urinary Flashcards
steps when you suspect urinary retention
first palpate above symphysis pubis to see if there are is distended bladder go to bladder scanner to see how much urine is left in the bladder after urinationmore precise way have the patient urinate insert straight catheter drain the bladder and measure
Routine catheter care
how often do you change time and fill
regular perineal care especially after bowel movement, every 8 hours, empty Foley bag when half full no urine check for Kinks or occlusion do not let Reservoir bag above the level of the bladder maintain closed urinary drainage system.
Normal specific gravity
specific gravity 1.0053-1.030
continent urinary Reservoir
piece of ileum- connected to the ureters- stoma. periodic cauterization
urostomy
urostomy-bring uriters directly out through stoma-continuous output but the problem constant breakdown.
Nephrostomy
Nephrostomytube that goes right into the medulla of the kidney and drains the urine-usually for problems with uriters and below.
Suprapubic catheter
long term patients with brain injuries or spinal cord injuries
common diagnostic tests for urinary
abdominal flat plate CAT scan intravenous pyelogram- make sure patient is not allergic to shellfish or Betadine cystoscopy
2 things that help
Prevent aspiration
1- thicken iq 2. Don’t use straws
Where not to put transdermal patch? 2
Back of hand or back
OD os ou
Od - right eye os- left eye both eyes
How to give eye drops
1 have patient look at ceiling, place dominance hand on patients forehead holding drops pull lower lid down and put drops in conjunctival sac
Admin of optic meds.
Put patient in side lying position move ear canal drop in remain laying on unaffected ear 2-3 min massage the Tagus
Rectal suppositories
Patient in left Sims lube patient breath. Insert 4 inches have them lay for 5 mins or now long is tolerated.
Degree for subcut injection
90 or 45 for skinny
