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BOWEL AND URINE ELIMINATION

BOWEL AND URINE ELIMINATION. Part 1 Urine 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 System.

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BOWEL AND URINE ELIMINATION

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  1. BOWEL AND URINE ELIMINATION Part 1 Urine Elimination

  2. KEY TERMS (Urine) • Anuria • Dysuria • Enuresis • Frequency • Hesitancy • Incontinence • Nocturia

  3. Anatomy of the Urinary System • Kidneys • Bladder • Ureters • Urethra • Act of micturition

  4. Physiology of the Urinary System Function: • KIDNEYS • URETERS • BLADDER • URETHRA • ACT OF MICTURITION

  5. Factors Influencing Urinary Elimination • Developmental Considerations • Food and Fluid • Life Style • Psychological Variables • Activity and Muscle Tone • Pathologic Conditions • Medications

  6. Assessment Data (Urinary Elimination) • Subjective data • Objective data • Diagnostic data

  7. URINE SPECIMENS (TYPES) • ROUTINE URINALYSIS • CLEAN CATCH MID-STREAM • TIMED • CATHETERIZED

  8. BOWEL ELIMINATION Key Terms

  9. KEY TERMS (BOWEL ELIMINATION) • BOWEL MOVEMENT (BM) • CONSTIPATION • DIARRHEA • ENEMA • FECES • FLATULENCE

  10. BOWEL ELIMINATION (key terms con’t) • Flatus • Impaction (fecal) • Incontinence (fecal) • Occult blood • Peristalsis • Stool

  11. Factors influencing bowel elimination (con’t)

  12. ANATOMY & PHYSIOLOGY OF BOWEL ELIMINATION

  13. Anatomyof bowel elimination • Mouth • Esophagus • Stomach • Small intestine • large intestine

  14. Large Intestine: • Function • Innervation • Peristalsis • The normal urge • Defecation

  15. Factors Influence Bowel Elimination • Usual patterns • Food/fluid intake • Activity level/muscle tone • Life-style • Psychological variables • Pathological conditions • Medications

  16. Factors influencing bowel elimination (con’t) • Diagnostic tests • Surgery/anesthesia • Irritants • pain

  17. Assessing bowel elimination need: • Subjective data • Objective data • Diagnostic studies • Radiographic studies

  18. 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

  19. Nursing interventions to relieve flatulence • Diet • Activity • Rectal tube

  20. Drugs affecting bowel elimination; • Absorbents • Anticholinergics and opiates • Antibiotics • Antidiarrheals

  21. Cathartics and laxatives: • Physiological action:

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