Med Surg III: Final Questions With Complete Solutions
incontinent urinary diversions
ileal conduit
continent urinary diversions
Kock's pouch
Indiana pouch
- catheterize themselves
when should you empty an ostomy bag
when 1/3 to 1/2 full
stoma care education
- mild soap and pat dry
- teach s/s of infection
- avoid odor producing foods
number one cause of bladder cancer
smoking
cystectomy
surgical removal of the bladder
PD
using the peritoneum to remove waste from the blood
- should be clear
- unclear fluid may indicate peritonitis: send for a CUTURE
- sterile
,- daily weights
- initial pain is normal and should resolve within a few weeks
PD pt complains of constipation
make sure all dialysate is removed
which dialysis has more freedom
PD
renal failure: acute phase
- hours to days
- progressive azotemia
- oliguria: less than 400 ml/day
- BUN and creatinine rise
less than 30ml/hr
notify provider
causes of renal failure
- ischemia
- obstruction
- hypoperfusion
renal vasoconstriction
RAAS
- release ADH to bring BP up
renal failure indicates
excess fluid
- monitor BP: should be within normal range
, prerenal
the problem is external to the kidney that decreases blood flow
to the kidney
prerenal examples
- clot
- obstruction
- hemorrhage
intrarenal
damage to the renal parenchyma and nephrons
intrarenal examples
- prolonged ischemia
- blood toxicity
- burn injuries
postrenal
obstruction preventing the excretion of urine, can lead to back
up of urine
postrenal examples
- mechanical obstruction
- enlarged prostate
- tumor
- RENAL CALCULI
phases of ARF: initiation phase
begins when the initial insult and ends when oliguria develops
phases of ARF: oliguric phase
incontinent urinary diversions
ileal conduit
continent urinary diversions
Kock's pouch
Indiana pouch
- catheterize themselves
when should you empty an ostomy bag
when 1/3 to 1/2 full
stoma care education
- mild soap and pat dry
- teach s/s of infection
- avoid odor producing foods
number one cause of bladder cancer
smoking
cystectomy
surgical removal of the bladder
PD
using the peritoneum to remove waste from the blood
- should be clear
- unclear fluid may indicate peritonitis: send for a CUTURE
- sterile
,- daily weights
- initial pain is normal and should resolve within a few weeks
PD pt complains of constipation
make sure all dialysate is removed
which dialysis has more freedom
PD
renal failure: acute phase
- hours to days
- progressive azotemia
- oliguria: less than 400 ml/day
- BUN and creatinine rise
less than 30ml/hr
notify provider
causes of renal failure
- ischemia
- obstruction
- hypoperfusion
renal vasoconstriction
RAAS
- release ADH to bring BP up
renal failure indicates
excess fluid
- monitor BP: should be within normal range
, prerenal
the problem is external to the kidney that decreases blood flow
to the kidney
prerenal examples
- clot
- obstruction
- hemorrhage
intrarenal
damage to the renal parenchyma and nephrons
intrarenal examples
- prolonged ischemia
- blood toxicity
- burn injuries
postrenal
obstruction preventing the excretion of urine, can lead to back
up of urine
postrenal examples
- mechanical obstruction
- enlarged prostate
- tumor
- RENAL CALCULI
phases of ARF: initiation phase
begins when the initial insult and ends when oliguria develops
phases of ARF: oliguric phase
