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Flashcards in Advanced Elimination Deck (25)
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1

Reasons for Urinary Catheterization

-monitor output
-keep bladder empty
-monitor critically ill
-mechanical obstruction: swelling, childbirth, prostatitis, prolapsed uterus
-relieve urinary retention
-epidural anesthesia
-obtain specimen

2

normal bladder function

-frequently empties
-acidic environment (antibacterial advantages): defense mechanism

3

how are indwelling catheters designed

with a ballon that inflate after insertion to keep it from coming out

4

2 types of drainage bags

-

5

considerations about lower urinary tract

-bladder is sterile
-bladder infection can ascend to kidneys
-external opening to the urethra can never be sterilized
-kidney infection(pyelonephritis) can be serious

6

Catheter associated urinary tract infactions

-catheterization should be avoided
-catheters should be removes asap
-duration of catheter is biggest risk for UTI

7

types of catheter

-intermittent/ straight catheter
-self cauterization
-indwelling catheters/ foley
-indwelling with irrigation
-suprapubic catheters

8

male and female positions for catheterization

-female: dorsal recumbent
-male: supine
-side lying/sim/later: for patient with limited hip/knee movement

9

factors to consider for urinary catheterization

-patient positions
-privacy and comfort
-catheter graded on French scale according to lumen size: range for adults 14Fr- 20Fr

10

Catheter size

- 14-20Fr for adults
-16Fr most common
-18Fr can increase erosion of the bladder neck and urethral mucosa and cause formation fo strictures

11

whenshould you seek help during urinary catheterization

-if patient is experiencing pain with Foley catheter

12

bacteriuria

bacteria in the urine, asymptomatic condition

13

irrigating a close system: procedure

-irrigate through part
-solution: room temp, 18G needle, instill 30-60 slowly
-subtract irritant from U/O

14

2 types of irrigation

-intermittent
-continuous

15

urinary diversion: ileal conduit

Type fo incontinent cutaneous urinary diversion. that involves a surgical resection of the small intestine which transplantation of the ureter to an isolated segment for the small bowel.-ureters are attached to a section of ileum
-ileum is separated for small bowel and Brought to abdominal wall
-incontient
-stoma

16

cutaneous ureterostomy

-second type of incontinent cutaneous diversion where the ureters are directed though the abdominal wall and attached to a n opening in the skin

17

continent urinary reservoir

ureters are diverted into a segment of ileum and cecum in an Indiana pouch
-this s a surgical alternative that uses a section of the intestines to create an internal reserves that hold urine, with the creation of a ctheterizatiobale stoma. The external stoma must be catharized at regular intervals to drain urine

18

continent urinary reservoir

ureters are diverted into a segment of ileum and cecum in an Indiana pouch
-this s a surgical alternative that uses a section of the intestines to create an internal reserves that hold urine, with the creation of a ctheterizatiobale stoma. The external stoma must be catharized at regular intervals to drain urine

19

ostomy

surgically formed opening from inside an organ to the outside

20

stoma

the part of the stony that is attached to the skin and is formed by suturing the muscosa to the skin

21

ileostomy

allows fecal content from the ileum of the small intestine to be eliminate through the stoma
-can be temporary

22

colostomy

permits formed stool in the colon to exit though the stoma

23

Colostomy and Ileostomy care:

-stoma assessment: inspect regularly, color, moisture, size
-peristomal skin
-general assessment: monitor peristalsis and I&O
-patient teaching

24

Changing ostomy bag

-keep skin around peristomal area clean and dry: avoid candida or yeast infection

25

critical points

-applicate should fit snugly around the stoma, with only 1/8th inch skin visible around opening
-inspect and assess the stoma and surrounding skin
-patient teaching