Pelicano Module 5 Excretory Flashcards
Urinalysis is done by doing a
Clean catch
To confirm infection a _______ may be done
Urine culture
Creatinine clearance is is measured by
a 24 hour urine collection and serum levels
Main two tests the see of kidneys are functioning are
BUN / Creatinine blood test
Before performing a IVP we must check for
iodine / seafood allergy
After a cystoscopy we must
Monitor first void after procedure - may be blood tinged
After a Renal Biopsy it is very important for the patient to be
on bedrest for 24 hours, with restricted mobility
Clean catheter from
Proximal to Distal
A main cause of urinary retention is
occlusion of urethra from calculi
Calculi is another word for
stones
Crede the bladder is to
Gently move your hand over bladder
If anyone with Urinary retention has a Spinal issue we will use a
Straight Cath
An easy way to see if there is an enlargement is to
Palpate
Most people with urinary incontinence have it from (2)
CVA / Dementia
Men with prostate issues tend to have
dribbling
Easiest way to decrease urinary incontinence is to
decrease stress
Flaccid is
Retention
Spastic is
Incontinence
Most common UTI happens in the
bladder
UTI is the most common
Nosocomial infection
Most common test to check for UTI
Urine C&S
We force fluids by giving
2-3,000 day
Inflammation of the bladder is called
Cystitis
Women should wipe from
Front to Back
Reflux causes
Urinary retention
Pyuria is
puss in urine
Dysuria is
pain during urination
Inflammation of the kidney
Pyelonephritis
Inflammation of the prostate
Prostatitis
Method for pain relief for Prostatitis
Sitz bath
Most common cause for Pyelonephritis
E.coli
2 main s&s for Pyelonephritis
Flank pain
Pus in urine
2 Dx tests to check for Cystitis
Urinalysis and Urine CnS
Dx tests to check for Urinary Obstruction (2)
KUB, IVP
2 main s&s for Urinary Obstruction
Flank pain
voiding small amounts
Renal Colic is
stabbing type pain in kidney
Hydronephrosis is caused by
Build up of urine caused by obstruction of urinary tract
To perform a cystoscopy patient should be in the
lithotomy position
Following a cystoscopy urine may be
blood tinged, pink tinged due to stretching of uterus
Formation of urinary calculi anywhere in urinary system
Urolithiasis
Urolithiasis is common in patients with
bedrest and paralysis
Develops from minerals that forms stones in different shapes and sizes
Urolithiasis
Major s&s of Urolithiasis
Hematuria
Major goal for patients with Urolithiasis
Pain management
Diet for patients with Urolithiasis
Alkaline Ash diet (low protein)
Renal Tumors are most common in
men over the age of 55
Major s&s early for Renal Tumor
intermittent painless hematuria
The most common primary tumor
Renal Cell Carcinoma
A polycystic kidney disease - gradually destroying functional kidney tissue
Renal Cysts
2 major s&s of Renal Cysts
Proteinuria, HTN
Proteinuria is a common early sign for
Kidney disfunction
HTN can sometimes mean
Kidney disfunction
Treatment for tumor of urinary bladder
ileal conduit
Enlargement of the prostate gland
BPH
Prostate enlargement prevents
complete emptying
TURP stands for
Transurethral Resection Prostate
2 common treatments for BPH
TUIP , TURP
Any pain due to prostate can be relieved with
Sitz baths
Acute Glomerulonephritis usually follows
an infection (strep throat)
Diet for patients with Acute Glomerulonephritis (3)
Increased potassium
Low salt/sodium diet
w/ fluid restriction
common s&s for Acute Glomerulonephritis
Cola color to frank bleeding
2 major dx tests for Acute Glomerulonephritis
elevated BUN, creatinine
Chronic Glomerulonephritis usually results in
Renal Failure
Diet for Acute Renal Failure
Low protein, Na, K
w/ increased Carbs
Kayexalate is to
get rid of potassium
s&s of chronic renal failure (4)
Uremia
Anemia
Kussmaul’s resp
Convulsions
Hemodialysis requires access to
circulatory system through ARTERIOVENOUS SHUNT
Complications for patients on hemodialysis (2)
Hypotension
Septicemia
Peritoneal Dialysis works by using
Diffusion and Osmosis (Dialysate)
Surgical Removal of the Kidney
Nephrectomy
Incision to drain pelvis
Nephrostomy
Post-op (2) for Nephrectomy
Check for hemorrhage
No heavy lifting or alcohol
For patients with a Nephrostomy tube it is important to (2)
NEVER clamp tube
only instill 5cc at a time
When a tube is clogged we
irrigate
Patients following kidney transplant we give ___________ to ________
immunosuppressants to prevent rejection
Opening in the abdominal cavity to collect urine is called
ileal conduit
Women get a _________ infection
ascending
Anybody with stones should be put on (diet)
alkaline ash diet
BPH = TURP will come back on
CBI