NSE 22A/B Chapter Notes -Prostate, Aldosterone, Spasm
Document Summary
Review and discuss the various factors that influence urination: (eg. privacy, culture etc). Explain the assessment and documentation requirements for clients with alterations in urinary function. Parkinson"s lead to overactive baldder symptoms or hypocontractile bladder. Diabetes: affecting the peripheral nervous system & cause impaired bladder contractility, reduce sensation of bladder fullness, imcomplete emptying. Cognitive impairment: ie alzheimer"s lose the ability to sense, unable to recall the procedure for voiding. Alteration: prerenal ( dehydrtion, hemorrhage, congestive heart failure oliguria/ anuria), renal(diabetes. Symptoms: uremic syndrome, increase in n2 in blood, altered regulatory functions, nausea, vomiting, headache, coma, convulsions. Interfere with the production of urine & affect the act of urination. Diuretics continence; anti imcomplete emptying & urinary retention; reduce cough stress incontinence. Nursing must make sure the cot medications client and affect bladder function. Stress of surgery initially triggers the general adaptation syndrome. Client after surgery often in alter condition b/z of disease or preoperative fasting.