Genitourinary: Case Study
Genitourinary- 40 questions
Assessment Findings
*PAIN won’t always be present.
KIDNEY: (dull constant ache) Not always present if pt has renal disease (don’t have w/ proteinuria or hematuria) Have CVA tenderness (hit hand over kidney), lower abdominal pain, intermittent pain(indicates renal stones), flank pain (side) N/V, diaphoresis, s/sx of shock. Cause: Acute obstruction like stone, clot
BLADDER- lower ABD pain (usually seen w/ distention) dull, continuous pain may be intense after voiding S/Sx: Urgency, pain after voiding (from spasms) Causes: Infection, cystitis, over distended bladder
*Patients should urinate 5-6 times daily with a urinary output of 1500-2000 mL/day!
*”How many times do you urinate a day??”
* Pt’s may have increased frequency, …show more content…
Teach to take TB drugs at bedtime to avoid nausea
COPD-
S/Sx Chronic cough & sputum (classis sign), metabolic acidosis, DOE, SOB, BARREL CHEST, fatigue, cyanosis, clubbing of nails
*Avoid temp extremes, mod exercise, Inhaler (tilt head back inhaler 1-2 in away from mouh, press down, inhale(3-5 sec), hole breath for 8-10 sec, repeat allowing 1-2 min in between, increase fluids, deep cough/breathing,
*Immunizations VERY important b/c progressive disease, stop smoking
*Teach pursed lip breathing (expiration twice as long as inspiration)
*Meds corticosteroids (increase b.g. and decrease immune system), NSAIDS, beta-adrenergic blockers, bronchiodilators, chest PT, TX given before meals
~(Risk factors): Smoking, 2nd hand smoke, occupation exposure (inhaled), genetic
*As COPD worsens, the amount of oxygen in the blood decreases and causes hypoxemia and the amount of carbon dioxide in the blood increases which causes RESPIRATORY ACIDOSIS, which then results in METABOLIC ALKALOSIS when the kidneys retain bicarbonate as a compensation
Assessment Findings
*PAIN won’t always be present.
KIDNEY: (dull constant ache) Not always present if pt has renal disease (don’t have w/ proteinuria or hematuria) Have CVA tenderness (hit hand over kidney), lower abdominal pain, intermittent pain(indicates renal stones), flank pain (side) N/V, diaphoresis, s/sx of shock. Cause: Acute obstruction like stone, clot
BLADDER- lower ABD pain (usually seen w/ distention) dull, continuous pain may be intense after voiding S/Sx: Urgency, pain after voiding (from spasms) Causes: Infection, cystitis, over distended bladder
*Patients should urinate 5-6 times daily with a urinary output of 1500-2000 mL/day!
*”How many times do you urinate a day??”
* Pt’s may have increased frequency, …show more content…
Teach to take TB drugs at bedtime to avoid nausea
COPD-
S/Sx Chronic cough & sputum (classis sign), metabolic acidosis, DOE, SOB, BARREL CHEST, fatigue, cyanosis, clubbing of nails
*Avoid temp extremes, mod exercise, Inhaler (tilt head back inhaler 1-2 in away from mouh, press down, inhale(3-5 sec), hole breath for 8-10 sec, repeat allowing 1-2 min in between, increase fluids, deep cough/breathing,
*Immunizations VERY important b/c progressive disease, stop smoking
*Teach pursed lip breathing (expiration twice as long as inspiration)
*Meds corticosteroids (increase b.g. and decrease immune system), NSAIDS, beta-adrenergic blockers, bronchiodilators, chest PT, TX given before meals
~(Risk factors): Smoking, 2nd hand smoke, occupation exposure (inhaled), genetic
*As COPD worsens, the amount of oxygen in the blood decreases and causes hypoxemia and the amount of carbon dioxide in the blood increases which causes RESPIRATORY ACIDOSIS, which then results in METABOLIC ALKALOSIS when the kidneys retain bicarbonate as a compensation