GENITOURINARY ASSESSMENT NURS 101 ANATOMY AND PHYSIOLOGY KIDNEYS

GENITO-URINARY ASSESSMENT NURS 101

ANATOMY AND PHYSIOLOGY

KIDNEYS • FILTER WASTE PRODUCTS OF METABOLISM THAT COLLECT IN THE BLOOD • WASTE OF PROTEIN METABOLISM________ • EXCRETES DRUG METABOLITES • IMPORTANT IN F&E BALANCE • GFR NORMALLY 125 ML/MINUTE

VOIDING • BLADDER STARTS TO FEEL FULL AT 150 -200 ML • STRONG VOID URGE AT 400 -500 ML • ABSENT VOID URGE MAY BE DUE TO SPINAL OR SUPRA SPINAL NERVE DAMAGE OR BLADDER WALL CHANGES • VOID NORMALLY EVERY 2 -4 HOURS • ______RELEASED AT NIGHT DECREASES URINE PRODUCTION

TERMS TO KNOW • VOIDING • MICTURATION • ANURIA • NOCTURIA • HEMATURIA • DYSURIA • OLIGIOURIA

HEALTH HISTORY • MULTIPARITY • DIABETIC NEUROPATHY • MULTIPLE SCLEROSIS • PARKINSON’S DZ

HISTORY/ SUBJECTIVE COMPLAINTS • PAIN/FEVER/CHILLS • HESITANCY/STRAINING • INCONTINENCE • HEMATURIA • NOCTURIA • RENAL CALCULI/GRAVEL • ANURIA • GENITAL OR SEXUALLY TRANSMITTED INFECTIONS • TOBACCO/ETOH/RECREATIONAL DRUGS • MEDS

PALPATING • KIDNEYS USUALLY NOT PALPABLE • PALPATE BLADDER FOR DISTENTION • EXTERNAL GENITAL EXAM

LABS ASSOCIATED WITH URINARY ASSESSMENT • GLOMERULAR FILTRATION RATE (GFR) • NORMAL VALUES_____ • CREATININE LEVEL • NORMAL VALUES______ • CREATININE CLEARANCE (24 HOUR) • NORMAL VALUES______

URINALYSIS • COLOR, CLARITY • PH AND SPECIFIC GRAVITY • PROTEIN • GLUCOSE • KETONES • MICRO: RBC, WBC, BACTERIA, CRYSTALS • TABLE 53 -4 (HINKLE AND CHEEVER) COLOR OF URINE

CYSTOSCOPY

CYSTOSCOPY • DESCRIPTION • NURSING IMPLICATIONS