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B260 Week 4

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Greg Carter

on 3 February 2016

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Transcript of B260 Week 4

Urinary Retention
Stress Incontinence
Promotion of Micturition
Catheters: in lab
Urinary Retention
What is it?
Urinary Tract Infections
CDC data from 2005
First Exam
material covered up until this point will be included on the first exam. Elimination will NOT be on this exam, but be certain to read the power points posted and the lab materials...
involuntary leakage of urine
B260 Elimination
Review Patho. and Assessment of Urinary System
Accumulation of urine resulting from an inability to empty bladder
patient may void 2-3 times per hour with no relief
assess abd. for distention and tenderness

What stimulates micturition?
Acute Urinary Retention
Extremely uncomfortable and life threatening condition
S/S: sudden inability to urinate. absence of output for several hours, with intense supra pubic discomfort
Men at increased risk
General Anesthesia
Early cath removal following radical prost.
Leopr, 2005
Chronic Urinary Retention
Occurs over time
Difficult to start urination
hard to empty bladder
frequent need to urinate
Leaking urine
Causes of Urinary Retention
child birth
What can a nurse do to assess for retention??
account for 4 million ambulatory care visits annually
Severe infections resulting in sepsis can be fatal
UTI is the most common HAI
80% from indwelling cath.
Each day a cath. is in place, there is a 5% increase of bacteria in the urine.
What does that mean to you?

How do you adjust care to address this concern?
Patients own colonic flora (including E. coli) remains the most common causative agent.
How can a nurse break this chain of infection?
Why are women more susceptible?
How does residual urine lead to UTI?
Signs and Symptoms of LOWER UTI
Pain/burning urination
blood tinged urine
concentrated urine.
Signs/Symptoms Upper UTI
flank pain
Stress and Urge incontinence
review table for types, symptoms, and treatments
Urge incontinence
more common in younger women
may be caused by UTI's
feel the urge to urinate but cannot make it to the restroom.
How could this be related to patient falls?
Stress incontinence
most common in older women

occurs when intraabdominal pressure exceeds urethral resistance
How does incontinence impact psychosocial status?
muscles around the urethra become weak
Full transcript