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Management of Patients With Urinary Disorders
Shu-Yi (Emily) Wang, PhD, RN, CNSgpwsy@hotmail.com
Denver School of Nursing
Urethrovesical Reflux
Backward flow of urine from the urethra into the bladder
Figure 45-1, pp. 1572
Ureterovesical Reflux
Backward flow of urine from the bladder into the ureters
Figure 45-1, pp. 1572
Bladder Infection With Long-Term Catheterization
Catheterization
Manipulation of catheterChange of catheter Irrigation
Unintentional removal
Bacterial ascensionBacterial colonizationPermanent bacteria
Bacterial invasion Damaged mucosa
Bladder infection
Damaged and inflamed mucosa
Detrusor irritationDetrusor spasms
Inflammatory cells, red blood cellsFibrin, other glutinous products
Potential Sites of Urinary Calculi
Figure 45-5, pp. 1590
Three narrowed areas1. Ureteropelvic junction2. The ureteral segment near the sacroiliac junction3. Ureterovesical junction
Methods of Treating Renal Stones
Figure 45-6, pp. 1592
Lithotomy position
Position & Complication
Methods of Treating Renal Stones (cont.)
Figure 45-6, pp. 1592
Methods of Treating Renal Stones (cont.)
Figure 45-6, pp. 1592
Cutaneous Urinary DiversionsFigure 45-7, pp. 1598
Continent Urinary DiversionsFigure 45-8, pp. 1599
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