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63 Cards in this Set

  • Front
  • Back
where is the bladder located
in the lower pelvis
what is an average urine output per day
1000 to 1500 ml per day
define anuria
absence of urine
defien cystitis
inflammation of the bladder
define dysuria
painful urination
blood in the urine is called ?
hematuria
? is pus in urine called
pyuria
define polyuria
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.
define oliguria
decreased amount of urine output) accours when urine output falls bvelow 400ml i 24 hrs.
define glycosuria
(glucose in urine) present when to much glucose in blood ( hyperglycemia) when renal threshhold for glucose is lowered for some reason
what is another name for urination
voiding
when the ureter exits on the abdominal wall, discharging urine through the opening this is called what ?
urostomy
How often should a pt void
unless an indwelling catheter is in place
5 to 10 times a day
what is the purpose of urinary meatus
is the exit point for urination and the entrance pint for a catheter
what is nocturia
and what causes it
voiding mor than 2 times at night

bladder muscles tome decreases and its capacity lessens
what is the purpose of ureters
hollow tubes about 25 to 30 cm long in the adult and connect each kidney to the bladder
what is the purpose for the bladder
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
name the most common urinary tract infection
uti
describe residual urine
urine left in the bladder after unination
define anuria
is present when less than 100 ml of urine is excreted in 24 hrs. may be due to urinary supperssin or retention of urine
what is the normal ph of urine
is slightly acid ranging from 5.5 to 7.0
the normal range of urnine
1.010 to 1.030 but conditions such as dehyfration and fluid excess may extend the range slightly in either direction
the unternal spincter relaxes in response to
micturition (urinating) reflex
----------occur in increasednumbers in the presence of bacteria or protein, and indicate urinary ------(stones) or renal disease
casts,,---------calculi
-----------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
red blood cells
-------------in the urine mean there is an infectious or inflammatory porcess somewhere in the urnary tract
white blood cells
---in the urine suggest liver disease or obstruction in the blile duct
bilirubin
--------(protein in the urine) occurs at times of stress,
when infection is present
there has been recent strenuous exercise
disorder of the glomeruli
proteinuria
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
carries urine from bladder to meatus , flow controlled by urinary sphincher
urethra
conduct urin to outside of the body
meatus
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
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
bladder empties when ---__to ___ml of urine is present ( under voluntary control)
250-400
bladder can contain 1000to 1800ml of urine
average urine output is ___to ___ ml per day
1000 to 1500 ml per day
internal spincter relaxes with ______ (urinatin reflex
mucturition
characteristice of normal urine
color
clarity
odor
straw colored or amber
transparent or only slighltly cloudy
faintly like ammonia
specific gravity
loss of normal bladder control
may be temporary or permanent
may be correced by surgery
incontinence
kegal exercise may help with
incontinence
the bowl a _____ constructed from a piece of bowel
pouch
what is necessary when the bladder is removed or bypassed
one or both ureters are inplanted into the abdominal wall urostomy
urinay diversion
body image distrbance , increased risk for impaired skin integrity, increased risk of infection are signs of
____incontinence
used for urine drainige following gynecologic and bladder surgery
inserted through abdomin wall by ______.
suprapubic catheter---surgeon
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
if pt has difficulty with dorsal recumbent position place her on
her side with knees flexed and upper leg supported by pillows, then approach meatus from rear
intermittent self -catheterzation is used for pt who regularly experience
incontinence or urinary retention
3 reasons bladder irrigations may be ordered
1. urine will not drain throught the catheter
2. place medication in the bladder
3. system is clogged
urinary incontince can be managed by
quicker assistance to b/r
kegal exercise..continence trainning
urinary incontince for those with no cure
male condome catherers
female briefs
smnatary napkins used on both sexes
urine is strained when it is suspected that the patien has a urinary
calculi
symptoms that would indicated the need for a urine speciamen to chesk for cystitis
1frequency 2. urgency 3. burning 4. malaise 5. foul smell 6. slight temp 7. dysuria
four reason urinary catherterizatin may be oredered
1. surinating after surgery
2. after anastheisa
3. child birth
4. trauma to the peristunm
a ___catheter is cured and is easier to insert into the male when the prostate is enlarged
coude'
a bladder____may be used to soothe irriated bladder tissues and promote healing
irrigation
when performing a bladder irriagtion you must carefully evaluate for
potential clots
foley catheter is taped to the abdome is used for
long term care
looped on th upper thigh is for ____term care
short
six types of incontience
1. urge
2. stress
3. total 4. overflow
5. functional 6. reflex
the effect on the pt is much thesame
reflex incontience
caused by disorders of the neurologic system such as multiple sclerosis, spinal cord injury or stroke
stress incontinence
urethral sphincter failure often associated with increased intra abdominal pressure as accurs with sneezeing , lauging. coughing and aerobic exercise
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
a fracture pan u generally used for a pt who has
1. bowel and bladder incont
2. musculoskeletal problems
musculoskeletal problems
the purose of lamping the catheter tubing when irrigating the bladder is to
prevent the solution from going directly into the bag