Genitourinary
>
-
urinary tract - eliminate waste and excess fluid from body
• regulates electrolyte levels, produce hormones that regulate blood
pressure, develop RBCs, keep bones strong
>
- kidneys - bean shape organs, below ribcage, adjacent to spine
• filter 120-150 quarts of blood, produce 1-2 quarts urine
• kidneys - ureters - bladder - urethra
• renal calculi (kidney stones) - mineral and salt collections
>
- micturation - urination
• coloration
- anticoagulants - red urine
- diuretics - pale yellow
- pyridium - orange/red
- amitriptyline, B complex - green/blue
- levodopa - brown/black
>
- incontinence
• stress - cough, sneeze, laugh, physical activity
• urge - strong urge, leaking before toilet
• bedwetting - usually children
↳ interventions
• clear, easy acess to bathroom/commode
• decrease fluid/alcohol use at bedtime
• assistive ambulatory devices nearby
>
- catheters
• intermittent urethral catheter
• indwelling urethral catheter
• suprapubic - surgical insertion into bladder
• catheter associated UTI (CAUTI)
- minimize use, prompt removal
- sterile insertion
- management (bag below bladder, off floor, daily care)
- education
>
-
urinary retention - bladder doesn't fully empty
• pain over pubic area, abdominal distention, frequency, hesitancy,
leakage
>
- urinary tract infection (UTI)
• bacteria entering tract
• untreated can lead to kidney infection (pyelonephritis), enter
bloodstream cause sepsis
• risks: sexual activity, menopause, urinary retention, obstruction,
frequent catheter use
• burning, painful urination, frequency
• prevention: liberal fluid intake, pee after intercourse, perineal care,
changing briefs
>
-
urinary tract - eliminate waste and excess fluid from body
• regulates electrolyte levels, produce hormones that regulate blood
pressure, develop RBCs, keep bones strong
>
- kidneys - bean shape organs, below ribcage, adjacent to spine
• filter 120-150 quarts of blood, produce 1-2 quarts urine
• kidneys - ureters - bladder - urethra
• renal calculi (kidney stones) - mineral and salt collections
>
- micturation - urination
• coloration
- anticoagulants - red urine
- diuretics - pale yellow
- pyridium - orange/red
- amitriptyline, B complex - green/blue
- levodopa - brown/black
>
- incontinence
• stress - cough, sneeze, laugh, physical activity
• urge - strong urge, leaking before toilet
• bedwetting - usually children
↳ interventions
• clear, easy acess to bathroom/commode
• decrease fluid/alcohol use at bedtime
• assistive ambulatory devices nearby
>
- catheters
• intermittent urethral catheter
• indwelling urethral catheter
• suprapubic - surgical insertion into bladder
• catheter associated UTI (CAUTI)
- minimize use, prompt removal
- sterile insertion
- management (bag below bladder, off floor, daily care)
- education
>
-
urinary retention - bladder doesn't fully empty
• pain over pubic area, abdominal distention, frequency, hesitancy,
leakage
>
- urinary tract infection (UTI)
• bacteria entering tract
• untreated can lead to kidney infection (pyelonephritis), enter
bloodstream cause sepsis
• risks: sexual activity, menopause, urinary retention, obstruction,
frequent catheter use
• burning, painful urination, frequency
• prevention: liberal fluid intake, pee after intercourse, perineal care,
changing briefs
