Class 10:urinary incontinence- retention

bladder retention

inability to empty the bladder

over distended bladder

This causes the fundus to displace

over distention causes the

detrusor muscle to not be able to contract

hydroephrosis

abnormal condition of water in the kidney

vesicoureteral reflux (VUR)

disorder caused by the failure of urine to pass through the ureters to the bladder, usually due to impairment of the valve between the ureter and bladder or obstruction in the ureter

mechanical obstruction of bladder

something is physically blocking passage for urine

renal calculi

kidney stones

who is at highest risk for bph

old men

risk factors for urinary retention

old age

men

diabetes

constipation

history of uti

immobility

medication

why does constipation cause urinary retention

the fecal matter puts pressure on bladder

S/S of acute retention

occurs suddenly

possible EXTREME PAIN

severe bladder distention

s/s of chronic retention

PAINLESS

increased residual urine volume

weak flow

overflow incontinence

residual urine volume

done to determine if the client emptied the bladder completely.

chronic retention range

25ml to 50ml urine at a time

distended bladder may be

displaced to one side of midline

percussion will have a

dull tone over bladder

if residual urine is greater then 100mL then the

individual has urinary retention

How to promote urinary elimination

encourage normal voiding pattern

apply warmth to relax sphincter

warm caffeine free drinks

cholinergic medications help

bladder contract more (detrusor muscle)

1 ounce equals

30 mL

2 tablespoons