Urinary Elimination 2 Flashcards
urinary retention
An accumulation of urine due to the inability of the bladder to empty; pain on lower abdomen; medications and anxiety can cause
urinary tract infections
Result from catheterization or procedure; poor hygiene; caused by e coli that can be found in stool; difficulty emptying
UTI terms
pyelonephrits; bacteriuria, urosepsis
pyelonephrits
infections in kidney
bacteriuria
organism causing infection is bacteria
urosepsis
sepsis from renal infection
Urinary incontinence
Involuntary leakage of urine
functional incontinence
have urge but still we themselves before get to bathrooms, outside urinary tract
urge incontinence
have urge 2 hours or less then get to bathroom and can’t go
stress incontinence
(most) kagal exercising, contract then relax
Nursing considerations when caring for a urinary problem
Infection control and hygiene; Growth and development; Muscle tone; Psychosocial considerations; Cultural considerations
change diapers every
3 hours
nursing history
Patterns of urination; Symptoms of urinary alterations; Factors affecting urination
assessment of skin and muscosal membranes
asses for dehydration; turgur, laskat mucus membranes in the mouth
assessment of kidneys
if pt hit in area of kidney with problem will jump off of the table
assessment of bladder
assess bladder after voiding, palpate then try to void again to see if there are any differences
characteristics of urine
color, clarity, odor
clear amber
concentrated urine
clarity of urine
transparent and pretty clear
odor
over concentrated urine, sweat urine - diabetic
if fine casts
worry about renal failure
if crystals then
probably kidney stones
ph
urine is acidic, acidic environments fight bacteria, if alkaline then more likely to have UTI
protein in urine
common with renal disease
glucose in urine
typically for diabetics
ketones
byproduct of breakdown of fatty acids (abnormal in urine)
blood
not normal in urine
specific gravity
1.0053 - 1.030 concentration of particles in the urine, high concentration - urine is concentrated so if dehydrate than have more particles, if low then over hydrated
culture
if think bacteria present will see whats present and use
document how you go urine
ex. midstream, from cath, etc
never get specimen from
foley bag
time specimen
everytime pt voids you take specimen
