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NFDN 1002 - UNIT 5 Elimination

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NFDN 1002 - UNIT 5 Elimination

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  • June 16, 2024
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  • 2023/2024
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NFDN 1002 - UNIT 5 Elimination
muscle in bladder wall - ✅✅-detrusor muscle
the micturition reflex signals - ✅✅-when you need to empty bladder

ring of muscle that hold neck of bladder in place - ✅✅-internal sphincter


✅✅
external spinster is under what control and controlled by what never -
--Voluntary control
-pudendal nerve

diminished urine output (less than 500ml in 24hr) - ✅✅-oliguria
Absence of urine - ✅✅-anuria
excretion of abnormally large quantity of urine - ✅✅-polyuria
✅✅-enuresis
incontinence of urine, bed wetting -

causes of overactive bladder - ✅✅--dementia
-parkinsons
-stroke
-increased alcohol and caffeine intake

Symptoms of urinary retention include - ✅✅--feeling of pressure
-voiding small amounts

causes of urinary retention -✅✅--underactive detrusor muscle
-obstruction of urethra
-fecal impaction
-motor or sensory alterations

bladder can hold how much urine - ✅✅-600 ml
normal adult urinary output is - ✅✅-1500-1600ml per day


✅✅
what causes increased abdominal pressure related to stress incontience -
-weakening of pelvic muscles,
pressure increase due to laughing, coughing or lifting

✅✅-decreased bladder capacity
Urge incontience is related to -

causes or urge incontience - ✅✅--UTI

, -Caffeine
-Alcohol
-Weak detrusor muscle

function incontience is related to - ✅✅-cognitive impairment or environment
reflex incontience -✅✅-no awareness of need to void
due to overdistention of bladder or bowel can lead to - ✅✅-HTN, bradycardia,
severe headaches, pallor and convulsions

overflow incontience is related to and more frequent in? - ✅✅-urine least frequently
and more common in men

other causes of overflow incontienece - ✅✅--BPH
causes of total incontience - ✅✅--non-fuinctional sphincter
-neurological impairment
-spinal deformities
-spinal cord injury

MOA of Ditropan -✅✅-decrease bladder contractions
good for measuring hourly intake/output - ✅✅-urometer

signs and symptoms of UTI - ✅✅--increased frequency
-increased urgency and pain with void

cloudy or foamy urine indicates what - ✅✅-UTI... presence of bacteria
what is indicated when protein is in the urine - ✅✅-possible kidney disease


✅✅
investigation which enables doctor to look inside bladder and urethra -
-cystoscopy

GU changes with aging - ✅✅ --loss of muscle tone
-decrease bladder capacity
-decreased sphincter control
-increase risk for UTI
-increase prostate size
-female: relaxation of pelvic muscles

When is a suprapubic catheter used? - ✅✅-high risk for infections or if trauma has
occurred

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