Bladder Disorders

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Bladder Disorders

• Renal Disease
• Part 3
• Marianne Stewart
• Bonnie Curry
• NS 204

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Bladder Disorders Infections of the Urinary Tract

• Bladdercystitis
• Urethraurethritis
• Prostateprostatitis
• Kidney--pyelonephritis

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Bladder Disorders Infections of the Urinary Tract

• Risk Factors
• Inability to empty bladder completely
• Decreased natural host defenses
• Instrumentation of urinary tract

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Bladder Disorders Infections of the Urinary Tract

• Risk Factors, cont.
• Obstruction
• Altered metabolic states
• DM,
• pregnancy,
• gout
• Neurologic disorders

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Bladder Disorders Infections of the Urinary Tract

• Treatment of Infections
• Cystitis
• urine culture
• antibacterial agents
• Pyelonephritis
• relieve obstruction
• urine culture
• antibacterial agents

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Bladder Disorders Urinary Incontinence

• Stress incontinence
• increase in intra-abdominal pressure
• Urge Incontinence
• UTI or bladder tumor, neurologic dysfunction

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Bladder Disorders Urinary Incontinence

• Overflow Incontinence
• neurologic abnormalities or obstruction
• Functional Incontinence
• cognitive or physical impairment

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Bladder Disorders Neurogenic Bladder

• Types
• Spastic bladder
• Flaccid bladder

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Bladder Disorders Neurogenic Bladder

• Causes
• Spinal cord injury or tumor
• Neurologic disease
• MS
• Congenital anomalies
• Spina bifida, myelomeniogocele
• Infection
• Systemic disorders
• DM

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Bladder Disorders Incontinence Neurogenic
Bladder

• Treatment
• History Assessment
• Diagnostic Studies
• Nursing Measures
• promote toileting
• Kegel exercises
• bladder training
• habit training
• Intermittent or continuous catheterization
• Surgery

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Bladder Disorders Gerontologic Considerations

• UTIacute bacterial sepsis 50 mortality
• Causes
• neurogenic bladder (CVA)
• neuropathy (DM)
• less antibacterial activity of prostatic
  secretions
  
• prostatic hyperplasia
• indwelling catheters
• immobility

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Bladder Disorders Urolithiasis

• Risk Factors
• Infection
• Urinary Stasis
• Immobility
• Hyperparathyroidism
• Excess Vitamin D intake
• Myeloproliferative diseases
• Granulomatous diseases
• Malignancy

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Bladder Disorders Urolithiasis

• Signs Symptoms
• Renal Pelvis Stones
• intense loin pain
• pyuria
• hematuria
• nausea/vomiting
• diarrhea

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Bladder Disorders Urolithiasis

• Signs Symptoms, cont.
• Ureter Stones
• radiating pain
• increased desire to void
• low urine output
• hematuria
• Bladder Stones
• infection
• hematuria

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Bladder Disorders Urolithiasis

• Treatment
• Pain relief
• Increased fluids
• Lithotripsy
• Endourologic stone removal
• Ureteroscopy
• Stone dissolution
• Strain urine
• Intake output
• Watch for obstruction
• Surgery

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Bladder Disorders Genitourinary

• Trauma
• S S
• Diagnosis
• Cancer
• S S
• Diagnosis

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Bladder Disorders Nursing Care with Urinary
Diversions

• Monitor for oliguria, hematuria, I O
• Give stoma skin care
• Control pain
• Address body image issues
• Prevent complications
• Peritonitis
• Stoma conditions

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