...treatment for GBS after testing positive. She delivered a baby girl weighing 6lbs 6oz 10/22/12 at 2057 with the assistance of a vacuum. Baby’s AGARs were 8/9. Client received an epidural during labor. Her estimated blood loss was 400 ml. She received a 3rd degree laceration to her perineal area during labor and has not been able to void since even when she has had the urge to. An indwelling foley was placed 10/23/12 at 1230 to relieve urinary retention and bladder distension. 600 ml of urine was collected 10/23/12 at 1800. She was prescribed Dermoplast 20% to use while providing peri care to relieve the discomfort and swelling of her perineal area. Client is currently breast feeding. She received education about different feeding positions and has demonstrated a good latch with the baby in the football hold. Client is allergic to Macrobid and experiences hives and itching when exposed. Her abnormal labs were high WBC [24.4] and low platelets [145]. WBCs are normally high after labor but will monitor client for signs of infection. Her low platelet count puts her at risk for bleeding. Student nurse provided education to patient about precautions to prevent bleeding and signs of hemorrhaging to watch for. Her fundus was below the umbilicus when assessed. She changes her...
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...The urinary tract is the body’s drainage system for removing urine, which is composed of wastes and additional fluid. In sequence for normal urination to happen, all body parts in the urinary tract require to work as one in the proper order. The lower urinary tract includes the bladder and urethra. (National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC), 2012). Urination is the process of emptying the bladder. To urinate, the lower urinary tract has two detached phases of activity: the storage (or guarding) phase, when urine is collected in the bladder; and the voiding phase, when urine is unconfined through the urethra The state of the reflex system is reliant on both a conscious signal from the brain and the firing rate...
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...The urinary bladder is located in the abdominal cavity and is a hollow, muscular, balloon-like organ that stores urine. In females it is located anterior to the uterus and upper vagina. The male’s urinary bladder is located anterior to the rectum and above the prostate gland and is much higher than the females. Urine travels from each kidney down the ureter and drains into the bladder. The bladder is designed to store urine at low pressures and when it is full it empties, it does however need to be able to stretch to accommodate for increasing amounts of urine. Some bladder problems may be as simple as an over active bladder or urinary incontinence which there are various treatments for. Other problems can be allot more serious and can result in a cystectomy or a partial cystectomy, which is the removal of the bladder. Reasons for a cystectomy can include, problems with nerve-muscle control of the bladder, damage from radiation or chemotherapy, damage or bleeding from other conditions, treatments, or injuries, and bladder cancer. If a person were to have no bladder there would be no way for them to pass urine out of their body. So some type of urinary assistance must be put in place. A doctor could use a section of the small intestine to divert urine to a stoma, which is an opening to the outside of the body. The patient would then have to attach a bag to the stoma to collect and drain their urine. In some cases a neobladder can also be used, which is when a part of the small...
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...and subsequently on the health and wellbeing of older people. Kidney and bladder are part of the urinary system and their function is affected by age. Some of the changes in the kidney relating to age are decrease in the number of nephrons (filtering units in the kidney), and the hardening of blood vessels surrounding the kidney (Patel & Wiggins, 2007). These changes cause the kidneys to filter blood more slowly and could lead to chronic kidney disease. Aging will cause the bladder muscle to become weakens and to lose its elasticity. This makes the bladder less stretchy and unable to hold as much urine as before (Smith & Kuche, 2010). This can cause many issues in old age such as bladder leakage or urinary incontinence, urinary retention and other urinary tract infections (Cohan, Pikna, & Duecy, 2007). Aging also causes changes in the reproductive system. For example in women, due to weakened muscle, the urethra can become blocked causing the bladder or vagina to fall out of position (prolapse). The urethra can also become blocked in men due to enlarged prostate gland caused by aging....
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...caused by: • A urinary tract infection. • Obesity. • Bladder problems, such as bladder stones. • Caffeine or alcohol. • Eating food or drinking fluids that irritate the bladder. These include coffee, tea, soda, artificial sweeteners, citrus, tomato-based foods, and chocolate. • Certain medicines, such as medicines that help the body get rid of extra fluid (diuretics). •...
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...a collection of tests used to measure bladder, urethral, and pelvic floor muscle function, as well as diagnose functional disorders of the lower urinary tract” (Gray, 2010, p. 321). Urodynamics is used in addition to the patient’s history and a complete patient assessment. Moore (2013) states that urodyamics encompasses a number of tests, these include: flow study, cystometry, urethral pressure profile and leak point pressure. For the purpose of this paper a urodynamic test will be analysed to highlight normal and abnormal results. Possible reasons for these abnormalities will be discussed. In this study the patient is a 42 year old lady who presented with a number of pelvic floor problems including urgency, urge incontinence and prolapse. Examination revealed a moderate cystocoele and rectocele. Urodynamic evaluation was performed in order to objectively assess bladder function and therefore assist in recommendations for further treatment. Cystometry “is a measure of bladder pressure in response to filling. Several parameters are measured: bladder filling, sensation, stability, compliance, capacity, control over micturition, detrusor contractility and empting” (Ghoniem & Khater, 2008, p. 36) Mahfouz, Afraa, Campeau, and Corcos, (2011) report that the normal parameters during filling for females are as follows: first sensation at 100-250mls, first desire at 200-330mls and strong desire at 350mls-560mls.A healthy bladder should accommodate 500mls comfortably and...
