SlideShare a Scribd company logo
1 of 12
Urinary Elimination
By Richard Araneta
Characteristics of Urine
• Color
 ▫ Amber/ straw
• Odor
 ▫ Aromatic upon voiding
• Transparency
 ▫ Clear
• pH
 ▫ Slightly acidic (4.6-8; average 6)
Characteristics of Urine
• Specific gravity
  ▫ 1.010-1.025
     High – concentrated urine
     Low – diluted urine
• Amount
  ▫ 30-60 cc./hour = 1500 cc./day
Problems in Urinary Elimination
• Altered Urine Composition
 ▫   RBC – hematuria
 ▫   WBC
 ▫   Pus – pyuria
 ▫   Bacteria – bacterunia
 ▫   Albunin – albuminuria
 ▫   Protein – proteinuria
 ▫   Casis – cylindruria
 ▫   Glucose – glycosuria
 ▫   Ketoes – ketonuria
Problems in Urinary Elimination
• Altered urine production
 ▫ Polyuria – excessive urination
    More than 100 cc/hour
    Above 2500 cc/day (diuresis)
 ▫ Oliguria – decreased urination
    Less than 30 cc/hour
    100-500 cc/day
 ▫ Anuria – absence of urine
    0-10 cc/hour = less than 100 cc/day
    Urinary suppression
Altered Urinary Elimination
• Frequency
• Nocturia – frequent during the night
• Urgency – strong feeling that a person wants to
  void
• Dysuria
• Hesitancy – difficulty in initiating voiding
• Enuresis – repeated involuntary voiding beyond
  4-5 yr old
Altered Urinary Elimination
• Pollakuria – frequent daytime urination
• Urinary incontinence
 ▫ Total incontinence
    A continuous and unpredictable loss of urine
    Ex: injury to external urinary sphincter in males
 ▫ Functional incontinence
    The involuntary unpredictable passage of urine
    With intact urinary and nervous system
    Cause – change in environment, sensory , in
     cognitive, or mental defects
Altered Urinary Elimination
 ▫ Stress incontinence
    Leakage less than 50 cc as a result of sudden increase in
     intra-abdominal pressure
      Ex: when one coughs, sneezes, laughs or exerts physically
 ▫ Urge incontinence
    Follows a sudden strong desire to urinate
    Unable to stop urine flow one it start as in the elderly
 ▫ Reflex incontinence
    Is an involuntary loss of urine occurring at somewhat
     predictable intervals when a specific bladder volume is
     reacted
Altered Urinary Elimination
• Urinary retention
 ▫ Accumulation of urine in bladder with associated
   inability of bladder to empty itself -> 250-400 cc.
   urine in bladder triggers urination
For Urinary Incontinence
• Bladder retraining program – establishes regular
  voiding time
• Avoid large amounts of fruit juices and
  carbonated drinks
• Schedule diuretics in AM
• Adequate fluid intake
• Avoid stimulants at night
• Kegel’s exercise
Clinical Signs of Urinary Retention
• Discomfort in the pubic area
• Bladder distention
• Inability to void or frequent voiding of small
  volumes
• A disproportionately small amount of fluid output
  in relation to intake
• Increasing restlessness and need to void
Nursing Measures to Induce Voiding
•   Provide privacy
•   Provide fluids to drink
•   Assist in proper positioning for voiding
•   Serve clean, warm, and dry bedpan
•   Allow to listen to sound of running water etc.
•   Alternate warm and cold water over perineum
•   Promote relaxation
•   Provide adequate time for voiding

More Related Content

What's hot

Urinary Catheterization
Urinary CatheterizationUrinary Catheterization
Urinary Catheterization
Tosca Torres
 
Pre and post operative nursing management ksu
Pre and post operative nursing management ksuPre and post operative nursing management ksu
Pre and post operative nursing management ksu
pelua1
 

What's hot (20)

Sitz bath Procedure
Sitz bath ProcedureSitz bath Procedure
Sitz bath Procedure
 
Scrub nurse
Scrub nurseScrub nurse
Scrub nurse
 
Nasogastric tube insertion and feeding
Nasogastric tube insertion and feedingNasogastric tube insertion and feeding
Nasogastric tube insertion and feeding
 
