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Urinary Elimination
Nursing 205 Test II
23
Nursing
Undergraduate 3
03/29/2011

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Term
Normal adult urine output, what to report if too high or too low
Definition
1500-1600 mL/day, if <30 for more that 2 hrs report, and if > 2000-2500 report.
Term
Erythropoietin functions
Definition
Works in the bone marrow to stimulate RBC production and prolongs the life of mature RBCs.
Term
Polyuria
Definition
excessive urine output
Term
Oliguria
Definition
urine output that is decreased despite normal intake, usually through other means such as perspiration, diarrhea, or vomiting.
Term
Diuresis
Definition
increased urine formation caused by ingestion of certain fluids that alter ADH.
Term
Dysuria
Definition
Painful urination.
Term
Urinary Retention
Definition
the bladder is unable to respond to the micturition reflex. Key signs are bladder distention and absence of urine output.
Term
Pyelonephritis
Definition
Infection of the kidneys.
Term
When charting note what four characteristics of urine?
Definition
Type/ Clarity:translucent or cloudy (proteins or glucose)
Amount: record input and output
Color: normally more concentrated in the AM, dark blood is from kidneys or ureters, bright red bleeding is from bladder or urethra. Dark amber urine with liver dysfunction is from bilirubin.
Odor: more concentrated the stronger the urine.
Term
Effects of drugs that block muscarinic receptors
Definition
suppression of bladder contractions, reduction of incontinence caused by bladder irritation. Can cause constipation, dry mouth and skin irritation.
Term
Effects of cholinergic drugs on the bladder
Definition
Increase contraction of the bladder and improves emptying. Often cause diarrhea as a side effect.
Term
Retention overflow
Definition
develops as retention overflow progresses. Pressure in the bladder builds to a point where the external urethral sphincter is unable to hold back urine. It temporarily opens to allow a small volume of urine (25-60mL) to escape and the pressure falls to again allow the sphincter to regain control.
Term
Prerenal condition
Definition
decreased blood flow to the kidneys
Term
Renal condition
Definition
disease of the renal tissue
Term
Postrenal condition
Definition
urinary tract infection preventing the flow of urine.
Term
Functional Incontinence
Definition
Loss of urine caused by factors outside urinary tract that interfere with ability to respond. Usually because of environmental barriers or sensory/cognitive/mobility issues.
Term
Stress incontinence
Definition
leakage during increased abdominal pressure w/out bladder contraction when laughing/sneezing/lifting something heavy.
Term
Urge Incontinence
Definition
involuntary passage of urine after a strong urge to void, usually with a bladder spasm or contraction.
Term
Mixed Incontinence
Definition
combination of urge and stress so increased abdominal pressure causes a little to be released after a strong urge to urinate.
Term
Reflex Incontinence
Definition
involuntary loss of urine w/out sensation to go. maybe because of sensory or neurological dysfunction, bladder fill unawareness.
Term
Uses of intermittent catheterization
Definition
Relief of bladder distention, sterile urine sample, assessment or residual urine after urination, long term management of spinal cord injured clients.
Term
Short term indwelling catheters
Definition
obstruction of urine flow, acute care of critically ill patients, prevention of obstructions
Term
Long term indwelling catheters
Definition
severe retention, terminal illness, skin rashes/ulcers/wounds
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