Urinary elimination

first year b.sc nursing syllabus

1. Urinary elimination (retention and incontinence) Sapana thakor Nursing foundation Lecture Nsin jetalpur

2. Introduction Urinary elimination is defined as expulsion of waste products from the body through the urinary system. Elimination from the urinary tract hepls to remove the waste products from body. It is essential to the body’s physical well-being.

3. Causes Life style Fluid and food intake Environment Psychological factors Medication Muscles tone and activity Pathological conditions Surgical and diagnostic procedure.

4. Alteration in urinary elimination Polyuria Oligouria Anuria Nocturia Dysuria Enuresis Hesitance Urinay incontinence Urinary retantion

5. Urinary retention Ur it is the inability to empty the bladder It can be acute or chronic . More in male

6. Causes Obstruction of urinary tract (enlarged prostate , stons) Infection that can swelling Nerve problem Medications Constipations Urethral stricture or weak bladder.

7. Symptoms Sever discomfort Pain Bloted lower belly. Weak flow of urine Needing to go frequantly Feeling u still after yo hv finish

8. Diagnosis Urine sample Bladder scan Cystoscopy X-ray Ct scan Blood test for PSA Urodynamic Prostate fluid sample test

9. Treatment Catheterization Treating prostate enlarged Surgery

10. Surgical management Bladder neck repair-urethroplasty Suprapubic cystostomy.

11. Nursing management Urine OP Obseved oliguria and anuria Percussion for dull sound Client experience Provide privacy Comfortable position

12. Warm bath for perineum relaxation Apply ice on inner thigh. Relaxation therapy Catheterization Prevent infection Maintain close drainge Avoid back flow of urine Maintain patency of catheter Encourage increase fluid intake Prophylactic antibiotics.

13. Urinary inconience

14. Introduction UI is unintentional or uncontrolled urine leakage that occurs due to poor functioning of muscles called urinary spincter enable to hold urine in the bladder. Its common in women than men.

15. Types Stress incontinence Urge incontinence Over flow incontinence Total incontinence

16. Causes Over-active bladder Mental health problems Poor muscle control Medications Prostate problems Excess urine production Secondary cause medical conditions

17. Treatment Lifesyle changes Bladder traing exercise Medications Coping strategies like diaper

18. Management Drink fluids in moderation Empty bladder completely Loss weight Avoid cofy or tea Stop alchohol Treat digestive problem

19. Pelvic floor exercise Bladder training Medications

20. Percutaneous tibial nerve stimulations

21. Botox treatment

22. Thank you