoir in an ileostomy
have patient take a deep breath when entering the catheter
(know) The faceplate of a colostomy should allow a 4th or a quarter inch around the colostomy stoma (1/4th)
…
When do you empty an ostomy drainage bag
1/3 or 1/2 full
(know) Buttermilk is among one of the suggested foods that decrease ostomy bag odor
…
A pale stoma indicates what?
compromised blood supply should be recorded immediately and let the provider know right away
How can you control diarrhea in a patient who has a new colostomy, without medications
cheese
Instruct a patient on how to prevent recurrent cystitis
increasing fluid intake, wear cotton underwear, wiping from front to back, emptying the bladder every 2 to 3 hours, peeing after sex
You want to instruct a patient with a new colostomy on foods to avoid that can cause obstruction
shrimp, lobster, anything with seeds, kiwi, chinese, vegetables, peanuts, whole kernel corn
(know) If a stool is pale or light grey in color it’s an obstruction in the bile duct in the gallbladder
…
How often does an older adult need to have a colostomy performed after the age of 50
10 years
What do the small intestine do and what is its function
The small intestine further processes chyme into a more liquid state. Food substances are absorbed into the bloodstream from the villi on the walls of the small intestine
Someone is taking a trip to Mexico and they are experiencing diarrhea because they drank water from the faucet. What medications should they take? (list of medications that are antidiareals)
Diphenoxylate hydrochloride with atropine sulfate (lomotil), loperamide hydrochloride (imodium), difenoxin hydrochloride with atropine sulfate (motofen), paregoric, opium tincture