Class 35- Urinary Elimination Flashcards

0
Q

Nephrons

A

Filter and produce urine via the glomerulus capillaries with collection in Bowman’s Capsule

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1
Q

A&P

A

Urinary elimination

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2
Q

Hilum

A

Renal pelvis (muscle) collects urine

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3
Q

Ureter

A

(smooth muscle) transports urine to the bladder

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4
Q

Peristalsis

A

Movement in the upper respiratory tract is accomplished by this

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5
Q

Movement in the upper urinary tract is halted during…

A

Micturition

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6
Q

Lower urinary tract

A

Bladder = Sterile urine container (detrusor muscle)
Pelvic muscles
Urethral sphincter muscle

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7
Q

Difference btwn male and female

A

Male- 5 inches long

Female- 1.5 to 3 inches long

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8
Q

Normal urine production

A

Adult- 60-120 ml/hr (aware at 250 to 450ml)
Child- 0.5 to 1 ml/hr (aware at 50 to 200ml)
Infant- 2ml/kg/hr

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9
Q

Normal void

A

90-300ml

Residual- 30-100ml

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10
Q

Enuresis

A

Bed wetting

Because of sleep habits, regression, cultural differences

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11
Q

How do diuretics work?

A

Cause less reabsorption of water in the kidneys

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12
Q

Anuria

A

Less than 100ml in 24 hrs

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13
Q

Oliguria

A

100-400ml in 24 hrs

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14
Q

Dysuria

A

Burning, irritation

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15
Q

Orthostatic albuminuria

A

Too much protein in urine when person is in sitting position

16
Q

Too often?

A

More than 10x’s a day

17
Q

Glycosuria

A

Glucose in urine

18
Q

Nocturia

A

Continent but up at night

19
Q

Polyuria

A

Diuresis large amnts of urine usually causing polydipsia as well

20
Q

Retention

A

Inability to void on command

21
Q

Normal urine lab tests

A

pH- 4.6 to 8

SG 1.015-1.025

22
Q

Causes of transient incontinence

A

Lasts less than 6 months

D... Delirium, fear, ETOH abuse
I... Infections
A... Atrophy
P... Pharmaceuticals
P... Psychological disorders
E... Excessive urine output
R... Restricted mobility
S... Stool impaction
23
Q

Mixed incontinence

A

More than one type of incontinence at a time

24
Q

Overflow incontinence

A

People who cannot completely empty their bladders

25
Q

Functional incontinence

A

Due to limitations on movement, thinking, or communication

26
Q

Reflex incontinence

A

Spastic or over active bladder

27
Q

Total incontinence

A

From injury or trauma

28
Q

Indwelling vs intermittent vs suprapubic

A
Balloon is inflated with sterile water to anchor into bladder
No ballon (for residual or specimen)
Surgical incision in bladder
29
Q

Urologic stent

A

Thin tube inserted into the ureter to prevent or treat obstruction of urine flow from the kidney

30
Q

Ileal conduit

A

Diversion of urine after a patient has had their bladder removed

31
Q

Urostomy

A

Artificial opening (stoma) for the urinary system

32
Q

Kock continent ileal reservoir

A

?

33
Q

Stoma carre

A

Swelling for 6 weeks

Protrudes 1.5 to 2 inches