BOWEL AND URINE ELIMINATION
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Transcript of BOWEL AND URINE ELIMINATION
BOWEL AND URINE ELIMINATION
Part 1Urine Elimination
KEY TERMS (Urine)• Anuria• Dysuria • Enuresis• Frequency• Hesitancy• Incontinence• Nocturia
Anatomy of the Urinary System• Kidneys• Bladder• Ureters • Urethra• Act of micturition
Physiology of the Urinary SystemFunction:
o KIDNEYS o URETERSo BLADDERo URETHRAo ACT OF MICTURITION
Factors Influencing Urinary Elimination• Developmental Considerations• Food and Fluid• Life Style• Psychological Variables• Activity and Muscle Tone• Pathologic Conditions• Medications
Assessment Data (Urinary Elimination)• Subjective data
• Objective data
• Diagnostic data
URINE SPECIMENS (TYPES)• ROUTINE URINALYSIS
• CLEAN CATCH MID-STREAM
• TIMED
• CATHETERIZED
BOWEL ELIMINATION
Key Terms
KEY TERMS (BOWEL ELIMINATION)• BOWEL MOVEMENT (BM)• CONSTIPATION• DIARRHEA• ENEMA• FECES• FLATULENCE
BOWEL ELIMINATION (key terms con’t)• Flatus• Impaction (fecal)• Incontinence (fecal)• Occult blood• Peristalsis• Stool
Factors influencing bowel elimination (con’t)
ANATOMY & PHYSIOLOGY OF BOWEL ELIMINATION
Anatomyof bowel elimination • Mouth • Esophagus• Stomach• Small intestine • large intestine
Large Intestine:• Function• Innervation• Peristalsis• The normal urge• Defecation
Factors Influence Bowel Elimination• Usual patterns• Food/fluid intake• Activity level/muscle tone• Life-style• Psychological variables• Pathological conditions• Medications
Factors influencing bowel elimination (con’t)• Diagnostic tests• Surgery/anesthesia• Irritants• pain
Assessing bowel elimination need:• Subjective data
• Objective data
• Diagnostic studies
• Radiographic studies
CLIENT TEACHING NEEDS R/T BOWEL ELIMINATION• Use of cathartics, laxatives• Perceived constipation • Toilet training (rediness) • Need for enemas• Hygiene• Ostomies (ostomy care)• Bowel and bladder training
Nursing interventions to relieve flatulence• Diet • Activity• Rectal tube
Drugs affecting bowel elimination;• Absorbents• Anticholinergics and opiates• Antibiotics • Antidiarrheals
Cathartics and laxatives:• Physiological action: