Nursing 1180A/B Lecture Notes - Lecture 6: Nephron, Urination, Polydipsia
24 Nov 2017
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Re(cid:448)ie(cid:449) from last (cid:449)eek : a mother is concerned her infant is having a bm after each feed. Why might this be: colour of a breastfed baby is yellow (mustard) Implications to the client & family: physically. New terminology: oliguria- decreased ability to form urine, <400-500ml / 24hr, anuria- inability to form urine, 0-100ml/ 24hr, dysuria- pain on urination; e. g. Expected output: how much urine should a healthy individual produce every hour, 0. 5ml per kg, 2. 2kg per lbs. Micturition: disease or disability, fluid balance, medication, pelvic floor muscle tone, diagnostic examination, surgery, psychological factors, disease or disability. Sign change in volume or quality of urine produced. S & s r/t site of dysfunction e. g. glo(cid:373)e(cid:396)ulus, (cid:396)e(cid:374)al tu(cid:271)ule de(cid:272)(cid:396)eased se(cid:272)(cid:396)etio(cid:374), filtration, or reabsorption. S & s related to the obstruction (from renal pelvis to urethral meatus) E. g. stones, blood clots, tumours: continence/retention concerns, dementia, immobility/mobility restrictions and/or neurological changes can all affect the ability to urinate.
