GI Elimination Flashcards
retention amount post void
greater than 100
Hesitancy
difficulty initiating urine
leakage of urine despite voluntary control
Dribbling
Accumulation of urine in bladder without ability to completely empty
Retention
urine remains >100 post void
residual
pressure when expelling feces by contracting abd muscles while maintaining close airway
Valsalva Maneuver
T/F: older people has less mastication and prone to constipation
True
common problem in older adults
constipation
primary risk factor in development of IBS (irritable bowel syndrome)
stress
regular intake of food promotes:
peristalsis
Factors affecting Bowel Elimination
sociocultural factors, nutrition, activity, medications, surgery or procedure, pregnancy, pathological conditions
how to promote regular defecation
privacy, position, timing, fluid intake, proper diet, exercise
What is flexi-seal rectal tube?
used with severe incontinence
What to do with severe diarhhea?
check hydration status
Type 1
severe constipation- separate hard lumps
Type 2
mild constipation- lumpy and sausage like
Type 3
ideal- sausage shape with cracks
Type 4
ideal- smooth, soft sausage
Type 5
lacking fiber- soft blobs w. clear edges
Type 6
mild diarrhea- mushy
Type 7
severe diarrhea- liquid
maintains fluid balance in the body by regulation amount of make-up of fluids inside and around the cells
kidneys
if ADH is high
more water absorbed > higher concentration> small urine volume
if ADH is low
more water is excreted> large volume of urine
Aldosterone
increases sodium reabsorption and helps control potassium
Two hormones responsible for fluid balance
ADH- pituitary gland
Aldosterone- adrenal gland
kidneys produce approximately: per hour?
per day?
50-60 ml/hr
1500/daily
how many times a day is normal intake
5-6
measure of dissolved solutes in a solution
Specific Gravity
if urine solutes increase, specific gravity:
increases
when fluid intake intake decreases, urine becomes darker. What happens to specific gravity?
rises
applied to tip of penis and attached to a collection bag
condom cath
lays between labia and attached to suction device
purewick
inserted into the bladder and attached to collection bag
foley cath
if you need to collect urine from pt who can’t stand. Which device do you use?
straight cath
Intake fluids that need to be recorded
FI(3)TS- fluids, IV fluids, ice chips, irrigations, tube feeding
Output fluids
DUDE- diarrhea, urine output, drainage from suction wound, emesis
how to document urine in brief
weight scale
