Genitourinary Assessment Flashcards

1
Q

Disease Impacts

A
  • Kidneys
  • Ureters
  • Bladder
  • Urethra
  • Muscle control
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2
Q

Urine Output

A

0.5 x weight in Kg per hour

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3
Q

Disfunction of Output

A
  • Glomerulus filtration
  • Renal tubules
  • Reabsorption & filtration
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4
Q

Renal Tubules Function

A
  • Reabsorption
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5
Q

Renal Obstruction

A
  • Stones
  • Blood clots
  • Tumours
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6
Q

Area of Renal Obstruction

A
  • Renal pelvis to urethral meatus
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7
Q

Pelvic Floor

A
  • Voluntary & involuntary control
  • Support pelvic organs
  • Prevent urine loss
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8
Q

Causes of Weak Pelvic Tone

A
  • Pregnancy
  • Childbirth
  • Heavy lifting
  • Obesity
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9
Q

Strengthening Pelvic Tone

A
  • Kegel exercises
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10
Q

Psychological Factors

A
  • Embarrassment
  • Anxiety
  • Environmental factors
  • Increase urgency/frequency/retention
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11
Q

Effects of Aging

A
  • Increased frequency
  • Decreased muscle tone
  • Decreased bladder capacity
  • Decreased muscle control
  • Risk of UTI
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12
Q

Urine Inspection

A
  • Clarity
  • Odor
  • Volume
  • Colour
  • Blood
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13
Q

Abnormal Urine Findings

A
  • Bacteria
  • Leukocytes
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14
Q

Palpation Findings

A
  • Increase urgency
  • Tenderness
  • Pain when distended or full
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15
Q

Bladder Distension

A
  • Rises above symphysis pubis
  • Expand below umbilicus
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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