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Chapter 44 Potter

Urinary elimination

Chapter 44 Urinary Elimination
Nephron functional unit of the kidney that forms urine
proteinuria presence of large proteins in urine indicative of glomerular injury
What is the nephron composed of? glomerulus, Bowman's capsule, proximal convoluted tubeule, loop of Henle, distal tube and collecting duct
The kidneys are responsible for maintaining normal RBC volume by producing: erythropoi (functions with bone marrow to stimulate RBC production)etin
What is the function of renin? regulation of blood flow in times of renal ischemia (decreased blood supply); works through vasodilation
micturition urination
renal calculus kidney stone
reflex bladder urination occurs reflexively as with spinal cord inj patients
oliguria diminished capacity to form urine
anuria inability to produce urine
polyuria excessive output of urine
diuresis ingesting certain fluids that increase output of urine
urinary diversion a temporary or permanent surgical formation that bypasses the bladder and urethra, usually a stoma on the abdomin drains urine
Urinary retention marked accumulation of urine in the bladder as a result of the inabillity of the bladder to empty
bacteriuria bacteria in the urine
urosepsis spread of microorganisms into the kidneys and blood stream
dysuria pain or burning with urination
hematuria blood in the urine
pyelonephritis kidney infection characterized by flank pain, tenderness, fever, chills
urinary incontinence involunatry loss of urine that is suffucient to be a problem
ureterostomy bringing the end of one or both ureters to the abdominal surface
nephrostomy placement of tube directlt into the renal pelvis to provide urinary drainage
nocturia excessive urination at night
Urinary frequency is often due to: muscle tone loss of the bladder and loss of capacity to hold urine
urethral meatus visual opening of the urethra
catheterized patients should drink how much per day? 2000-2500ml per day
The normal adult urine output is: 1500-1600 ml /day
Renal alterations result from factors that cause injury directly to the gloeruli or renal tubule, interfering with their normal filtering, reabsorptive, and secreetory functions. This is a select cause: transfusion reactions
Postrenal alterations result from obstruction to the flow of urine in the urinary collecting system caused by: blood clots
The most common nosocomial infections are: UTI's
Hospital aquired UTI's are usually r/t porr hand washing and: improper catheter care
The urine appears concentrated and cloudy d/t the presence of WBC's or: bacteria
Pyridium turns urine what color? bright orange or rust
To minimize nocturia, clients should avoid fluids ___ hrs before bedtime. 2
Maintaining a Floey cath. drainage bag in the dependent position prevents: urinary reflux
When applying a condom cath. it's important to secure the cath. in the penile shaft in such a manner that the cath is: snug & secure, but doesn't cause constriction to blood flow
Created by: rschoengold