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...PBL 5 Concept: Destructions of the spinal cord results in disruptions of the motor and sensory tracks and loss of reflexes integrated at the level of destructions. Hypothesis: Spinal cord injury Area: Descending tracks, ascending tracks, functions of spinal cord, reflexes, burden of disability, functions of spinal cord, ethics of breaking bad news. Learning issues Basic sciences The motor neurone http://www.kidport.com/reflib/science/HumanBody/NervousSystem/images/MotorNeuron.jpg Motor pathway http://classconnection.s3.amazonaws.com/839/flashcards/464839/png/screen_shot_2012-01-18_at_2.07.18_pm1326931684916.png Sensory mortality and tracks Dermatomes for L1 and L2 A dermatome is an area of skin that is mainly supplied by a single spinal nerve. Symptoms that follow a dermatome (e.g. like pain or a rash) may indicate a pathology that involves the related nerve root. L1 - Midway between the key sensory points for T12 and L2. L2 - On the anterior medial thigh, at the midpoint of a line connecting the midpoint of the inguinal ligament and the medial epicondyle of the femur. http://upload.wikimedia.org/wikipedia/commons/d/db/Dermatomes_and_cutaneous_nerves_-_anterior.pnghttp://upload.wikimedia.org/wikipedia/commons/9/97/Dermatomes_and_cutaneous_nerves_-_posterior.png Muscle supplied by L1 and L2 L2 supplies many muscles, either directly or through nerves originating from L2. They may be innervated with L2 as single origin, or be innervated...
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...Bladder Scanner Capital Project Maria M. Arias HCS 571 February 20, 2012 Katie Ianoci Bladder Scanner Capital Project Organization’s capital budgeting contains a cost benefit evaluation of investments projects. The process of capital budgeting is an important step in the execution of the strategic plan. During the process of completing a capital budget and deciding which projects to approve, the organization explores and develops the financial forecasts. “Hospital executives are responsible for facilitating the provision of efficient, high quality health care with limited resource” (Kocher, 2007, p. 21). The decisions made on investments need to be balanced with the organization’s mission and the available financial resources. Also, the capital budgeting decisions need to include: facility need, government regulation, employee safety, patient safety, and financial benefit to the organization. The current organization is a non-for-profit organization that serves many patients with different backgrounds and cultures. The organization is a hospital that is magnet certified and strives to surpass the recommended levels in health care regulatory outcomes such as core measures, patient satisfaction, never events, employee satisfaction, and many other outcomes. Because the organization prides itself in being the best, it is important to attempt to find methods to improve the care provided to the patients. A improvement identified by the staff in a medical surgical...
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...urethropexy or Burch procedure. The difference between these two procedures is that the Burch procedure uses sutures to attach the urethra and bladder to muscle tissue in the pelvic area. The Marshall-Marchetti-Krantz procedure uses sutures to attach these organs to the pelvic cartilage. The Marshall-Marchetti-Krantz procedure is performed to reinforce the bladder neck, which prevents unintentional urine loss also known as urinary stress incontinence. Stress incontinence is the unintentional loss of urine prompted by a physical movement or activity, such as coughing, sneezing or lifting heavy items, which puts pressure or stress on the bladder. Stress incontinence is also the most frequent for of incontinence and is most frequent in women, especially those who are past menopause. (Blaivas) It is reported that stress incontinence is more frequent in women because of the female anatomy, and the pelvic muscles weaken with age as well as childbirth because it places burden on the muscles. Even though it is more prone in women, male incontinence also occurs and is primarily caused in response to blockage in the prostate or after prostate surgery. To better understand urinary stress incontinence, it is important to understand the vital organs that are in the urinary system, such as: two kidneys, two ureters, a urinary bladder and the urethra. The urinary system is responsible in helping the body get rid of wastes and excess water in the form of urine, which is a vital...
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...may cause nerve damage and this includes bowel and bladder nerves too. The autonomic, cranial and peripheral nerves of the nervous system may be damaged if you are diabetic. The autonomic nerves pass from spinal cord to lungs, heart, stomach and bladder. When these nerves get damaged they can...