Sitz bath converted
Sitz bath convertedSitz bath converted
Sitz bath converted
 
Instillation of medication
Instillation of medicationInstillation of medication
Instillation of medication
 
Patient feeding
Patient feedingPatient feeding
Patient feeding
 
Intake and output chart
Intake and output chartIntake and output chart
Intake and output chart
 
Colostomy care
Colostomy careColostomy care
Colostomy care
 
Bladder irrigation
Bladder  irrigationBladder  irrigation
Bladder irrigation
 
Gastrostomy
GastrostomyGastrostomy
Gastrostomy
 
Diarrhea Nursing Care Plan
Diarrhea  Nursing Care PlanDiarrhea  Nursing Care Plan
Diarrhea Nursing Care Plan
 
Insertion of NG tube
Insertion of NG tubeInsertion of NG tube
Insertion of NG tube
 
Catheter care
Catheter careCatheter care
Catheter care
 
Parenteral fluid therapy
Parenteral fluid therapyParenteral fluid therapy
Parenteral fluid therapy
 
Bladder irrigation
Bladder irrigationBladder irrigation
Bladder irrigation
 
Patient teaching
Patient teachingPatient teaching
Patient teaching
 
Urinary Catheterization
Urinary CatheterizationUrinary Catheterization
Urinary Catheterization
 
Scrub and circulating nurse
Scrub and circulating nurseScrub and circulating nurse
Scrub and circulating nurse
 
Nursing care for nasogastric tube patients
Nursing care for nasogastric tube patientsNursing care for nasogastric tube patients
Nursing care for nasogastric tube patients
 
Pre and post operative nursing management ksu
Pre and post operative nursing management ksuPre and post operative nursing management ksu
Pre and post operative nursing management ksu
 

Viewers also liked

Urinary Elimination
Urinary EliminationUrinary Elimination
Urinary Elimination
Tosca Torres
 
elimination, nursing
elimination, nursingelimination, nursing
elimination, nursing
twiggypiggy
 
Urinary Elimination & Catheters
Urinary Elimination & CathetersUrinary Elimination & Catheters
Urinary Elimination & Catheters
payneje
 
Elimination system (urinary) 26 june 2015
Elimination system (urinary) 26 june 2015Elimination system (urinary) 26 june 2015
Elimination system (urinary) 26 june 2015
sarmadsoomar92
 
Chemical Engineering and its Applications (2)
Chemical Engineering and its Applications (2)Chemical Engineering and its Applications (2)
Chemical Engineering and its Applications (2)
Cumali KALKAN
 
Hydraulic Hybrids
Hydraulic HybridsHydraulic Hybrids
Hydraulic Hybrids
kkohlmann
 
Basic factors that affect human comfort
Basic factors that affect human comfortBasic factors that affect human comfort
Basic factors that affect human comfort
Kenneth Bowazi
 

Viewers also liked (20)

Urinary Elimination
Urinary EliminationUrinary Elimination
Urinary Elimination
 
elimination, nursing
elimination, nursingelimination, nursing
elimination, nursing
 
Urinary Elimination & Catheters
Urinary Elimination & CathetersUrinary Elimination & Catheters
Urinary Elimination & Catheters
 
NurseReview.Org - Elimination Nursing Lecture
NurseReview.Org - Elimination Nursing LectureNurseReview.Org - Elimination Nursing Lecture
NurseReview.Org - Elimination Nursing Lecture
 
Chapter 16. Urinary Elimination
Chapter 16. Urinary EliminationChapter 16. Urinary Elimination
Chapter 16. Urinary Elimination
 
Elimination
EliminationElimination
Elimination
 
Bowel elimination
Bowel eliminationBowel elimination
Bowel elimination
 
Bowel Elimination
Bowel EliminationBowel Elimination
Bowel Elimination
 
Regulation of blood Glucose Levels
Regulation of blood Glucose LevelsRegulation of blood Glucose Levels
Regulation of blood Glucose Levels
 
Nursing skills procedure manualll
Nursing skills procedure manualllNursing skills procedure manualll
Nursing skills procedure manualll
 
Elimination system (urinary) 26 june 2015
Elimination system (urinary) 26 june 2015Elimination system (urinary) 26 june 2015
Elimination system (urinary) 26 june 2015
 
Elimination system (urinary) 26 june 2015
Elimination system (urinary) 26 june 2015Elimination system (urinary) 26 june 2015
Elimination system (urinary) 26 june 2015
 
Chazapis Systems Commissioning Lessons.
Chazapis Systems Commissioning Lessons.Chazapis Systems Commissioning Lessons.
Chazapis Systems Commissioning Lessons.
 
