Term
| What is the primary regulator of fluid and acid/base balance in the body |
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Definition
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Definition
| Filter blood and remove metabolic waste |
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Term
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Definition
| Take urine from the renal pelvis to the bladder |
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| Purpose of urinary catheters (diagnostic) |
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Definition
Collect sterile specimen
-Accurate measurement
-Assess residual urine |
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Term
| Purpose of urinary catheters (therapeutic) |
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Definition
Prevent/relieve urine retention
-Drain urine from bladder
-control incontinence
-Intermittent or continuous irrigation |
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Term
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Definition
| Catheter associated urinary tract infections |
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Term
| Why do we not use catheters all the time? |
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Definition
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Term
| What are some catheter complications |
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Definition
Infection
Rapid decompression can cause atony or spasms
-Acute renal failure in obstructed catheters |
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Term
| Straight cath/Robinson Cath |
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Definition
-One time use for:
-Specimen collection |
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Term
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Definition
Relieve bladder distention
Assess residual urine
Obtain specimen
Empty bladder prior to surgery/procedure |
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Term
| Indwelling cath aka foley |
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Definition
Has a balloon
-Provides continous drainage
-STERILE TECHNIQUE |
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Term
| What cath do you use with patients with an enlarged prostate? |
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Definition
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Term
| What should you always check before inserting a cath? |
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Definition
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Term
| Do you test the balloon before hyou insert it? |
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Definition
| No, because it never goes back to normal |
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Term
| Who should you have assistance for? |
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Definition
| Young, obese, frail, confused, or combative |
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Term
| When should foleys be emptied |
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Definition
| At least every 8 hours, or if more than 1/3 to 1/2 half full |
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Term
| How often should cath care be performed? |
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Definition
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Term
| How much urine sample do you need? |
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Definition
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Term
| How soon do you have to get a urine specimen to the lab |
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Definition
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Term
| When can you get a urine sample? |
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Definition
| At time of insertion, straight cath, or from existing cath |
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Term
| How to get a sterile specimen from existing foley |
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Definition
CLEAN gloves
-clamp tubing 30 min prior
-Cleanse Port
-Connect syringe
-Withdraw specimen
-Remove clamp |
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Term
| How much urine is needed for a culture? |
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Definition
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Term
| How much urine is needed for a urinalysis? |
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Definition
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Term
| Urinary catheter irrigation |
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Definition
| Sterile irrigating fluid, clearly labeled. Monitor I/O. Output should exceed normal due to added irrigation fluid |
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Term
| What do we do before we use the closed irrigation method |
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Definition
| Empy the bag and clamp below aspiration port. |
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Term
| Closed irrigation is what type of procedure |
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Definition
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Term
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Definition
Empty urine
-Remove tape/velcro leg bands
-REMOVE AIR IN BALLOON PORT
-Remove while asking pt to take a deep breath |
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Term
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Definition
-Inspect tip
-record output
-provide pericare |
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Term
| What should a pt do when un-cathed? |
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Definition
| Increase fluid intake. RING FOR FIRST VOID |
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Term
| When should the pt void after removal |
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Definition
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Term
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Definition
| 1000-2400mL per 24 hour is normal |
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Term
| Minimum output for adults per hour |
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Definition
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Term
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Definition
| Not frequent urinary need. It pertains to volume. More than 3mL per day |
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Term
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Definition
| Less than 500mL per 24 hour period in an adult |
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Term
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Definition
| Passage of less than 50mL of urine a day. Symptom of acute kidney failure |
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Term
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Definition
| If they have a lot of urine left in bladder after voiding, they could be losing muscle tone. They are more at risk for UTIs. This is measured by straight cath |
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Term
| French is divided by 3 for mm |
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Definition
| French is divided by 3 for mm |
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Term
| What allergy contraindicates betadine use? |
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Definition
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Term
| Can you refrigerate urine to increase time before you can get it to the lab? |
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Definition
| Yes, but only for two hours. |
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Term
| Closed Continous Irrigation |
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Definition
| Bladder is constantly being irrigated by an IV-like solution to prevent clots and obstruction after surgery. Normal Saline is usually used |
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Term
| Closed Intermittent irrigation |
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Definition
| attach a syringe and instill a solution. Clamp BELOW the port, not above, because we want it to go in the bladder for now. Unclamp after. |
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