NUR 209 Lecture Notes - Lecture 27: Urinary Diversion, Hysterectomy, Prostatectomy
Document Summary
1: ch 55, uti, nephrolithiasis, urinary tract ca, urinary diversions. 2: ch 57, female gu/gyn, ch 58, breast disease, ch 59, male gu. 9/2/20: clinical manifestations, burning, frequency, fever, cloudy urine, strong odor, pain in pelvic area, diagnostic and laboratory findings, urinalysis, urine culture and gram stain, sensitivity, priority nursing concerns, pain, altered urinary elimination, inadequate knowledge. 9/2/20 chemistries, and strain all urine and save stones for stone analysis. Urinary calculi: primary treatment, increase hydration (up to 3 l per day, exercise, diet (depends on component of stone, calcium common: reduce calcium intake, priority nursing concerns, pain, alteration in urinary elimination, potential for infection, inadequate knowledge. Treatment aimed at symptom relief, removal or destruction of calculi, prevention of future stones: encourage ambulation and high fluid intake, provide pain relief, assess urinary function, monitor i&o, strain all urine and save any solid material.