2. Safety Devices
2. Safety Devices2. Safety Devices
2. Safety Devices
 
Time introduction to 24 hour time
Time introduction to 24 hour timeTime introduction to 24 hour time
Time introduction to 24 hour time
 
Chemical Engineering and its Applications (2)
Chemical Engineering and its Applications (2)Chemical Engineering and its Applications (2)
Chemical Engineering and its Applications (2)
 
elimination
eliminationelimination
elimination
 
Hydraulic Hybrids
Hydraulic HybridsHydraulic Hybrids
Hydraulic Hybrids
 
Basic factors that affect human comfort
Basic factors that affect human comfortBasic factors that affect human comfort
Basic factors that affect human comfort
 
Process Safety Competency rev 5
Process Safety Competency rev 5Process Safety Competency rev 5
Process Safety Competency rev 5
 

Similar to Urinary Elimination

cocentrating abilities of the kidneys is complex through countercurrent mecha...
cocentrating abilities of the kidneys is complex through countercurrent mecha...cocentrating abilities of the kidneys is complex through countercurrent mecha...
cocentrating abilities of the kidneys is complex through countercurrent mecha...
meducationdotnet
 
Urinary elimination.pptxmmmmmmkmkkkkkkkii
Urinary elimination.pptxmmmmmmkmkkkkkkkiiUrinary elimination.pptxmmmmmmkmkkkkkkkii
Urinary elimination.pptxmmmmmmkmkkkkkkkii
RawalRafiqLeghari
 

Similar to Urinary Elimination (20)

URINARY ELIMINATION.pptx
URINARY ELIMINATION.pptxURINARY ELIMINATION.pptx
URINARY ELIMINATION.pptx
 
Concept of Elimination.pdf
Concept of Elimination.pdfConcept of Elimination.pdf
Concept of Elimination.pdf
 
Urinary elimination
Urinary eliminationUrinary elimination
Urinary elimination
 
Concept of Elimination.docx
Concept of Elimination.docxConcept of Elimination.docx
Concept of Elimination.docx
 
cocentrating abilities of the kidneys is complex through countercurrent mecha...
cocentrating abilities of the kidneys is complex through countercurrent mecha...cocentrating abilities of the kidneys is complex through countercurrent mecha...
cocentrating abilities of the kidneys is complex through countercurrent mecha...
 
Urinary elimination.pptxmmmmmmkmkkkkkkkii
Urinary elimination.pptxmmmmmmkmkkkkkkkiiUrinary elimination.pptxmmmmmmkmkkkkkkkii
Urinary elimination.pptxmmmmmmkmkkkkkkkii
 
urinary elimination.pptx
urinary elimination.pptxurinary elimination.pptx
urinary elimination.pptx
 
urinalysis [Autosaved].pptx how to interpret
urinalysis [Autosaved].pptx how to interpreturinalysis [Autosaved].pptx how to interpret
urinalysis [Autosaved].pptx how to interpret
 
urine test.pptx
urine test.pptxurine test.pptx
urine test.pptx
 
Charecteristics of feces.pptx
Charecteristics of feces.pptxCharecteristics of feces.pptx
Charecteristics of feces.pptx
 
Elimination
EliminationElimination
Elimination
 
Elimination
EliminationElimination
Elimination
 
Retension & Incontinence of Urine.pptx
Retension & Incontinence of Urine.pptxRetension & Incontinence of Urine.pptx
Retension & Incontinence of Urine.pptx
 
nursing care for renal patients power point
nursing care for renal patients power pointnursing care for renal patients power point
nursing care for renal patients power point
 
Renal Pathophysiology
Renal PathophysiologyRenal Pathophysiology
Renal Pathophysiology
 
Urine analysis
Urine analysisUrine analysis
Urine analysis
 
URINARY SYSTEM -1.ppt
URINARY SYSTEM -1.pptURINARY SYSTEM -1.ppt
URINARY SYSTEM -1.ppt
 
Do you feel shortness of breath or Bad concentration? Do the Kidney function...
 Do you feel shortness of breath or Bad concentration? Do the Kidney function... Do you feel shortness of breath or Bad concentration? Do the Kidney function...
Do you feel shortness of breath or Bad concentration? Do the Kidney function...
 
