continuous bladder irrigation - ANS3 way lumen
-inflating the balloon w 30ml
-instillation
-outflow
continuous irrigation may be used w/ what? - ANSTURP
The amount of fluid recovered in the drainage bag must equal... - ANSamount of fluid instilled
(secondary hemorrhage may occur from over-distention)
what should an RN do if pt c/o pain w/ continuous irrigation? - ANSexam tubing.
irrigate drainage system w/ fluid (50ml)
if indicated: clear obstruction
continuous bladder irrigation or bladder wash out is performed to help prevent... - ANSUrinary
obstruction
-by flushing out small blood clots that may form after prostate or bladder surgery such as
TURP or TURB
what does instillation of hypertonic or hypotonic solution into a body cavity cause? - ANSshift in
cellular fluid
why do we only use sterile saline for bladder irrigation after TURP? - ANSirrigation must be
isotonic to prevent fluid and electrolyte imbalance
why do we test for STI when a pt comes in w/ UTI sx? - ANSsx overlap each other
risks of renal calculi. - ANSinfection
urinary statsis
periods of immobility
polysistic kidney disease
horseshoe kidneys
chronic strictures
IBD
pt w/ an ileostomy
antacid use
vit D
high aspirin doses
laxatives
, immobile patients are prone to.. - ANSformation of urinary calculi
venous thrombosis
what is given to patients experiencing calculi pain to prevent shock from pain? - ANSopioids
analgesics
NSAIDS for pain also
whats the contraindications of imitrex? - ANShx of hypersensitivity to this rx
existing cerebrovascular or peripheral vascular syndromes
what should the nurse ask the pt to distinguish the origin of the seizure? - ANSif pt experiences
aura prior
tonic clonic seizure - ANStight and tense w/ convulsions, contractions, clicking
whats absent seizures? - ANSspaced out pt
phases of a tonic clonic seizure? - ANSLOC
pt falls
body stiff for 10-20 seconds
extremities jerk for 30-40 seconds
pt feels tired and sleepy
triggers of seizures - ANS5 S's
Stress
Sleep deprived
Strobe lights
Stimulates
Sodium(<135)/ Sugar is low <70)
graves disease - ANShyperthyroidism
elevate TSH
CM of graves - ANSanxious
restless
fine tremors of hands
tachycardiac/ palpation
heat intolerance
exophthalmos
causes of hyperthyroidism / elevated TSH - ANSchildbirth
CHF
DKA
infection