Urinary Elimination

Caused by poor hygiene, inadequate hand washing, failure to wipe from front to back after voiding/defecating, frequent sexual intercourse predispose women to infection, also catheters, prolonged use of catheters, improper catheter care/hygiene

• Burning pain
• Fever
• Chills nausea
• Vomiting
• Malaise

• Frequent and urgent sensation to urinate Irritation to bladder and urethral mucosa results in blood tinged urine
• Urine appears concentrated/cloudy b/c of wbcs or bacteria

• Flank pain
• Tenderness
• Fever
• chills

40-50 mls/hr

• Daily: 1500 - 1600
• With Foley: 2000 - 2500

• Routine catheter care
• Perineal hygiene
• Fluid intake
• Cath care usually every 8 hours
• Insertion is ALWAYS sterile technique
• If patient has foley athey should be putting out more urine daily to keep urine dilute and keep catheter from clogging
• When pt has foley, increase their intake so they will have more output, there won’t be sediment, catheter won’t get clogged.

• Assess for abdomen distention and pain
• Signs include urine absent over several hours
• Dribbling of urine
• If pt doesn’t have a catheter you can do “bladder scanning” which tells you how many mls of urine there are in the bladder.
• Promote environment that will help pt urinate