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63 Cards in this Set
- Front
- Back
where is the bladder located
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in the lower pelvis
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what is an average urine output per day
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1000 to 1500 ml per day
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define anuria
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absence of urine
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defien cystitis
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inflammation of the bladder
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define dysuria
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painful urination
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blood in the urine is called ?
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hematuria
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? is pus in urine called
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pyuria
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define polyuria
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excessive urine ation occurs when there is no cause for large amounts of urine to be voided and there is an output of >1500 ml in 24 hrs.
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define oliguria
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decreased amount of urine output) accours when urine output falls bvelow 400ml i 24 hrs.
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define glycosuria
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(glucose in urine) present when to much glucose in blood ( hyperglycemia) when renal threshhold for glucose is lowered for some reason
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what is another name for urination
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voiding
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when the ureter exits on the abdominal wall, discharging urine through the opening this is called what ?
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urostomy
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How often should a pt void
unless an indwelling catheter is in place |
5 to 10 times a day
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what is the purpose of urinary meatus
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is the exit point for urination and the entrance pint for a catheter
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what is nocturia
and what causes it |
voiding mor than 2 times at night
bladder muscles tome decreases and its capacity lessens |
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what is the purpose of ureters
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hollow tubes about 25 to 30 cm long in the adult and connect each kidney to the bladder
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what is the purpose for the bladder
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it stores urine and sends a signal to the spinal cord when it becomes full to signal the need for emptying, 250-400ml of urine
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name the most common urinary tract infection
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uti
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describe residual urine
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urine left in the bladder after unination
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define anuria
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is present when less than 100 ml of urine is excreted in 24 hrs. may be due to urinary supperssin or retention of urine
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what is the normal ph of urine
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is slightly acid ranging from 5.5 to 7.0
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the normal range of urnine
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1.010 to 1.030 but conditions such as dehyfration and fluid excess may extend the range slightly in either direction
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the unternal spincter relaxes in response to
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micturition (urinating) reflex
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----------occur in increasednumbers in the presence of bacteria or protein, and indicate urinary ------(stones) or renal disease
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casts,,---------calculi
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-----------in the urine greater than 0 to 2 per high-power field of the microscope may indicate a stone , tumor, glomerular disorder , cysitsis, or bleeding disorder
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red blood cells
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-------------in the urine mean there is an infectious or inflammatory porcess somewhere in the urnary tract
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white blood cells
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---in the urine suggest liver disease or obstruction in the blile duct
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bilirubin
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--------(protein in the urine) occurs at times of stress,
when infection is present there has been recent strenuous exercise disorder of the glomeruli |
proteinuria
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acidifying the ruine by taking a citamin c supplement daily and incrasing the intake of prunes
plums cranberries ore juice to decrease the urine ph will help combat |
urinay tract infectins
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carries urine from bladder to meatus , flow controlled by urinary sphincher
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urethra
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conduct urin to outside of the body
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meatus
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filter blood through the nephrons
metabolic waste and excess water are ectracted regulate electrolytes by excreating excess amounts and help with acid base balance retainging hydroge ions and bicarbonates |
kidneys
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function of the ______system
kidneys manuyfacture approximatley 1.5 l of urine in 24 hrs. urine productin related to various factors ureters carry urine from kidneys to the bladder |
urinary
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bladder empties when ---__to ___ml of urine is present ( under voluntary control)
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250-400
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bladder can contain 1000to 1800ml of urine
average urine output is ___to ___ ml per day |
1000 to 1500 ml per day
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internal spincter relaxes with ______ (urinatin reflex
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mucturition
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characteristice of normal urine
color clarity odor |
straw colored or amber
transparent or only slighltly cloudy faintly like ammonia specific gravity |
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loss of normal bladder control
may be temporary or permanent may be correced by surgery |
incontinence
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kegal exercise may help with
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incontinence
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the bowl a _____ constructed from a piece of bowel
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pouch
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what is necessary when the bladder is removed or bypassed
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one or both ureters are inplanted into the abdominal wall urostomy
urinay diversion |
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body image distrbance , increased risk for impaired skin integrity, increased risk of infection are signs of
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____incontinence
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used for urine drainige following gynecologic and bladder surgery
inserted through abdomin wall by ______. |
suprapubic catheter---surgeon
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removal of indwelling cathtere
what is required? pt is kept on inkae and output recording for ___to ___ hrs after catheter removal to ensure bladder is drainning |
physician order
12 to 24 hrs |
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if pt has difficulty with dorsal recumbent position place her on
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her side with knees flexed and upper leg supported by pillows, then approach meatus from rear
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intermittent self -catheterzation is used for pt who regularly experience
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incontinence or urinary retention
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3 reasons bladder irrigations may be ordered
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1. urine will not drain throught the catheter
2. place medication in the bladder 3. system is clogged |
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urinary incontince can be managed by
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quicker assistance to b/r
kegal exercise..continence trainning |
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urinary incontince for those with no cure
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male condome catherers
female briefs smnatary napkins used on both sexes |
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urine is strained when it is suspected that the patien has a urinary
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calculi
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symptoms that would indicated the need for a urine speciamen to chesk for cystitis
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1frequency 2. urgency 3. burning 4. malaise 5. foul smell 6. slight temp 7. dysuria
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four reason urinary catherterizatin may be oredered
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1. surinating after surgery
2. after anastheisa 3. child birth 4. trauma to the peristunm |
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a ___catheter is cured and is easier to insert into the male when the prostate is enlarged
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coude'
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a bladder____may be used to soothe irriated bladder tissues and promote healing
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irrigation
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when performing a bladder irriagtion you must carefully evaluate for
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potential clots
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foley catheter is taped to the abdome is used for
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long term care
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looped on th upper thigh is for ____term care
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short
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six types of incontience
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1. urge
2. stress 3. total 4. overflow 5. functional 6. reflex the effect on the pt is much thesame |
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reflex incontience
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caused by disorders of the neurologic system such as multiple sclerosis, spinal cord injury or stroke
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stress incontinence
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urethral sphincter failure often associated with increased intra abdominal pressure as accurs with sneezeing , lauging. coughing and aerobic exercise
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which urine characterisic suggest that the pt might be dehydrated
urine specific gravity of 1.035 urine ph 6.0 urine straw colored urine + bulirum |
urine specific gravity of 1. 035
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a fracture pan u generally used for a pt who has
1. bowel and bladder incont 2. musculoskeletal problems |
musculoskeletal problems
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the purose of lamping the catheter tubing when irrigating the bladder is to
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prevent the solution from going directly into the bag
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