3802 final
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| How many mL's of urine does the bladder usually hold? | show 🗑
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| show | Between 1,500-1,600 mL per day
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| What happens to the aging r/t anatomic changes with urinary issues? | show 🗑
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| What happens to the kidney after 70 years? | show 🗑
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| When is urinary incontinence higher? | show 🗑
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| show | hesitancy, retention, and slows urinary stream and more bladder infections.
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| What should a nurse do if the pt prefers privacy while voiding? | show 🗑
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| What should the nurse do when placing the patient on the bedpan or bedside commode? | show 🗑
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| show | When they first awaken so the nurse needs to be accessible to meet the needs of the Pt.
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| What kind of effect does anxiety have on the urinary system? | show 🗑
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| show | men using stall rather than urinal, flushing toliet first to help start stream, distracting thoughts, psychotherapy, hypnosis, and self-catheterization.
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| show | muscle wasting caused by immobility, stretching of muscles during childbirth, menopausal muscle atrophy, and traumatic damage to muscle.
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| How can prolonged use of indwelling catheter cause urinary problems? | show 🗑
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| What is Oliguria? Can occur from losses of what? | show 🗑
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| Diuresis | show 🗑
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| What types of drinks and foods cause diuresis? | show 🗑
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| What happens to pt's who become extremely diaphoretic (sweating) loses a large amnt of fluids through insensible water loss, will this increase or decrease urine production? | show 🗑
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| show | They alter the glmoerular filtration rate = reducing urine output. These pharmacologic agents impair the sensory and motors traveling between the bladder, spinal cord, and brain.
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| show | Pt's recovering from anesthesia and deep analgesics often do not sense bladder fullness.
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| show | Because of the inability of the bladder muscles and sphincters to respond.
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| How can the lower abdominal and pelvic structures impair urination? | show 🗑
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| show | prevent reabsorption of water and certain electrolytes to increase urine output
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| show | 1. Sudafed = antihistamine 2. Aldomet = anti-hypertensive 3. Furosemide/Lasix = diuretic 4. Atropine = anti-cholinergic
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| Which medications (and their categories) will cause urinary rentention? | show 🗑
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| show | Bright orange to rust
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| How does cancer chemotherapy drugs effect the urine? | show 🗑
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| show | tentative
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| What is important when obtaining a urine culture (what is required of the specimen)? | show 🗑
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| Cystoscopy | show 🗑
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| urgency is defined as? | show 🗑
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| dysuria | show 🗑
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| frequency is defined as? | show 🗑
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| hesitancy is defined as? | show 🗑
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| Polyuria | show 🗑
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| Oliguria | show 🗑
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| Dribbling | show 🗑
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| Residual Urine | show 🗑
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| show | By percussing the costovertebral angle
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| show | The presence of renal artery bruit.
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| show | 150 mL of urine
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| What does the bladder sound like if it is full and where is this sound heard at? | show 🗑
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| What should be inspected if urethral meatus is suspected? | show 🗑
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| show | Stress incontinence is leakage of small amnt of urine caused by sudden increase in intra-abdominal pressure. Etiology: coughing, laughing and exercise, weak pelvic musculature, incompetent bladder outlet, and obesity.
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| show | Involuntary urine loss occurs due to detrusor muscle overactivity; Symptoms of UTI, frequency, dysuria, hematuria, & nocturia, urgency of micturition, urge incontinence(spontaneous, uncontrolled loss), alcohole/caffeine ingestion, increa fluid intake.
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| What's overflow incontinence and the etiology? | show 🗑
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| show | result of neurological impairment of the CNS; i.e. spinal cord injury; stroke; parkinson's disease; multiple sclerosis. Eti: involuntary loss of urine occuring @ somewhat predictable intervals, unawareness of bladder filling, lack of urge to void
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| show | Involuntary, unpredictable passage of urine in persons with intact urinary and nervous system. Etiology: Caused by change in environment, sensory, cognitive, or mobility defects.
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| show | Functional incontinence
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| show | Investigation of bladder function & control of micturition under quasi-physiological conditions; measure pressure in the bladder and the flow of urine. The 5 are: urinary flow rate, cystometrogram, electromyography, voiding pressure flow, & videodynamics
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| What is urinary flow rate? | show 🗑
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| show | Evaluates detrusor muscle function/evaluate bladder tone
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| Electromyography | show 🗑
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| Voiding pressure flow? | show 🗑
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| show | Anatomic imaging
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| show | Pt coughs vigorously while examiners observe for leakage
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| Post Void Residual (PVR) | show 🗑
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| What is considered an abnormal finding indicative of a bladder problem? | show 🗑
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| show | 50 mL or less of urine (increases with age)
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| show | Stress incontinence
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| What are Kegel exercises and the point behind practicing them? | show 🗑
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| show | Use of special vaginal or rectal probes
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| What is electrical stimulation and what urine disorder is this used for? | show 🗑
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| What are vaginal cones? | show 🗑
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| show | Alpha-adrenergic drugs like Enablex, Detrol, and Detrol LA.
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| show | Anti-cholinergic drugs- pseudoephedrine (Sudafed). Type: Stress urinary incontinence
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| show | Overflow urinary incontinence. No meds effectively treat this condition; the only way to treat is w/ a foly catheter.
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| show | Surgical procedure to correct the position of the bladder and urethra neck.
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| Marshall-Marchetti- Kranz? | show 🗑
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| Sling procedure? | show 🗑
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| show | accumulation of urine in the bladder due to inability to empty bladder.
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| show | 2,000 to 3,000 mL of urine
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| What are the symptoms of urinary rentention? | show 🗑
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| What are the physiological causes of urinary retention? | show 🗑
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| show | Opioids like Morphine sulfate, beta-adrenergic receptors like Metoprolol and Lopressor, and Ca Channel blockers like Cardizem and Procardia.
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| show | Tri-cyclic anti-depressants like Tofranil and Elavil
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| Since intermittent catheterization is one way to manage urinary retention, what is the proper way to use this method? | show 🗑
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| What type of urine is intermittent catheterization used for? | show 🗑
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| What is important to know about an indwelling catheter? | show 🗑
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| What is the purpose of a prostatectomy when r/t urinary problems? | show 🗑
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