Genitourinary Assessment Flashcards
1
Q
Disease Impacts
A
- Kidneys
- Ureters
- Bladder
- Urethra
- Muscle control
2
Q
Urine Output
A
0.5 x weight in Kg per hour
3
Q
Disfunction of Output
A
- Glomerulus filtration
- Renal tubules
- Reabsorption & filtration
4
Q
Renal Tubules Function
A
- Reabsorption
5
Q
Renal Obstruction
A
- Stones
- Blood clots
- Tumours
6
Q
Area of Renal Obstruction
A
- Renal pelvis to urethral meatus
7
Q
Pelvic Floor
A
- Voluntary & involuntary control
- Support pelvic organs
- Prevent urine loss
8
Q
Causes of Weak Pelvic Tone
A
- Pregnancy
- Childbirth
- Heavy lifting
- Obesity
9
Q
Strengthening Pelvic Tone
A
- Kegel exercises
10
Q
Psychological Factors
A
- Embarrassment
- Anxiety
- Environmental factors
- Increase urgency/frequency/retention
11
Q
Effects of Aging
A
- Increased frequency
- Decreased muscle tone
- Decreased bladder capacity
- Decreased muscle control
- Risk of UTI
12
Q
Urine Inspection
A
- Clarity
- Odor
- Volume
- Colour
- Blood
13
Q
Abnormal Urine Findings
A
- Bacteria
- Leukocytes
14
Q
Palpation Findings
A
- Increase urgency
- Tenderness
- Pain when distended or full
15
Q
Bladder Distension
A
- Rises above symphysis pubis
- Expand below umbilicus
16
Q
Urinary Tract Infection
A
- Caused by bacteria/fungus
- Most common in females & elderly
17
Q
Signs of UTI
A
- Burning
- Increased frequency & urgency
- Foul odor
- Pelvic pain
18
Q
UTI Risk Factors
A
- Hygiene
- Catheter
- Intercourse
- Tampons
- Residual urine
19
Q
Fluid Balance
A
- Proper function of metabolic processes
- Balance input/output
20
Q
Insensible Fluid Loss
A
- Excess sweating
- Fever
- Increased respiratory rate
- Illness
- Diarrhea
21
Q
Average Adult Fluid Balance
A
- Loss 1000-1200mL/day
- Intake 1500mL/day
22
Q
Signs of Fluid Overload
A
- Dyspnea
- Crackles
- Pitting Edema (extremities)
- Fatigue
23
Q
Signs of Dehydration
A
- Impaired cognitive function
- Headaches
- Fatigue
- Dry skin
- Hypotension
- Tachycardia
- Weak pulse
- Delayed capillary refill
24
Q
Diuretics
A
- Ordered for fluid overload
25
Q
Fluid Resuscitation
A
- Infusion of solution
- Hypotonic, isotonic or hypertonic
26
Q
Acute Care
A
- Daily weigh ins
- Daily intake = output + 500mL
27
Q
Dialysis
A
- Fluid restriction
28
Q
Nursing Actions
A
- Encourage adequate fluid intake
- Monitor fluid balance
