management of patients with urinary disordersmydsn.net/docs-tools/nrs330/chapter-45.pdf · 2014. 3....
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Management of Patients With Urinary Disorders
Shu-Yi (Emily) Wang, PhD, RN, [email protected]
Denver School of Nursing
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Urethrovesical Reflux
Backward flow of urine from the urethra into the bladder
Figure 45-1, pp. 1572
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Ureterovesical Reflux
Backward flow of urine from the bladder into the ureters
Figure 45-1, pp. 1572
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Bladder Infection With Long-Term Catheterization
Catheterization
Manipulation of catheterChange of catheter Irrigation
Unintentional removal
Bacterial ascensionBacterial colonizationPermanent bacteria
Bacterial invasion Damaged mucosa
Bladder infection
Damaged and inflamed mucosa
Detrusor irritationDetrusor spasms
Inflammatory cells, red blood cellsFibrin, other glutinous products
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Potential Sites of Urinary Calculi
Figure 45-5, pp. 1590
Three narrowed areas1. Ureteropelvic junction2. The ureteral segment near the sacroiliac junction3. Ureterovesical junction
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Methods of Treating Renal Stones
Figure 45-6, pp. 1592
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Lithotomy position
Position & Complication
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Methods of Treating Renal Stones (cont.)
Figure 45-6, pp. 1592
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Methods of Treating Renal Stones (cont.)
Figure 45-6, pp. 1592
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Cutaneous Urinary DiversionsFigure 45-7, pp. 1598
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Continent Urinary DiversionsFigure 45-8, pp. 1599