Urinary Elimination
-Urine collects in bladder until sensory nerve endings called strech receptors are stimulated by pressure. ---> transmits impulse to spinal cord causing internal sphincter to relax ---> stimulates urge to void.
-Urinary tract eliminates solute waste from blood, serving to control blood concentration & removes excess fluid/electrolytes.
-Reabsorbs nutrients to maintain optimal ion concentration needed for neuronal/muscle function

Alterations

Urine Production & Urine Elimination see flashcards

Dx tests

Urinalysis: Supports Dx & evaluates bladder emptying & renal function

Ultrasonic Bladder Scan : Examines residual urine

Uroflowmetry: Measures volume of urine voided/sec

Cystometrograohy: Evaluates bladder capacity

Radiologic

1) Intravenous pyelography (IVP) 2) Renal arteriography

Cystoscopy: Direct visualzation of bladder wall & urethra (can be used for biopsy or stone removal)

CT scan/MRI

Renal ultrasound

Interventions

Monitor I&Os

Incontinence care

Catheter Care & Aseptic Technique

Managing Dialysis

Urine specimen collection

Pt teaching

Concepts related to...

Fluid&Electrolytes:

Blood tests

Urea/Creatine levels : Evaluates renal function

Decreased renal function = ^^ med toxicity, ^^ electrolytes/water, ^^BP

^^urination = decreased electrolytes/water & BP

Decreased water consumption causes constipation

Diarrhea causes decrease water and electrolytes