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...nutrition and lubrication for the sperm produced in the testes. The prostatic urethra is a passageway for semen and prevents semen from being forced backward into the bladder. This occurs by closing off the bladder neck during climax by means of coordinated muscle contractions of the vas deferens, seminal vesicles, ejaculatory ducts, ischiocavernosus and bulbocavernosus muscles (emed). Benign Prostatic Hyperplasia (BPH) is an enlarged prostate. Proliferation of the cellular elements of the prostate lead to chronic bladder outlet obstruction. This causes urinary retention, renal insufficiency, recurrent urinary tract infections, and gross hematuria. The prostate doubles in size during puberty, and after age 25, the prostate continues to grow. The exact cause of BPH is not known but it...
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... |Phone #: | | |Allergies: | | Foley Catheter basics: |What is it? A Foley catheter is a thin rubber tube which is put into your bladder (organ that holds urine). It is used to drain |[pic] | |urine out of your body. A Foley catheter is also called an "indwelling catheter". After the catheter is inserted, its tiny tip can| | |be inflated (filled) with sterile (clean) water to make a small balloon. The balloon holds | | |the Foley in place and keeps it from slipping out of your bladder. A Foley catheter can stay in the bladder for a short or long time. | | | |How is a Foley catheter put into my bladder? A caregiver will usually put the catheter in for you. You will lie down on a bed with|[pic] | |your legs spread apart. Your caregiver will use special soap to...
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...Bladder cancer treatment(s) and pre/post nursing care:pg.1702 Therapy for the client with bladder cancer usually begins with surgical removal of the tumors for diagnosis and staging of the disease. For tumors extending beyond the mucosa, surgery is followed by intravesical chemotherapy or immunotherapy. High-grade or recurrent tumors are treated with more radical surgery plus intravesical chemotherapy, radiotherapy, or both. Systemic chemotherapy is reserved for clients with distant metastases. Nonsurgical management: Prophylactic immunotherapy with intravesical instillation of bacille Calmette-Guerin (BCG), a compound used to vaccinate against tuberculosis in some countries, is used to prevent tumor recurrence of superficial cancers. This procedure is more effective than single-agent chemotherapy. Mutliagent chemotherapy and radiation therapy are also useful in prolonging life. Surgical Management: The type of surgery for bladder cancer depends on the type and stage of the cancer and the client's general health. Complete bladder removal (cystectomy) with additional removal of surrounding muscle and tissue offers the best chance of a cure for large, invasive bladder cancers. Four alternatives are used after cystectomy: ileal conduit, continent pouch, bladder reconstruction also known as neobladder, and uretersigmoidostomy. Preoperative Care: Coordinate education before the surgery with surgeon and enterostomal therapist. Discuss the type of planned urinary diversion and the selection...
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...Nephrolithiasis refers to renal stone disease; urolithiasis refers to the presence of stones in the urinary system. Stones, or calculi, are formed in the urinary tract from the kidney to bladder by the crystallization of substances excreted in the urine 1. Urinary calculi are stones in urinary tract * a. Nephrolithiasis: stones form in kidneys * b. Urolithiasis: stones form in urinary tract outside kidneys 2. Highest incidence in * 3. Males more often affected than females (4:1) * 4. Most common in young and middle adults B. Risk factors * 1. Majority of stones are idiopathic (no demonstrable cause) * 2. Prior personal or family history of urinary calculi * 3. Dehydration: increased urine concentration * 4. Immobility * 5. Excess dietary intake of calcium, oxalate, protein * 6. Gout, hyperparathyroidism, urinary stasis, repeated UTI infection ETIOLOGY * METABOLIC * LIFESTYLE * GENETIC FACTORS * DRUGS * OTHERS RISK FACTORS * IMMOBILITY * SEDENTARY LIFE STYLE * DEHYDRATION * METABOLIC DISTURBANCES * HISTORY OF RENAL CALCULI RISK FACTORS * HIGH MINERAL CONTENT IN DRINKING WATER * DIETARY INTAKE * UTI & H/O FEMALE GENITAL MUTILATION * PROLONGED INDWELLING CATHETERISATION * NEUROGENIC BLADDER Development and location of calculi within the urinary tract Pathophysiology 1. Factors leading to lithiasis include supersaturation (high concentration of insoluble salt in...
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...Transverse Myelitis Transverse myelitis is a condition in which the spinal cord becomes inflamed. It can cause problems with: Moving the arms or legs. Feeling sensations in the arms or legs. Controlling the bowel or bladder. Breathing. The parts of the body affected by this condition depend on the part of the spinal cord that becomes inflamed. CAUSES The cause of this condition is not known. Some things thought to cause this condition include: Viral infections, such as herpes, chickenpox, cytomegalovirus, and Epstein-Barr virus. Abnormal immune reactions. Poor blood flow to the spinal cord. This condition can occur as a complication of: Syphilis. Measles. Lyme disease. Severe chickenpox. Some vaccinations,...
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