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23 Cards in this Set
- Front
- Back
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what is the normal value for BUN?
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8-25 mg/dL
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What is the normal serum creatinine level?
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0.6-1.5mg/dL
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What is the normal value for urine specific gravity?
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1.003-1.030
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What is the normal GFR?
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>90 mL/min
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What is the GFR for ESRD?
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<15 mL/minute
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What is the preferred way to collect a urinalysis?
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-1st morning void
-Mid stream via clean catch -Cath -Suprapubic transabdominal need aspirartion |
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What are the types of urinary incontinence?
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-Stress: loss of urine with increase abdominal pressure.
-Reflux (overflow): Loss of urine when the bladder reaches a certain level -Urge: The strong and sudden urge to void -Functional: Involuntarily passage of urine; d/t another disorder that keeps pt from bathroom -Total: Continuous, unpredictable loss of urine |
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What are the nursing implications/ treatments for urinary incontinence?
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-Lifestyle changes: (quit smoking, no alcohol, weight loss, caffeine decrease)
-Bladder training -Kegal's -Meds: Ditropan, Detrol -Surgery -Cath -Assistive devices: BSC, Urinal -Answer call bells -briefs, linen protectors, pads *Maintain Skin Integrity |
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How is urinary incontinence diagnosed?
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Health & PE
Urinalysis Cytology |
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What are the symptoms of incontinence?
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urgency, frequency, noctura, dysuria, enuresis
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What is Urosepsis?
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Systemic infection that originates in the urinary system that was: a) not treated, b) not treated early enough, c) not treated long enough
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What are the symptoms of urosepsis?
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similar to shock: low bp, high heart rate, either high or low fever, clammy, chills, cool skin, shaking.
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How is urosepsis treated?
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BLOOD CULTURES BEFORE ANYTHING.
- IV Antibiotics (eg. Cipro, levaquin) -High rate IVF: monitor lung sounds, VS -Comfort measures: treat fever, keep cool/warm, ect. |
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What is urinary retention?
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The inability to completely empty the bladder despite micturation or the accumulation of urine in the bladder, because of the inability to urinate
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What type of retention is a medical emergancy and is manifested by the total inability to pass urine?
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Acute Urinary Retention
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What type of retention is the incomplete bladder emptying despite urination?
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Chronic Urinary Retention
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What causes urinary retention?
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Obstruction, stress, neurologic or nerve damage, detrussor muscle failure, or medications
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What interventions are geared towards urinary retention?
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-treat cause; -eval meds; -foley or straight cath (q4h); -bladder scan for PVR; -Meds: Anticholinergics (urecholine); -Pt Education: s/s UTI, cath, encourage fluids.
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What is Urethritis?
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Inflammation of the urethra due to bacterial or viral infection
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What gender is more prone to Urethritis?
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Women > Men
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What is the major indicative factor with Urethritis?
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It is associated with STDs.
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What pt. education is necessary for Urethritis?
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-Void after sexual intercourse
-Cleanse peri-area after bowel movement or voiding -Avoid sex until symptoms subside -ensure partner gets checked |
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What is the interventions for urethritis
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-Get urethral cultures: prulent= gonorrhea; may be clear
-administer antibiotics -no sex until symptoms subside. |
