NURS 3234 Lecture Notes - Lecture 13: Catheter, Foley Catheter, Kock Pouch
Document Summary
Infection control: wash hands even at the bedside, urine is sterile, depending on the way it is assessed, may not still be a sterile specimen. Urinary elimination: fluid balance, waste management, bp control, vit d, anemia, 2 ml/second filtered, 99% reabsorbed, 1500 ml/day, < 30 ml/hr abnormal**** need to find out why. Did they come out with an appliance on: dribble out of the bladder constantly. Obstructions or tumors, congenital defects may require the diversion of the urinary: starts at bottom of body bladder kidney system/excretion of urine. Ileal conduit/loop, cutaneous ureterostomy, urinary reservoir (indiana & kock pouch) p. 1296-1297 illustrations: maybe masses, cancers, baby born, renal system blocked leakage into abdomen. Incontinence: 30% women, 30-70% nursing home residents, a lot of women have it just because of anatomy, means, need to know type to treat, urge overactive bladder, stress underactive sphincter, mixed, overflow/neurological, no (cid:498)diapers(cid:499)!! Use (cid:498)disposable briefs(cid:499), or (cid:498)undergarments(cid:499: common causes: poor hygiene, not emptying bladder & instrumentation.
