Urinary Flashcards
Define:
Urinary Retention
Urinary Incontinence
Dysuria
Nocturia
Oliguria
Anuria
Polyuria
Retention: unable to void
Incontinence: unable to control voiding
Dysuria: pain/discomfort while voiding
Nocturia: getting up to pee at night
Oliguria: Low urine output
Anuria: NO urine output
Polyuria: excessive urine output
What are 3 aspects of urine output that need to be assessed?
Color (straw-colored or amber?)
Clarity (transparent or cloudy?)
Odor (ammonia or foul?)
Explain a 24-hour urine collection
Urine is collected over 24 hours, the first void of the 24 hours is discarded and not included in the total holding bucket
What kind of urine collection sample is used for a culture?
Sterile- from catheter
Can you measure urine output on a foley bag?
NO- transport to solid container to measure
List the 3 types of foley catheters
Straight/In&Out: collects sterile sample, immediately removed
Indwelling: 1 tube for balloon, 1 for urine output
Triple Lumen: 3 tubes: bladder irrigation, balloon, urine output
What positions are best for female/male catheter insertion?
Female: dorsal recumbent position
Male: supine w/ thighs slightly abducted
How many inches in total do you advance the indwelling urinary catheter in a female?
3 inches
How many inches in total do you advance the indwelling urinary catheter in a male?
7-9 inches
What is the main goal of catheter management?
Prevent CAUTI
Are sterile gloves required to empty an indwelling catheter urine bag?
No- but don’t let bag touch the graduate receptacle
How often should peri-care be given to a patient with an indwelling urinary catheter?
Daily
Within how long after catheter removal should the patient be able to urinate on their own?
6 hours
Is burning normal after catheter removal?
Yes, slight burn normal for the first few independent urinations
Suprapubic Catheterization
Tube goes drains urine directly from bladder out of abdominal wall, likely due to blocked urethra or when a long term indwelling catheter causes problems
When should external catheters not be used?
In cases of urinary incontinence
How many inches should be left between the tube of a condom catheter and the urethral opening?
1-2 inches minimum- prevents backflow/stagnation
Explain Nephrostomy tubes
small tubes tunneled through skin to the renal pelvis- drain renal pelvis when ureter is obstructed
Explain continent urinary reservoirs
Artificial bladder is placed in the body cavity and the patient must empty it themselves
Explain ureterostomies
Permanent incontinent urinary diversion- renal pelvises empty into tubes that drain into a bag outside the body
