Surgical Procedures for Urinary Dysfunction
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| Define Nephrectomy: | The surgical removal of the kidney. Usually due to malignant tumors or large stones resulting in a non-functioning kidney
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| When is removal of an adrenal gland also included in a nephrectomy? | If the nephrectomy was due to a renal tumor
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| When will PT be put on NPO prior to a nephrectomy? | PT will be NPO after the midnight prior
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| How often and how long should vitals be taken after a nephrectomy? | every 1-4 hours for the first 24-48 hours
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| Define Nephrostomy: | A catheter inserted into the kidney pelvis for drainage; requires surgical placement
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| What can clamping a nephrotomy catheter cause? | Acute pyelonephritis
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| What is the limit of irrigation volume that can safely be instilled into a nephrostomy tube? | 5 ml
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| What medications prevent rejection and infection in a kidney transplant PT? | Immunosuppressants and anti-rejection medications (i.e Cyclosporine, Mycophenolate)
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| What is the most common urinary diversion procedure? | Brickers procedure or ileal loop
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| What is done in an ileal conduit procedure? | *The bladder is removed *A section of the ileum is removed, with the ends of the remaining ileum reanastomosed *The ureters are implanted into the removed section of ileum *Urine will contain mucus, as segments of bowel produce mucus
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| What will be found in the urine of a patient with an ileal conduit? | Mucus
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| How long can a permanent urostomy bag be left in place? | 4 - 7 days
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| How often is a urostomy bag emptied? | every 2 to 3 hours
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| Is the use of one or two urostomy bags the most efficient? | The use of one bag is the most efficient
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