NUR 2050: Urinary & Bowel Elimination

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Author:
MLBuonarosa
ID:
104520
Filename:
NUR 2050: Urinary & Bowel Elimination
Updated:
2011-09-26 20:46:15
Tags:
urinary bowel ileostomy
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Description:
Urinary and bowel elimination review
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  1. What is the definition of urinary retention?
    If the bladder retains at least 150 ml of urine
  2. What is the minimum hourly urine output?
    30 ml
  3. Anuria
    <100 ml of urine in 24 hrs
  4. Hematuria
    Blood in urine
  5. Time window for checking urinary retention
    15 minutes
  6. What do you see in a urostomy pouch?
    Urine and mucous
  7. Common cause of diarrhea in hospitalized patients
    C. diff
  8. Which part of the nervous system facilitates urine storage?
    Sympathetic
  9. Guaiac
    Test for blood in stool
  10. Diet restrictions/recommendations after an ileostomy
    1. Low Fiber 2. dark green vegies (chlorophyll helps deodorize feces) 3. Buttermilk, yogurt, cranberry juice, parsley help reduce odors 4. avoid or limit foods which produce odors and gas (e.g., asparagus, onions, garlic, fish, spicy foods, beans, lentils) 5. Drink at least 2 qts of H20 daily
  11. Condom catheter
    • Vigilant skin care daily: wash penis with soap and water; dry thoroughly; inspect skin for irritation
    • Fasten securely, but not too tightly
    • Tip of tubing 1-2" beyond tip of penis
    • Make sure tubing doesn't kink and back up urine.
  12. Complications of urinary catheters
    • Catheter-associated UTIs (CAUTIs) are most common hospital-acquired infection
    • Ulcers may develop from chronic Foley caths
    • Tissue necrosis
    • Bladder irritability and spasms
  13. Complications of condom catheters
    • Allergic Rxn to material
    • Ulceration on penis from moisture
    • Necrosis of penis tissue from too tight cath

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