NURS 3290 Lecture Notes - Lecture 27: Urinary Incontinence, Spina Bifida, Renal Colic
13 Apr 2016
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Anything that interferes with sphincter control: meds, infecion, impacion, health condiions: spina biida, sci. Poor detrusor muscle strength (common post op problem: over distension post op from meds, distension also caused by alcoholism or underlying health issues. Anatomical or funcional condiion that blocks urine low. For smaller stones (4mm: spontaneous passage (strain urine, analgesics (strong narcoics, monitor ins and outs, heat relieves lank pain. Endourological procedures for larger stones that cannot pass spontaneously, or stones that need to be removed quickly: cystoscopy lithotripsy for bladder stones, lithotripsy for renal stones. Open surgery for paients that are not candidates for lithotripsy. Biopsy, removing calculi, laser breaks up stones. Sound waves break renal stones so they can be voided out. Anibioics for 2 weeks to reduce risk of infecion. U/s helps to focus lithotripter on kidney stone. Removed radically or laparoscopically for renal cancer, trauma or severe infecion. Ensure urine output because there is only one kidney let, must be funcioning
