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23 Cards in this Set
- Front
- Back
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BUN
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7-18 mg/dL
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creatinine
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< 1.3 mg/dL
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Sodium (Na)
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135-145
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Potassium (K)
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3.5-5.5
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Phosphorus
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2.8-4.5
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Glucose in blood
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at least 180
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patho of incontinence
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increased bladder pressure
lowered urethral resistance |
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Types of incontinence
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stress
Urge Overflow Reflex Functional |
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diagnosis
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bladder scan
cystometrography Uroflowmetry |
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bladder scan
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mesures postvoid residual urine, >100ml further test are performed
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Incontinence Treatment
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Detrol/Ditropan
inhibit detrusor muscle contractions and increase bladder capacity |
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Nursing Interventions
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monitor I&O
Pt teaching of kegel exercises reduce delays w toileting-call light in reach and clear path limit fluid intake in evenings administer diuretics in morning/midafternoon |
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Benign prostatic hypertrophy (BPH)
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enlargement of the prostate, difficulty initiating and maintaining urine flow
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signs and symptoms of urinary retention
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distended and firm bladder
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urinary incontinence risks
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falls, pressures sores, UTIs, Depression, Caregiver stress
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Bladder Irritants
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caffeine, citrus juices, artificial sweeteners, smoking
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surgical treatment for urinary incontinence
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bladder suspension
augmentation |
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NI for retention
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have running water, stand/sit when voiding, crede method, place hand in warm water,catherize if necessary
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acute retention
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over filling, loses muscle tone (detrusor)
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treatment
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straight catherization, stimulate voiding
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chronic retention
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BPH, enlarged prostate, neurogenic bladder, spinal cord disease
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signs and symptoms of chronic retention
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void small amount, high residual, bladder scan, UTI, no sensation and dribble all the time
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complications
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UTI, chronic antibiotics, urine backs up to kidney and infection, neuphrons can be destroyed
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