Week 7 Chapter 29 Flashcards
Functions of the urinary system
Removes waste products from blood
Maintains water balance
Maintain electrolytes balance
Maintains acid-base balance
Healthy person produces how much urine
1,500 mL
Normal urine
Lightish yellow
Clear
Couple hundred mL
Healthy person voids how many times a day
4 to 6
Factors effecting urine production
Age
Disease
Medication
The amount ingested
Dietary salt
Other substances
Other names for voiding
Urination, micturition
People normally void when
After getting up
Before meals,
And at bedtime
A person should void how often
3-4 hours
Incontainence is
Not a normal part of aging
Steps for using bed pan
1 gloves
2 blue pad on chair, one draped over bedpan, another for the client
3 ask client to lift up hips and slide it under them
If client can’t lift up hips, turn them, place it, then roll back onto it
4 sit them up
Fracture pad or slipper pan
Low end goes towards their back
You use a urinal in which ways
Upright, sitting at the side of the bed, or standing
Hang it off bed rail after use
Safety is priority for people with
Mobility issues
Dysuria
Painful or difficult urination
Hematuria
Blood in urine
Oliguria
Small amount of urine
Usually less then 500mL in 24 hours
Polyuria
The production of abnormally large amounts of urine
Stress incontinence
The leaking of urine during exercise and certain movements
Urge incontinence
Sudden and immediate urge to urinate
Overflow incontinence
The leaking of urine when the bladder is too full
Functional incontinence
The loss of urine occurs when the client has bladder control but cannot get to the bathroom in time
Reflex incontinence
Loss of urine at predictable intervals
Mixed incontinence
Combination of stress and urgency
Incontinence has a risk of
Skin irritation
Infection
Pressure ulcers
The keys things for voiding
Regular toileting
Don’t rush
Position
Privacy
Safety
Pericare and infection control
Never leave client on bedpan or commode for longer then
20 mins
Risk associated with briefs
Skin breakdown
ACCO
Amount
Colour
Consistency
Odour
Different types of catheters
Straight catheter
Indwelling catheter
Suprapublic catheter
Catheter care
Frontal pericare, catheter care, back pericare
Urinary bag must always be
Below the bladder
Drainage bag holds
2000 cc
Leg bag holds
700cc
Key things for catheter care
Never touch the tip of the catheter to anything
Always moderator urinary output
Accidental disconnecting of catheter
Tell nurse right away
Clamp it, swab it, reconnect
Three key things to know when handling drainage bag
Keep bag lower then client
Never hook bag on bed rail
Put bag on side you will turn them to
Proper catheter care
Frontal pericare
Catheter care
Back pericare
What should you do first with Condom catheter
Do pericare first
How to apply condom catheter
Fist the penis with firmness to get it on
Leave 1inch gap
Tape in spiral fashion up the penis
What should you be aware of when putting on a condom catheter
No wrinkles and it fits properly
How often do you change a condom catheter
Everyday
When to change a drainage bag
End of every shift
When bag is full or leaking
What should you be careful of when collecting a urine sample
Not to contaminate it
24 hour urine sample
Collect Every time the person voids
Ureterostomy
A urinary diversion. An artificial opening between the ureter and the abdomen
The opening is called what
Stoma
Dehydration
When fluid output exceeds intake
Urine that first exits the urethra
May be contaminated with normal flora and other pathogens
Ileal conduit
An artificial bladder fashioned out of the section of the ileum (part of the small intestine)
Other names for urination
Micturition and voiding