Hydronephrosis
HydronephrosisHydronephrosis
Hydronephrosis
 
Urinary elimination VI b.pdf
Urinary elimination VI b.pdfUrinary elimination VI b.pdf
Urinary elimination VI b.pdf
 

More from Richard Araneta (18)

Relationship Theories
Relationship TheoriesRelationship Theories
Relationship Theories
 
Process Theories
Process TheoriesProcess Theories
Process Theories
 
Caring Theories
Caring TheoriesCaring Theories
Caring Theories
 
Adaptation Theories
Adaptation TheoriesAdaptation Theories
Adaptation Theories
 
The Nature of Psychololgy
The Nature of PsychololgyThe Nature of Psychololgy
The Nature of Psychololgy
 
Psychology Mind Map
Psychology Mind MapPsychology Mind Map
Psychology Mind Map
 
Memory
MemoryMemory
Memory
 
Approaches to Psychology
Approaches to PsychologyApproaches to Psychology
Approaches to Psychology
 
Nomenclature
NomenclatureNomenclature
Nomenclature
 
Lesson 2 Isomerism
Lesson 2 IsomerismLesson 2 Isomerism
Lesson 2 Isomerism
 
Lesson 1 Organic Chemistry
Lesson 1 Organic ChemistryLesson 1 Organic Chemistry
Lesson 1 Organic Chemistry
 
Intermolecular Force
Intermolecular ForceIntermolecular Force
Intermolecular Force
 
Chemical Bonding - Basic Concepts
Chemical Bonding - Basic ConceptsChemical Bonding - Basic Concepts
Chemical Bonding - Basic Concepts
 
Atoms and Charge
Atoms and ChargeAtoms and Charge
Atoms and Charge
 
Awesome Volleyball Lecture
Awesome Volleyball LectureAwesome Volleyball Lecture
Awesome Volleyball Lecture
 
Supporting adequate nutrition
Supporting adequate nutritionSupporting adequate nutrition
Supporting adequate nutrition
 
Oxygenation
OxygenationOxygenation
Oxygenation
 
Sleep
SleepSleep
Sleep
 

Recently uploaded

Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the HeartCardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
MedicoseAcademics
 
THORACOTOMY . SURGICAL PERSPECTIVES VOL 1
THORACOTOMY . SURGICAL PERSPECTIVES VOL 1THORACOTOMY . SURGICAL PERSPECTIVES VOL 1
THORACOTOMY . SURGICAL PERSPECTIVES VOL 1
DR SETH JOTHAM
 

Recently uploaded (20)

Is Rheumatoid Arthritis a Metabolic Disorder.pptx
Is Rheumatoid Arthritis a Metabolic Disorder.pptxIs Rheumatoid Arthritis a Metabolic Disorder.pptx
Is Rheumatoid Arthritis a Metabolic Disorder.pptx
 
World Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptWorld Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 ppt
 
Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the HeartCardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
 
Multiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMultiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptx
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...
 
NCLEX RN REVIEW EXAM CONTENT BLUE BOOK PDF
NCLEX RN REVIEW EXAM CONTENT BLUE BOOK PDFNCLEX RN REVIEW EXAM CONTENT BLUE BOOK PDF
NCLEX RN REVIEW EXAM CONTENT BLUE BOOK PDF
 
Effects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial healthEffects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial health
 
Retinal consideration in cataract surgery
Retinal consideration in cataract surgeryRetinal consideration in cataract surgery
Retinal consideration in cataract surgery
 
THORACOTOMY . SURGICAL PERSPECTIVES VOL 1
THORACOTOMY . SURGICAL PERSPECTIVES VOL 1THORACOTOMY . SURGICAL PERSPECTIVES VOL 1
THORACOTOMY . SURGICAL PERSPECTIVES VOL 1
 
Video capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in childrenVideo capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in children
 
Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)
 
Cardiovascular Physiology - Regulation of Cardiac Pumping
Cardiovascular Physiology - Regulation of Cardiac PumpingCardiovascular Physiology - Regulation of Cardiac Pumping
Cardiovascular Physiology - Regulation of Cardiac Pumping
 
The Orbit & its contents by Dr. Rabia I. Gandapore.pptx
The Orbit & its contents by Dr. Rabia I. Gandapore.pptxThe Orbit & its contents by Dr. Rabia I. Gandapore.pptx
The Orbit & its contents by Dr. Rabia I. Gandapore.pptx
 
linearity concept of significance, standard deviation, chi square test, stude...
linearity concept of significance, standard deviation, chi square test, stude...linearity concept of significance, standard deviation, chi square test, stude...
linearity concept of significance, standard deviation, chi square test, stude...
 
