Abdominal and Urinary Assessment

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Created by:

m3ghan92  on March 13, 2012

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Abdominal and Urinary Assessment

before beginning assessment ask pt to
empty bladder
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before beginning assessment ask pt to empty bladder
Fluid wave feel for ascites
Order of assessment Inspect, Auscultate, Percuss, Palpate
bowel sounds 30 sec. per quadrant
1 sound per breath, 5-15 sec. long
listen for 5 minutes before stating absent
Hepatic bruits indicate liver or alcoholic hepatitis
use ____ to auscultate vascular sounds over the aorta, renal and illiac arteries. bell
venus hums in upper gastric area & umbilical area can indicate partial obstruction of an artery (reduced blood flow)
with the diaphragm listen for a __________ over the liver & spleen friction rub
____ over all 4 quadrants and ______ over the liver & spleen tympany; dullness
percuss kidney posteriorly on back @ costovertabral angle over 12th rib
pyelonephritis kidney stones, pain while purcessed
liver span 6-12 cm
Cirrhosis scarring of the liver and poor liver function. It is the final phase of chronic liver disease.
Percuss bladder @ symphyis pubis & percuss upward toward umbilicus
tenderness in bladder = UTI
emptry bladder does not rise above symphis pubis
Palpate kidneys on ____ side right
Abdominal Reflex umbilicus moves towards stimulus, may not be determined in obese pts.

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