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Factors that affect t urinary elimination - Answers aging
nutrition /fluid intake
body fluid loss
medications
pathological
physiological
muscle tone
How does age affect urinary elimination? - Answers -decreased ability to concentrate urine -
kidney failure
-decreased bladder muscle tone
- polypharmacy
--diuretics - decrease concentration of urine by making them pee more often
-- anticholergenic - dry you up
-- tricyclic antidepressants - retention
How does nutrition affect urinary elimination? - Answers dehydration
fluid overload
alcohol intake - diuretic
caffeinated beverages - diuretic
How does fluid loss affect elimination? - Answers diarrhea
vomiting
diaphoresis - sweating
How does muscle tone affect elimination? - Answers abdominal and pelvic floor muscle tone
weakens due to
- immobility
-obesity
, - multiple pregnancies
How do Pathological conditions affect elimination? - Answers UTIs - painful or difficult to pee
urinary calculi - solid particles or stones in the urine
Congestive heart failure - low cardiac output = low output to the rest of the body = low urine
output
Diabetes mellitus - water follows glucose therefore elevated glucose in body = more urine
excreted
Arthritis -
How do Psychological factors affect elimination? - Answers stress - increases urgency/
frequency
affects emptying of bladder
What can alter urinary function? - Answers neurogenic bladder
obstruction
ESRD
UTIs
neurogenic bladder - Answers bladder dysfunction caused by damage to the neurological
system - spinal cord injuries, brain tumour
End stage renal disease (ESRD) - Answers last stage of chronic kidney disease when dialysis is
needed to live
Assessment of urine - Answers intake and output
colour
odour
clarity
oliguria - Answers production of small amounts of urine <4oo ml a day
anuria - Answers kidneys cannot produce urine - often starts with oliguria
dysuria - Answers painful to urinate
specific gravity test - Answers measures density of water to density of urine to measure how
well your kidneys are working