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Infants
Excrete 5-40 times a day
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Preschool child
Excretes approximately every 2 hours
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Urination
Expelling urine
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Characteristics of Urine
- Color: normally some shade of yelow with the average being straw or amber colored; Darker the color more concentrated it is
- Clarity: should be transparent or only slightly cloudy
- Odor: normally smells faintly or amonia
- Specific Gravity: the thiness or thickness of urine; normal range is 1.010-1.030
- pH: slightly acidic 5.5-7.0
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Urinometer
Instrument that reads the amount of light urine absorbs
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Cystitis
Inflammation of the bladder
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Instilation
Putting in a solution
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Symptoms of cystitis
Frequency, urgency, dysuria, burning, malaise, foul-smelling, and a slight temp. eleveation
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Dysuria
- Painful urination
- Occurs when there is inflammation of the bladder or urethra usually due to infection or trauma
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Anuria
- present when less than 100ml of urine is excreted in 24h
- May be due to urinary supression, or the retention of urine
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Incontinence
Occurs with a variety of pathologic conditions when it is due to decreased muscle tone special exercerises can be done
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Nocturia
Occurs when the person must get up to void during the night more than twice
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Oliguria
- Decreased amount of urine output
- Occurs when urine output falls below 400 ml in 24h
- May be a sifn of kidney failure, blockage of urine outflow somewhere in the system or retention
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Polyuria
Excessive urination
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Glycosuria
- Glucose in the urine
- Is presnt when there is too much glucose in the blood or when the renal threshold for clucose is lowered for some reason
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Proteinuria
- Protein in the urine
- Occurs at times of stress, when infection is present, when there has been recent strenous activity, or when there is a disorder of the glomeruli
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Hematuria
- Blood in the urine
- Occurs from bleeding somewhere in the urinary system
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Pyuria
- Pus in the urine
- Occurs when there is a bacterial infection present in the kidney or bladder
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Kentonuria
- Ketones in the urine
- Occurs when the patient is in ketoacidosis. this occurs in uncontrolled diabetes
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Casts
Occur in increased number in the presence of bacteria or protein, and indicate urinary stones or renal failure
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Red Blood Cells
In the urine greater than 0-2 per high power feild of the microschope may indacate a stone tumor glomerular disorder cystitis or bleeding disorder
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White Blood Cells
In the urine mean there is an infectious or inflammatory process somewhere in the urinary tract
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bilirubin
In the urine suggests liver disease or obstruction of the bile duct
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Commode Chair
Chair with a container inserted to catch urine or feces
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Catheterization
Insertions of a tube into the bladder
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Credes Maneuver
Massage from top of bladder to bottom by starting above the pubic bone and rocking the pam of the hand steadily downward
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Suprapubic
Above the pubic bone
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Coude catheter
Curved and has a rounded or bulbous tip that is easier to insert into the male urethra when the prostate is enlarged
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Alcock Catheter
- Used for continous bladder irrigation
- Has three lumens one for urine drainage one for inflation of the balloon and one for the instillation of the irrigation fluid
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de Pezzer Catheter
Has a tip shaped lake a mushroom is used for suprapubic drainage
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Malecot Catheter
Often used for nephrostomy tube if placed into the pelvis of the kidney
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Condom Catheter
Consists of a condom with a tube attached to the distal end thats attachted to a drainage bag
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Urostomy
Opening through which urine drains
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