4
e evoed 00 dd0000333335854848888885885
; | 73
I\ Week 5: Elimination
Weekly Reading:
Giddens: Chapter 17; Linton & Matteson: Chapter 14, Chapter 41, 842-846, 858-869, 1094-1099;
Silvestri: 211-213; 751-754; 755-767; 782-784; 787, Willihnganz/Clayton: 662-664; 670-673; 675-67%
Lecture 1
Elimination (Giddens chapter 17, Linton & Matteson 721-722; Chapter 41)
Define the concept of elimination:
e precesh of vemoung Wiske poducts from e laodyy 10 maintain limegstasis -
Name the two systems responsible for elimination?
Uiiflfit\(\, and oic.l.csh'vvc Systems
Define the following terms: (Linton & Matteson p. §27)
Anuria: _AbSCACE ¢ 10W Urine outpPut
Dysuria: Palnful o difflunlt urination
Oliguria: Decreased urine oubput
Polvuria: xcessive uwmation
Nocturia: Freaunent wninoion
—— at night
Hematuria: Blood pyes€nt in urine
Anatomy Review
** Review the anatomy of the digestive system in Linton & Matteson p 721-722
**Review the anatomy of the urinary system in Linton & Matteson p 822-823
Risk Factors for Urinary Incontinence
e Review Box 14.]1 Risk factors for urinary incontinence
e Review Table 14.1 Age-related changes in the urinary system
€ Hondros College of Nursing FALL2S Initials and Date: ¢, J’ -01-29
, 74
In your Giddens text it states that alterations in elimination can occur within the urinary or
pastromtestinal function, Most of the problems and conditions are grouped by common theme
chimination include control and retention
Elimination: Renal (Urinary)
- — e
!
Signs & Symptoms to Monitor (include lab
g Problems with; Possible Causes
results)
U —
l WEa¥ pelvic muscles Ivoluntarny urine leavage,
‘.._.-._.L_l_f...‘.__.__m.
wethral spincter weax- (CSpeaiatiyg whie tonghing Snee2inyg, or exert{on’) .
Control
| . - 1055 of bladder OWorENess and urgency.
d. Mulo\og\ml disdrder wequant Srall volds. posttive e UTT
i
ostend cd Wadder, c\r(bb\ihq,-fcc\\nfi
1. Obstvuction ncom plete emptying . elevated post
- veid
Retention xendual: (PVR)
pecreased urine ouyput| distom®ort, Llad der
Medacation AULNTSS D BUN (LEAnVINE W prelinged retention
"o
Define the different types of urinary incontinence (Linton & Matteson p. 230 Table 14.3)
Type Description Cause Nursing Care
Leaage of urine duving wWeak pelvic muscles, | edutate Yeqal exerclse,
Stress activety that inarease 7 chafld oirth menopause | aveid b\adguin'thnfl
Wpdominal pressure. obesity welolat 1088, use of
) absorbentrpads o pesFary-
sudden, s feeling ro| OVEraCtVC destusOr | pyg4der vravmvd) +imed
Urge void ol lawing) wvdu ."“,"S“‘_;‘Jh“"“dd” volding, antichdinerge meds,
leakage . wntenion, Kt cafeine [alcohnol
Functional | H&a4e .Aw,‘\'v physical] immobility, dementia PLWW :fiisflVf deviees,
o¢ Cognitive impairment : Sehedule Yelleting . easy
Haat prevents ‘\"mfit‘{ 0V\VlN.Vl\'flW+‘1 C\o\‘h\\'\fi acLess, clear
taletna. Ay Pt WA S 10 lpath nem
. . ne |2adder, outlet Menttor PYR, ; \tent
| Overfiow |l datSrequut
Wss WANE
40 Waddey )0 ionVe (8PH) | laperizection e
il unaLr ALty Scan, Hreat cause
aerfllng. seinal ovd wury P
: Te \e tat [Revepeible tacters : UTI| | dentify aud treat
Transient "mm caugeAelinum, medcation |uederlying tause ONUTAGL
{6 4veoded. EALESHVE wnwe Ouctf\fl' QuAAS | veview medacations.
