Shared Flashcard Set

Details

ROSEMAN
Block 3.0 Urinary and Bowel Elimination
19
Nursing
Undergraduate 1
02/20/2012

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Cards

Term
What components are excreted in urine?
Definition
Sodium, Potassium, Chloride, Urea, creatine, Bicarbonate, uric acid

These are all ions
Term
4 compnents when assessing urine
Definition
Volume, color, clarity, and odor
Term
Primary function of the kidney?
Definition
Regulate the volume and compositon of the body's ECF
Term
Secretion Tubules
Definition
Secrete ammonia, creatine, uric acid, and other metabolites
Term
Urine output
Definition
Most sensitive noninvaisive indicator of circulation
Term
Affect of aldosterone
Definition
increase absorption of ions and water in the kidney which increases blood flow and in turn increase blood pressure
Term
Anti-diretic hormone ADA
Definition
Acts on the kidneys to INCREASE total body water.
Term
Normal Body Water range
Definition
270-300 mOsm/ l
Term
When do you start to worry regarding urine of the pt.
Definition
1: When urine falls below 30 cc per hr.
2: When urine is cloudy, foul smelling, and dark colored
3: When it is difficult to urinate or cant urinate at all
4: When urine stream can start but cannot be maintained
5: When there is blood in urine
6: Lab results show increased creatine levels and or blood urea
7: When bladder is distended
8: UTI and other problems
Term
Serum Creatine
Definition
Increases when there is damage to the nephrons
Term
Creatine
Definition
Waste product formed from the breakdown of skeletal muscle tissue
Term
BUN
Definition
Blood Urea Nitrogen

May increase due to high intake or protein, fluid deficiet, or pressure of gout
Term
A panic value for creatine is?
Definition
10 mg/dl in non-dialysis patients
Term
Increased serum creatine levels are seen in...
Definition
Impaired renal function
Chronic nephritis
Urinary tract obstruction
Muscle Disease
CHF
Shock
Repeated pregnancy
Term
Enuresis
Definition
Childhood incontinence
Term
Normal pattern ID

Subjective
Definition
Having clients describe alterations in urinary elimination.

Many factors of daily living can change normal patterns
Term
Risk ID
Definition
Getting a nursing history can help identify what is altering urinary elimination.
Term
Dysfunction ID
Definition
Using open ended questions about their voiding.

This will let the pt. talk about things that may be abnormal with urination
Term
2 main reasons we use NG tubes?
Definition
Decompression and inadequate nutrition
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