obstructive disorders urinary system

- Prostatic Hypertrophy

● Strictures; kinks

● Cysts; Tumors

● Calculi

• urinary obstruction

• hydronephrosis

• urolithiasis

s/s

● Continuous need to void

● Voiding small amounts frequently

● Pain

● Nausea

• urinary obstruction

• hydronephrosis

• urolithiasis

MEDICAL MANAGEMENT/ NURSING INTERVENTIONS

● Establish urinary drainage

→ suprapubic cystostomy

→ Ureterostomy

→ Nephrostomy

■ Anticholinergics

■ Narcotics

• urinary obstruction

• hydronephrosis

• urolithiasis

MEDICAL MANAGEMENT/ NURSING INTERVENTIONS

● Warm shower or sitz bath

● Analgesics

→ Acetaminophen - safest medication

• urinary obstruction

• hydronephrosis

• urolithiasis

● Dilatation of the renal pelvis and calyces

● Unilateral or bilateral

● Obstruction of the urinary tract

• urinary obstruction

• hydronephrosis

• urolithiasis

s/s

● Dull flank pain (slow onset)

● Severe stabbing pain (sudden onset)

● Nausea and vomiting

● Frequency, dribbling, burning, and difficulty starting urination

• urinary obstruction

• hydronephrosis

• urolithiasis

MEDICAL MANAGEMENT/ NURSING INTERVENTIONS

● Pharmacological management

→ Antibiotics

→ Narcotic analgesics

● Surgery to relieve obstruction

● Nephrectomy

• urinary obstruction

• hydronephrosis

• urolithiasis

● Formation of urinary calculi (stones)

● Develops from minerals

● Identified according to location

• urinary obstruction

• hydronephrosis

• urolithiasis

s/s

● Flank or pelvic pain

● Nausea and vomiting

● Hematuria

• urinary obstruction

• hydronephrosis

• urolithiasis

MEDICAL MANAGEMENT/ NURSING INTERVENTIONS

● Antibiotics

● Encourage fluids

● STRAIN ALL URINE

● Surgical procedures

● Lithotripsy

● Ambulate

• urinary obstruction

• hydronephrosis

• urolithiasis