© Hondros College of Nursing FALL2S Initials and Datc:\i% l|-Pi-258
,33333IIDIIBIISIIIII3II33333333848384804834830835°
75
Mediations
[_Genenc name: oxybutynin chloride
Drug class ','" :
[
' Trade name: Ditropan Aicholinergip o
| Action (how does the medication work):
Belowes e pladder smootn riaste vy
Indication (what is this medication used sT — -
WOk
for): Reliene yoptoms of acetyloholine ox parasympatre
gveractive 78 149 xrd.uu'nf) desArulor mmsoLe,
Pladder. g decrease vadder Gpasm. —— —— . —— RORE——
Contraindications: \]?(Fmfi rerentlon
Route of administration:
YUAVIC verertion, Severe, decreascd g1
PO Transdermal patth M) uncentrolied narow-angie
(TD)
Topica) Noumwma | hyperseradiividy 40 Adrng,
Nursing Considerations: MOATOE Uy nary Common side effects: pry rrguih,
-
WUt and bladder dstention, WsKEA Y N lueved visdon: dLzziress,
tnournge F1ulds [oral Walene, assess droWANESS, unnan retention, noused.
for VereniTon, uce wicantion in ciderty.
Patient teaching: avolp : prving watt\ town effect, Aol , overiheots '\q
Sp tWwid or chow gum (o gy wuewth, TALE MEDS AT SAME TiMe
RepORT § sevoue COMSTIPATION 6v 1A BILITY 10 URINKT E.
Elimination: Bowel
Problems with: Possible Causes f;g:ls t:; Symptoms to Monitor (include lab
neaken o involuntary 1085of stzol, csiling, |
' Sphincter embnrrassment inition. o dor,
Control ookl ied W wntinence | M*jred Warmeefi ot d‘f”(fif”rflf
0, NCuyul0 0919 Icd (mp
mpoaAre \eaxospe ( imparred 4 contvpl.cf
. oseible
/ ficr-/dflcfifn
wnstipation | hard [dry Aoel “decvzased Loye]
1. Dehydration sounds, strainivg prdsminel digensizn,
Retention = Fuead impaction, acdn ) NAIT€a, anct
€4 g
2. Medatartion vected pain , pronle csfruckiv¢ n,
wec
Review Box 37.1 Linton & Matteson p. 728 — Assessment of patient with disorder of the
digestive tract
Review Box 41.1 Linton & Matteson p. 828 — Assessment of patient with urologic disorder
© Hondros College of Nursing FALL25 Initials and Date: fi'q H-o1-15
J
e evoed 00 dd0000333335854848888885885
; | 73
I\ Week 5: Elimination
Weekly Reading:
Giddens: Chapter 17; Linton & Matteson: Chapter 14, Chapter 41, 842-846, 858-869, 1094-1099;
Silvestri: 211-213; 751-754; 755-767; 782-784; 787, Willihnganz/Clayton: 662-664; 670-673; 675-67%
Lecture 1
Elimination (Giddens chapter 17, Linton & Matteson 721-722; Chapter 41)
Define the concept of elimination:
e precesh of vemoung Wiske poducts from e laodyy 10 maintain limegstasis -
Name the two systems responsible for elimination?
Uiiflfit\(\, and oic.l.csh'vvc Systems
Define the following terms: (Linton & Matteson p. §27)
Anuria: _AbSCACE ¢ 10W Urine outpPut
Dysuria: Palnful o difflunlt urination
Oliguria: Decreased urine oubput
Polvuria: xcessive uwmation
Nocturia: Freaunent wninoion
—— at night
Hematuria: Blood pyes€nt in urine
Anatomy Review
** Review the anatomy of the digestive system in Linton & Matteson p 721-722
**Review the anatomy of the urinary system in Linton & Matteson p 822-823
Risk Factors for Urinary Incontinence
e Review Box 14.]1 Risk factors for urinary incontinence
e Review Table 14.1 Age-related changes in the urinary system
€ Hondros College of Nursing FALL2S Initials and Date: ¢, J’ -01-29
, 74
In your Giddens text it states that alterations in elimination can occur within the urinary or
pastromtestinal function, Most of the problems and conditions are grouped by common theme
chimination include control and retention
Elimination: Renal (Urinary)
- — e
!
Signs & Symptoms to Monitor (include lab
g Problems with; Possible Causes
results)
U —
l WEa¥ pelvic muscles Ivoluntarny urine leavage,
‘.._.-._.L_l_f...‘.__.__m.
wethral spincter weax- (CSpeaiatiyg whie tonghing Snee2inyg, or exert{on’) .
