Test 3: Elimination Flashcards
filters total blood volume and excretes urine
kidney
regulates fluid balance: reabsorption of electrolytes and other substances
nephron
length of female urethra
1.5-2.5 inches
length of male urethra
5.5-6.5 inches
involuntary loss of urine
urinary incontinence
lose urine when intraabdominal pressure increases- cough, sneeze, laugh
stress incontinence
no problems with urinary tract- musculoskeletal problems- dexterity and mobility issues
functional incontinence
innervation to bladder affected. Bladder full but no signal- bladder empties itself
reflex incontinence
get urge and cannot hold it- bladder functioning but delayed in sending signal to brain when full.
urge incontinence
bladder gets too full, sphincter can’t hold and it opens
overflow incontinence
infrequent urination
oliguria
no urine
anuria
voiding
micturation
protocol to reduce catheter caused UTIs
COTY
normal urine pH
4.6-8.0
normal urine protein
none
normal urine glucose
none
normal urine ketones
none
normal urine blood
none
normal urine specific gravity
1.010-1.025
Normal urine RBC
up to 2
Normal urine WBC
0-4
normal urine bacteria
none
normal urine casts
none
normal urine crystals
none
proteins in urine means…
kidney damage
glucose in urine means…
blood glocuse over 180 (renal threshold)
ketones in urine means…
fat burning (diabetes, atkin’s diet)
Blood in urine means…
UTI, bladder trauma, catheter trauma
specific gravity of urine means..
over or under hydrated
WBC of 10-20 in urine means…
UTI
crystals in urine means…
patient has gout with uric acid crystals, kidney stones
adult size catheter
12-14 french
older children size catheter
8-12 french
infant catheter
5-8 french
type of catheter used for males with enlarged prostates
Claude catheter
relieves constipation and fecal impaction, establish regular bowel function, large volume results in rapid colonic emptying. Saliene, tap water, soap suds
Cleansing enema
fluid retained in bowel for a period of time.
retention enema
enema that works by changing osmotic pressure- pulls fluid into bowel
saliene enema
commercially prepared enema in prefilled container
small volume enema