Urinary elimination labs Flashcards

1
Q

A patient specific gravity results was 1.010. Is this normal or abnormal and if its abnormal what does it mean?

A

Normal

1.005-1.030

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2
Q

A patient specific gravity results was 1.001. Is this normal or abnormal and if its abnormal what does it mean?

A

Abnormal

<1.005 means renal disease or overhydration

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3
Q

A patient specific gravity results was 1.036. Is this normal or abnormal and if its abnormal what does it mean?

A

Abnormal

> 1.030 means dehydration

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4
Q
Protein- Positive
Glucose-Negative
Ketones- Negative
RBC- 2
Bilirubin- Negative
Nitrite- Negative
Whats wrong?
A

Positive protein means : Renal disease

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5
Q
Protein- Negative
Glucose- Positive
Ketones- Negative
RBC- 2
Bilirubin- Negative
Nitrite- Negative
Whats wrong?
A

Positive Glucose means abnormal glucose metabolism, such as diabetes

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6
Q
Protein- Negative
Glucose-Negative
Ketones- Positive
RBC- 2
Bilirubin- Negative
Nitrite- Negative
Whats wrong?
A

Positivie Ketones means poorly controlled diabetes

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7
Q
Protein- Negative
Glucose-Negative
Ketones- Negative
RBC- 4
Bilirubin- Negative
Nitrite- Negative
Whats wrong?
A

3 or more means UTI, cancer in urinary tract, or trauma

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8
Q
Protein- Negative
Glucose-Negative
Ketones- Negative
RBC- 2
Bilirubin- Positive
Nitrite- Negative
Whats wrong?
A

Positive Bilirubin means Gallbladder or liver disease

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9
Q
Protein- Negative
Glucose-Negative
Ketones- Negative
RBC- 2
Bilirubin- Negative
Nitrite- Positive
Whats wrong?
A

Positive Nitrite means UTI

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10
Q

Positive Leukocyte, WBC, or Bacteria means……

A

UTI

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11
Q

Labs

BUN “blood urea nitrogen”
23mg/dl means what

A

> 20 mg/dL means

  • Renal disease
  • Liver disease
  • Bleeding in the GI tract
  • Dehydration
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12
Q

Labs

BUN “blood urea nitrogen”
8 mg/dl means what

A

<10 mg/dL means

  • Renal dysfunction
  • Overhydration
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13
Q

What is normal BUN levels?

A

10-20 mg/dL

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14
Q

What are normal Creatinine levels?

A

0.5-1.2 mg/dL

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15
Q

What does Creatinine level over 1.2 mg/dL mean?

A
  • renal dysfuntion

- dehydration

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16
Q

Normal urine output:

A

1500mL/ 24

17
Q

Minimum urine ouput:

A

30 mL/hr or 0.5 mL/kg/hr

18
Q

Bladder holds

A

-need to void occurs about 200-450 mL

About 400-500 mL/voiding

19
Q

Urge incontinence

A

overactive bladder
inability to reach the bathroom
large amount of incontinence

try pelvic floor exercises or kegel’s
bladdertraining- know how long they can go without having to pee

Nursing interventions:

  • Avoid bladder irritants
  • Pelvic floor exercises (PFME) or Kegel’s
  • Bladder training
  • Medications
20
Q

Stress incontinence

A

increased abdominal pressure
abdominal muscles not strong enough to keep it from coming out

ex. laughing, sneezing. seen in pregnancy pt’s

try pelvic floor exercises
bladder training
weight reduction

Nursing interventions:

  • PFME
  • Bladder training
  • Weight reduction
21
Q

Mixed incontinence

A

combination of urge and stressed

22
Q

Overflow incontinence

A

bladder so full that a little dribbles out. can happen often

sometimes due to enlarged prostate

23
Q

Functional incontinence

A

inability or blockage, can’t get to bathroom
no urinary or psychosocial reason

prompted toileting
hourly rounding
remove the barrier

Nursing interventions:

  • Prompted toileting
  • Hourly rounding and the 4 Ps
  • Remove the barrier
24
Q

Reflex incontinence

A

neurological problem– stroke, spinal cord injury, bladder being damaged

scheduled voiding
intermittent catheterization

Nursing interventions:

  • Scheduled voiding
  • Intermittent catheterization
25
Q

Urinary diversions

Cutaneous (skin) Ureterostomy (opening)

A

surgery reroutes the ureter directly to surface of abdomen forming a small stoma

limited use bc it provides a pathway for pathogens to enter the kidney drainage bag

26
Q

Urinary diversions

Conventional urostomy

A

most common type

small piece of ileum used to make a patch into which the ureters are implanted.
urine drains continuously from stoma & is collected in a pouch (drainage bag)

27
Q

Urinary diversion

Continent urinary reservoir

A

valve.
same as ileal conduit but instead of urine constantly flowing, the patient inserts a catheter into the stoma to drain urine through the valve no drainage bag

28
Q

Urinary diversion

Neobladder

A

mimics the function of a urinary bladder.

portion of intestine is removed and put in same location as bladder

patient must work on pelvic floor exercises

most natural