Laurel Shared "Elimination" - 9 Picmonics
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Elimination
- Assessment
- Men Over 50
- Enlarged Prostate Gland
- Urinary Retention
- Weak Urine Stream
- Frequency
- Urgency
- Nocturia
- Interventions
- Timed Voiding
- Decreased Caffeine Intake
- Catheterization
- Medications
- Finasteride (Proscar)
- Tamsulosin (Flomax)
- Surgical Interventions
- TURP Procedure
- Open Prostatectomy
- Continuous Bladder Irrigation (CBI)
- Cause/Mechanism
- Hypercalcemia (Most Commonly)
- Signs and Symptoms
- Flank Pain
- Radiates Toward Bladder
- Renal Colic
- Urinary Tract Infection
- Urinary Retention
- Hematuria
- Considerations
- Stone Recurrence
- Interventions
- Increase Fluid Intake
- Opioids
- NSAIDs
- Antibiotics
- Lithotripsy
- Surgical Stone Removal
- Considerations
- Identify Type CT-KUB
- Low Sodium Diet
- Partial/Early Obstruction
- Severe Abdominal Pain
- Vomiting
- High Pitched Bowel Sounds
- Abdominal Distention
- Increased Peristalsis
- Total/Neurogenic Obstruction
- Absent Bowel Sounds
- Paralytic Ileus
- Mechanical
- Adhesions
- Hernia
- Volvulus
- Intussusception
- Tumor
- Non-Mechanical
- Mesenteric Artery Occlusion
- Spinal Injury
- Paralytic Ileus
- Wash with Warm Water
- Cut 1/8 inch Around Stoma
- Decreases Skin Irritation
- Empty When 1/3 to 1/2 Full
- Change 3-7 Days
- Considerations
- Avoid Odor Causing Foods
- Irrigate at Same Time
- Chordee Penis is a Ventrally folded, poorly developed Penis
- Chordee Associated with hypospadias
- Peyronie's disease
- Peyronie's disease due to subq fibrosis of penis
- Peyronie disease- fibrosis specifically of the Tunica Albuginea
- hypospadias- must wait to circumcise for 6 mos
- WAGR Syndrome
- Aniridia
- Genital abnormalities
- Mental/Motor Retardation
- Due to Deletion of WT1 tumor suppressor gene
- Denys-Drash Syndrome
- Progressive renal (glomerular) disease
- Male pseudohermaphroditism
- Mutations of WT1
- Beckwith-Wiedemann Syndrome
- Neonatal Hypoglycemia
- Muscular hemihypertrophy
- Organomegaly
- Mutations in WT2 gene cluster
- Especially IGF-2
- Hepatoblastoma
- Abdominal wall defects (omphalocele, hypospadias)
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