Control
| . - 1055 of bladder OWorENess and urgency.
d. Mulo\og\ml disdrder wequant Srall volds. posttive e UTT
i
ostend cd Wadder, c\r(bb\ihq,-fcc\\nfi
1. Obstvuction ncom plete emptying . elevated post
- veid
Retention xendual: (PVR)
pecreased urine ouyput| distom®ort, Llad der
Medacation AULNTSS D BUN (LEAnVINE W prelinged retention
"o
Define the different types of urinary incontinence (Linton & Matteson p. 230 Table 14.3)
Type Description Cause Nursing Care
Leaage of urine duving wWeak pelvic muscles, | edutate Yeqal exerclse,
Stress activety that inarease 7 chafld oirth menopause | aveid b\adguin'thnfl
Wpdominal pressure. obesity welolat 1088, use of
) absorbentrpads o pesFary-
sudden, s feeling ro| OVEraCtVC destusOr | pyg4der vravmvd) +imed
Urge void ol lawing) wvdu ."“,"S“‘_;‘Jh“"“dd” volding, antichdinerge meds,
leakage . wntenion, Kt cafeine [alcohnol
Functional | H&a4e .Aw,‘\'v physical] immobility, dementia PLWW :fiisflVf deviees,
o¢ Cognitive impairment : Sehedule Yelleting . easy
Haat prevents ‘\"mfit‘{ 0V\VlN.Vl\'flW+‘1 C\o\‘h\\'\fi acLess, clear
taletna. Ay Pt WA S 10 lpath nem
. . ne |2adder, outlet Menttor PYR, ; \tent
| Overfiow |l datSrequut
Wss WANE
40 Waddey )0 ionVe (8PH) | laperizection e
il unaLr ALty Scan, Hreat cause
aerfllng. seinal ovd wury P
: Te \e tat [Revepeible tacters : UTI| | dentify aud treat
Transient "mm caugeAelinum, medcation |uederlying tause ONUTAGL
{6 4veoded. EALESHVE wnwe Ouctf\fl' QuAAS | veview medacations.
© Hondros College of Nursing FALL2S Initials and Datc:\i% l|-Pi-258
,33333IIDIIBIISIIIII3II33333333848384804834830835°
75
Mediations
[_Genenc name: oxybutynin chloride
Drug class ','" :
[
' Trade name: Ditropan Aicholinergip o
| Action (how does the medication work):
Belowes e pladder smootn riaste vy
Indication (what is this medication used sT — -
WOk
for): Reliene yoptoms of acetyloholine ox parasympatre
gveractive 78 149 xrd.uu'nf) desArulor mmsoLe,
Pladder. g decrease vadder Gpasm. —— —— . —— RORE——
Contraindications: \]?(Fmfi rerentlon
Route of administration:
YUAVIC verertion, Severe, decreascd g1
PO Transdermal patth M) uncentrolied narow-angie
(TD)
Topica) Noumwma | hyperseradiividy 40 Adrng,
Nursing Considerations: MOATOE Uy nary Common side effects: pry rrguih,
-
WUt and bladder dstention, WsKEA Y N lueved visdon: dLzziress,
tnournge F1ulds [oral Walene, assess droWANESS, unnan retention, noused.
for VereniTon, uce wicantion in ciderty.
Patient teaching: avolp : prving watt\ town effect, Aol , overiheots '\q
Sp tWwid or chow gum (o gy wuewth, TALE MEDS AT SAME TiMe
RepORT § sevoue COMSTIPATION 6v 1A BILITY 10 URINKT E.
Elimination: Bowel
Problems with: Possible Causes f;g:ls t:; Symptoms to Monitor (include lab
neaken o involuntary 1085of stzol, csiling, |
' Sphincter embnrrassment inition. o dor,
Control ookl ied W wntinence | M*jred Warmeefi ot d‘f”(fif”rflf
0, NCuyul0 0919 Icd (mp
mpoaAre \eaxospe ( imparred 4 contvpl.cf
. oseible
/ ficr-/dflcfifn
wnstipation | hard [dry Aoel “decvzased Loye]
1. Dehydration sounds, strainivg prdsminel digensizn,
Retention = Fuead impaction, acdn ) NAIT€a, anct
€4 g
2. Medatartion vected pain , pronle csfruckiv¢ n,
wec
Review Box 37.1 Linton & Matteson p. 728 — Assessment of patient with disorder of the
digestive tract
Review Box 41.1 Linton & Matteson p. 828 — Assessment of patient with urologic disorder
© Hondros College of Nursing FALL25 Initials and Date: fi'q H-o1-15
J