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time  modality -Dr Ayman Se...Renal Replacement Therapy in Acute Kidney Injury -time  modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
 
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
 
Mgr university bsc nursing adult health previous question paper with answers
Mgr university  bsc nursing adult health previous question paper with answersMgr university  bsc nursing adult health previous question paper with answers
Mgr university bsc nursing adult health previous question paper with answers
 
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
 
Anuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatmentAnuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatment
 
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptxCURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
 

Urinary Elimination

  • 2. Characteristics of Urine • Color ▫ Amber/ straw • Odor ▫ Aromatic upon voiding • Transparency ▫ Clear • pH ▫ Slightly acidic (4.6-8; average 6)
  • 3. Characteristics of Urine • Specific gravity ▫ 1.010-1.025  High – concentrated urine  Low – diluted urine • Amount ▫ 30-60 cc./hour = 1500 cc./day
  • 4. Problems in Urinary Elimination • Altered Urine Composition ▫ RBC – hematuria ▫ WBC ▫ Pus – pyuria ▫ Bacteria – bacterunia ▫ Albunin – albuminuria ▫ Protein – proteinuria ▫ Casis – cylindruria ▫ Glucose – glycosuria ▫ Ketoes – ketonuria
  • 5. Problems in Urinary Elimination • Altered urine production ▫ Polyuria – excessive urination  More than 100 cc/hour  Above 2500 cc/day (diuresis) ▫ Oliguria – decreased urination  Less than 30 cc/hour  100-500 cc/day ▫ Anuria – absence of urine  0-10 cc/hour = less than 100 cc/day  Urinary suppression
  • 6. Altered Urinary Elimination • Frequency • Nocturia – frequent during the night • Urgency – strong feeling that a person wants to void • Dysuria • Hesitancy – difficulty in initiating voiding • Enuresis – repeated involuntary voiding beyond 4-5 yr old
  • 7. Altered Urinary Elimination • Pollakuria – frequent daytime urination • Urinary incontinence ▫ Total incontinence  A continuous and unpredictable loss of urine  Ex: injury to external urinary sphincter in males ▫ Functional incontinence  The involuntary unpredictable passage of urine  With intact urinary and nervous system  Cause – change in environment, sensory , in cognitive, or mental defects
  • 8. Altered Urinary Elimination ▫ Stress incontinence  Leakage less than 50 cc as a result of sudden increase in intra-abdominal pressure  Ex: when one coughs, sneezes, laughs or exerts physically ▫ Urge incontinence  Follows a sudden strong desire to urinate  Unable to stop urine flow one it start as in the elderly ▫ Reflex incontinence  Is an involuntary loss of urine occurring at somewhat predictable intervals when a specific bladder volume is reacted
  • 9. Altered Urinary Elimination • Urinary retention ▫ Accumulation of urine in bladder with associated inability of bladder to empty itself -> 250-400 cc. urine in bladder triggers urination
  • 10. For Urinary Incontinence • Bladder retraining program – establishes regular voiding time • Avoid large amounts of fruit juices and carbonated drinks • Schedule diuretics in AM • Adequate fluid intake • Avoid stimulants at night • Kegel’s exercise
  • 11. Clinical Signs of Urinary Retention • Discomfort in the pubic area • Bladder distention • Inability to void or frequent voiding of small volumes • A disproportionately small amount of fluid output in relation to intake • Increasing restlessness and need to void
  • 12. Nursing Measures to Induce Voiding • Provide privacy • Provide fluids to drink • Assist in proper positioning for voiding • Serve clean, warm, and dry bedpan • Allow to listen to sound of running water etc. • Alternate warm and cold water over perineum • Promote relaxation • Provide adequate time for voiding