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Fundamentals of Nursing: The Art and Science of Person-Centered Care, 10th Ed., Taylor, Lynn & Bartlett
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Chapter 38: Urinary Elimination

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Fundamentals of Nursing: The Art and Science of Person-Centered Care, 10th Ed., Taylor, Lynn & Bartlett | Registered Nurse (RN) School Study Aid

Chapter 38: Urinary Elimination
11 Picmonics to Learn | 22 mins
Functional Incontinence
Symptoms
Increased Urinary Volume
Unable to Timely Urinate
Pathophysiology
Dementia
Excessive Alcohol Consumption
Immobility
Treatment
Scheduled Voiding
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1 min
Urinary Excretory Anatomy
Characteristics
Renal Medulla
Renal Cortex
Nephron
Bowman's Capsule
Glomerulus
Proximal Tubule
Loop of Henle
Distal Tubule
Collecting Duct
Ureter
Urinary Bladder
Urethra
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2 mins
Urinary Tract Infection Symptoms
More Common in Elderly
Most Common in Females and Babies
Change in LOC
Dehydration
Fever
Urgency
Urethral Infection
Burning
Smelly Urine
Dark Cloudy Urine
Frequency of Urination
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2 mins
Urinary Tract Infection Prevention and Treatment
Prevention
Shower after Sex
Urinate after Sex
Wipe front to Back
Treatments and Considerations
I and Os with Daily Weights
Increase Water Intake
Antibiotics
Avoid Caffeine
Dr Appointment in 2 Weeks
Void every 2 - 4 hours
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2 mins
Pyelonephritis Assessment
Cause/Mechanism
Ascending Urethral Bacteria
Assessment
Dysuria
Fever
Fatigue
Flank Pain
Costovertebral Tenderness
Nausea and Vomiting
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1 min
Prostatitis
Cause/Mechanism
Bacterial Infection
Chronic Pelvic Pain Syndrome
Assessment
Flu-Like Symptoms
Perineal Pain
Dysuria
Sexual Dysfunction
Diagnosis 
Prostatic Massage
Interventions
Antibiotics
Increased Fluid Intake
Pain Management
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3 mins
Overflow Incontinence
Symptoms
Increased Residual Urine Volume
Involuntary Urine Dribble
Urinary Frequency
Pathophysiology
Nerve Lesions Cause Bladder Atony
Bladder Outlet Obstruction
Weak Detrusor Muscles
Treatment
Bethanechol
Catheterization
Sacral Neuromodulation
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2 mins
Stress Incontinence
Symptoms
Urine Leak with Movement
Cough or Sneeze
Increased Intra-abdominal pressure
Pathophysiology
Laxity of Pelvic Floor Muscles
Urethral Sphincter Insufficiency
Treatment
Kegel Exercises
Pessaries
Alpha-adrenergic Agonists
Surgery
Associations
History of Vaginal Birth
Cystocele
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2 mins
Urge Incontinence
Symptoms
Strong Urge To Void
Unable To Void Quickly Enough
Nocturia
Increased Frequency
Small Volume Voids
Pathophysiology
Increased Detrusor Muscle Activity
Treatment
Avoid Caffeine & Alcohol
Anticholinergics
Mirabegron
Botox
Sacral Neuromodulation
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2 mins
Pyelonephritis Interventions
Urinalysis
NSAIDs
Antibiotics
Increase Fluid Intake
Avoid Catheterization
Consideration
Urosepsis
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1 min
Benign Prostatic Hyperplasia (BPH) Interventions
Interventions
Timed Voiding
Decreased Caffeine Intake
Catheterization
Medications
Finasteride (Proscar)
Tamsulosin (Flomax)
Surgical Interventions
TURP Procedure
Open Prostatectomy
Continuous Bladder Irrigation (CBI)
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2 mins

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