 | Term | Definition |
| |
Diuresis |
large output f urine, too much output |
| |
Polyuria |
another name for diuresis |
| |
Oliguria |
low urine output |
| |
Anuria |
no urine output, common with renal failure pt's |
| |
Frequency |
voiding more often than normal; more than 4-6 times a day. Pt may not have a problem with intake and output) |
| |
Nocturia |
void 2 or more times at night |
| |
Urgency |
feeling they need to go but may not actually need to go |
| |
Dysuria |
pain during urination...difficulty urinating |
| |
Enuresis |
involuntary passing of urine when control should be established (above 5 years old for sure) |
| |
Urinary incontinence |
adult urination accidents |
| |
Urinary retention |
urine accumulates in the bladder...leads to a distended abdomen |
| |
Neurogenic Bladder |
Impaired neurologic fxn: can't feel the bladder and the sensation |
| |
Urine retention and stasis leads to |
increased risk of UTI |
| |
Elderly factors affecting urination |
enuresis, nocturia, loss of urinary bladder control, etc |
| |
Coronary Heart Failure |
causes increased urination frequency |
| |
Dehydration |
Kidneys reabsorb fluids and urine is dark and concentrated and potent and more odor |
| |
Ex of diuretics |
caffeine and alcohol |
| |
This retains fluids |
Sodium/salt |
| |
Beets turn urine |
red |
| |
Garlic turns urine |
smelly!!! |
| |
Beta Carotene turns urine |
neon green!! |
| |
Things that decrease Muscle tone of Bladder |
prolonged periods of immobility, indwelling urinary catheters, childbearing, menopause, trauma |
| |
Urinary Calculi= |
kidney stones |
| |
Polycystic kidney disease |
a pathologic condition that affects urination |
| |
medication: analgesics and antibiotics |
are toxic to the kidneys sometimes |
| |
Cholinergic meds |
may stimulate the bladder |
| |
Anticoagulants make urine what color? |
red! |
| |
Cystoscopycauses |
urethra may swell. |
| |
Spinal Anesthetics cause |
decrease sensation...... |
| |
ML of urine per day that is normal |
1500 mL |
| |
Nurse should not be able to feel the ___? |
bladder |
| |
Nursing history, and physical assessment include: |
bladder, urethral oriface, skin integrity, hydration, urine color,odor,amt, changes from norm? |
| |
Urine assessment: |
color, clearity, sediment, odor |
| |
Routine urinalysis |
not sterile, just pee in a cup!, if pt on period...make note of that. |
| |
Plastic disposable collection bags |
for babies to get urine sample |
| |
Clean-catch or midstream |
clean, pee(throw out), pee (keep), and then pee and throw that out too! |
| |
24 hour urine specimen |
keep urine on ice, start and throw that first urine out...then keep the rest urine for 24 hours |
| |
Sterile specimen from indwelling catheter |
possible urine specimen |
| |
schedule diuretics in the |
morning!!! |
| |
accounts for about 50% of all nosocomial infections |
UTI's |
| |
Upper UTI |
kidneys ad ureters |
| |
Lower UTI |
bladder and urethra |
| |
E. Coli isthe |
most common cause of uTi |
| |
To prevent UTI's |
drink 8-10 glasses of water, frequent voiding, vit C and or cranberry juice (acidic), avoid harsh soaps, tight fitting clothes, and avoid cross contamination (wipe front to back) |
| |
Cholinergic drugs stimulate |
bladder contraction |
| |
Theres a machine to check thsi |
post-void residual (PVR) |
| |
Crede's maneuver |
press on bladder to push urine out, nurse needs dr order |
Share on Facebook
Share on MySpace