NURS 3234 Lecture Notes - Lecture 18: Hyperreflexia, Wu Xing, Menopause
Document Summary
Elimination is generally considered a private affair: use of urinals, bed pans or commodes may be anxiety provoking. Male nurse: orthodox male patient, no female touch. Infection control: wash hands as best as can at bedside, urine is sterile. Fluid balance, waste management, bp control, vit d, anemia. < 30 ml/hr abnormal **: need to figure out cause fluid intake, urinary system issue. Renal replacement dialysis (2 types: hemodialysis, peritoneal. Kidney transplant: nephron: removes the end products of metabolism (urea, creatinine & uric acid. Lasix: loop diuretic (works on loop of henle) Urinalysis: color, odor, clear or cloudy (turbid), ph, sg (1. 015-1. 025), and presence for organic substances: wbc, rbc, bilirubin etc . Regular spot: wash and pee, close specimen cup. Diagnostic studies: urinalysis, clean catch/midstream (considered sterile specimen), and urine culture (catheterized/taken from indwelling catheter, need to use sterile techniques when inserting catheter.
