URINE
ELIMINATION
ELIMINATION
An infection in the bladder is called this
What is cystitis?
This term describes the correct process of putting on PPE
What is Donning?
This is a contributing factor leading to a pressure injury, occurring when a patient is moving down in bed
What is shearing?
pic 1
What is foley on floor?
Completed after removal of foley if patient has not voided in 4 hours
What is a post-void residual scan? (PVR)
Occurs as a result of a neurological insult
What is neurogenic bladder?
This type of transmission-based precaution is required when a pathogen spreads through close respiratory or mucous membrane contact
This wound's depth extends through the epidermis but not to the dermis
What is partial thickness?
Pic 2
What is side rails down?
Intervention that is purposeful, intentional, and preventative
What hourly rounding?
These common medications increase the amount of urine voided
What are diuretics?
This MDRO can be spread through skin to skin contact and is resistant to many antibiotics including methicillin
What is MRSA?
Nursing interventions using pillows, wedges, or heel boots assist in offloading pressure from these areas
What are bony prominences?
Pic 3
What is incorrect PPE (for GI)?
Intervention performed for clients who have breaks in the skin or surgical incisions
What is assessing regularly for infection (and following appropriate medical or surgical asepsis guidelines?)
These long term pathological conditions decrease blood flow through the glomeruli and thus impair filtration and urine production
What is cardiovascular and/or metabolic disorders?
Coughing, sneezing, drainage from a wound is this link in the chain of infection
What is portal of exit?
This staged pressure injury has a full thickness loss of skin with damage to the subcutaneous tissue, there is no exposed bone
What is stage 3?
Pic 4
What is low O2 (oxygen saturation or desat)?
Intervention done to prevent tissue damage from pressure
What is frequent, every 2 hour, position changing?
This hormone causes the distal and collecting tubules to reabsorb more water into the blood in order to maintain normal blood volume and blood pressure
What is Anti-Diuretic Hormone (ADH)?
Phagocytosis, complement cascade and inflammation are all part of this line of defense.
What is secondary defense?
With this wound healing complication there is a a complete separation of the layers of the wound with the internal viscera protruding through
What is an evisceration?
Pic 5
What is patient reaching for the cup?
This intervention may be considered when a patient has frequent bowel incontinence
What is considering the use of a pouching system or fecal containment device to protect the skin from the effluent?