urinary Flashcards

(40 cards)

1
Q

Normal urine:

A

odourless
clear
pale yellow or light amber
Blood, streaks of mucus or sediment in urine is not normal.

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2
Q

Urine excretion increases:

A

with increased fluid intake
-when a person is anxious or afraid
- in certain diseases (diabetes)
-with certain drugs (diuretics)

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3
Q

Urine decreases with:

A

decreased fluid intake
- shock or hemorrhage
- fever or disease
- drugs
- increased salt in diet
- temperature – sweating increased

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4
Q

edema

A

refers to excess fluid in the tissues (swelling)

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5
Q

dehydration

A

refers to reduced fluid in the tissues

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6
Q

FUNCTION OF THE URINARY SYSTEM

A

The Urinary system rids the blood of waste products and toxic material by filtering them out.
It r regulates the amount of fluid and salts in the body and so maintains a balance.
It excretes fluid wastes from the body

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7
Q

CHANGES THAT NORMALLY OCCUR IN THE URINARY SYSTEM WITH AGING

A

Reduction in the number of filtering units in the kidney
 up to 50% of the filtering units may be lost
 kidneys filter blood less efficiently
- toxic wastes can build up in the blood since they are filtered out more slowly
- some nutrients are passed as waste products in the urine instead of being used by the body
Blood flow to the kidneys declines due to arteriosclerosis
 this also affects the filtering ability of the kidney
 kidneys don’t resist infection as well and recover from injury more slowly
Reduced muscle tone of the urinary tract
 organs and tissues become less elastic and have poorer muscle tone·
 capacity of bladder often is reduced by 50% and the urge to urinate does not occur until that
capacity is nearly reached·
 these changes may cause:
- frequency - voiding small amounts of urine often
- urgency - a strong desire to urinate immediately
- nocturia - having to get up during the night to void
- incontinence - inability to control the passage of urine from the bladder
Enlargement of the prostate gland in men
 the prostate gland surrounds the urethra
 in elderly males, this gland often enlarges, resulting in narrowing of the urethra
 may cause nocturia, difficulty in starting to void and narrowing of the stream of urine
 can be corrected by surgery and / or medications

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8
Q

Urinary incontinence

A

Urinary incontinence means a person leaks urine by accident.

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9
Q

UTI’s

A

common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract.

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10
Q

Frequency

A

how often one pees

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11
Q

Urgency

A

how soon

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12
Q

Cystitis

A

inflammation of the bladder, usually caused by a bladder infection. It’s a common type of urinary tract infection (UTI), particularly in women

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13
Q

Dialysis

A

Dialysis is a type of treatment that helps your body remove extra fluid and waste products from your blood when the kidneys are not able to.

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14
Q

Urinalysis

A

a simple test that looks at a small sample of your urine. It can help find problems that need treatment, including infections or kidney problems

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15
Q

Ileal Conduit

A

is the most common urinary diversion performed by urologists after a patient undergoes a radical cystectomy (bladder removal). It is a simple form of urinary tract reconstruction

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16
Q

Urinary retention

A

urinary retention is a condition in which you are unable to empty all the urine from your bladder.

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17
Q

Benign Prostatic Hypertrophy

A

is a condition in men in which the prostate gland is enlarged and not cancerous.

18
Q

Nocturia

A

the need for patients to get up at night on a regular basis to urinate.

19
Q

Dysuria

A

painful or difficult urination.

20
Q

Hematuria

A

there is blood in your urine

22
Q

Urostomy

A

an opening in the belly (abdominal wall) that’s made during surgery. It re-directs urine away from a bladder that’s diseased, has been injured, or isn’t working as it should. The bladder is either bypassed or removed.

24
Q

Pooling of urine WHAT HAPPENS

A

Urine accumulates in
kidneys, ureters, or
bladder because of
immobility.
Can lead to small
stones forming in the
ureters

25
Pooling of urine prevention
increase fluid intake to keep urine diluted exercises position in natural position for voiding change position frequently
26
Incomplete emptying of bladder what happens
Some urine is retained in the bladder when the person voids. This urine can be a source of bladder infection
27
Incomplete emptying of bladder prevention
increase fluids position for voiding exercise
28
Urinary incontinence what happens
Loss of muscle control causing dribbling of urine or uncontrolled voiding.
29
Urinary incontinence prevention
encourage and provide for regularity in voiding exercise and activity encourage fluids to keep urine dilute positioning
30
Kidneys
Bean shaped, size of fist, above waist  Millions nephrons to filte
31
Ureters
2 tube from kidneys to bladder,  Involuntary muscle- peristalsis
32
Urinary Bladder
Muscle organ, very elastic  In pelvic cavity behind pubis,  ~500 ml capacity
33
Urethra
Tube from bladder to meatus
34
Urinary Meatus
Opening to outside
35
Urinary system function
Filtering  Rids blood of wastes & toxic materials by  Every hour all blood in body is filtered twice thru kidney Regulates  Amount of fluid & salts Excretes  Fluid wastes  1500 -3000 ml of urine in 24 hours
36
PREVENTION- TREATMENT infections
Asepsis to prevent cross contamination ✓ Increase fluids to 2000 ml ✓ Position for voiding ✓ Exercise ✓ Antibiotics
37
HCA best practices care
✓ Regular toileting routine ✓ High fluid intake up to 3000 ml a day to dilute urine and prevent stasis ✓ Asepsis -good skin care ✓ Good catheter care ✓ Sensitivity in caregiver
38
prostate cancer
Canada- 1 in 7 males over 50- seeing earlier onset in 40’s  26,000 new cases, 4100 deaths each year  S&S: often none in early most treatable stage- painful slow urine, pus/blood in urine, pain in back, abdomen- 90% curable if treated early  Treatment: surgery, chemo, radiation, hormones  After successful treatment- incontinent, impotent  Some aggressive, some slow growing 24
39
Blader cancers
Bladder:  In US- 69,000+ new cases each year – 15,000 deaths Causes: 50% caused from smoking, also- arsenic, workplace chemicals, family Hx S & S- Hematuria, pain in back, weight loss Treatment- surgery, chemotherapy, radiation 23
40
Kidney cancer
Kidney-  Often over age 40  Risk factors- smoking, obesity, hypertension  S & S- Hematuria, pain in back, fever, weight loss  Treatment- surgery, chemotherapy, radiation 22