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20 Cards in this Set
- Front
- Back
Physiology of Urination
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Kidneys
Ureters Bladder Urethra Pelvic Floor Urination |
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Kidneys
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R lower than L
Regulate acid-base in body Filter blood |
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Ureters
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urine moves from kidney into bladder
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Bladder
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reservoir for urine
300 to 600 ml |
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urethra
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bladder to urinary meatus
mucous membrane lining to prevent infection |
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Pelvic floor
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vagina, urethra and rectum pass through it. muscle on top allows for contraction to eliminate urine
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Urination
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emptying out bladder
stimulate by stretch sensors to spinal cord that stimulate sphincter |
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Factors affecting voiding
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Developmental: infant, toddler, preschool, elder
Psychosocial: privacy Fluid/Food intake Meds Muscle Tone Diseases Surgeries |
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Altered Urine production
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polyuria: large amounts
oliguria: small amounts |
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Altered Urine elmination
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frequency
urgency dysuria enuresis |
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frequency
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increased voiding r/t intake
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urgency
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sudden need to void
ie UTI |
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dysuria
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painful urination
ie UTI |
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Enuresis
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unable to get to bathroom fast enough
ie little kids |
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Incontinence
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involuntary urination
acute and chronic |
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retention
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elimination in minimal amounts
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neurogenic bladder
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pt can't tell bladder is full
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RN Management of Urination
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Assess: PPH, Physical, assessing urine- output, color, clarity, labs (BUN/creatinine)
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RN Management of Urination
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Dx: Impaired Urinary Elimination
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RN Management of Urination
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Planning:
Goal of prevent infection, normal void pattern, assistive device |