1. Genito-urinary assessment
Nurs 101

2. Anatomy and physiology

3. kidneys Filter waste products of metabolism that collect in the blood
Waste of protein metabolism_______________
Excretes drug metabolites
Important in F&E balance
GFR normally 125 mL/minute

4. voiding Bladder starts to feel full at 150-200 mL
Strong void urge at mL
Absent void urge may be due to spinal or supra spinal nerve damage or bladder wall changes
Void normally every 2-4 hours
___________released at night decreases urine production

5. Terms to know Voiding Micturation Anuria Nocturia Hematuria Dysuria
Oligiouria

6. Multiparity Diabetic neuropathy Multiple sclerosis Parkinson’s Dz
Health history
Multiparity
Diabetic neuropathy
Multiple sclerosis
Parkinson’s Dz

7. History/ subjective complaints
Pain/fever/chills
Hesitancy/straining
Incontinence
Hematuria
Nocturia
Renal calculi/gravel
Anuria
Genital or sexually transmitted infections
Tobacco/etoh/recreational drugs
Meds

8. palpating Kidneys usually not palpable Palpate bladder for distention
External genital exam

9. Labs associated with urinary assessment
Glomerular filtration rate (GFR)
Normal values_________
Creatinine level
Normal values___________
Creatinine clearance (24 hour)

10. urinalysis Color, clarity pH and specific gravity protein Glucose
Ketones
Micro: RBC, WBC, bacteria, crystals
Table 53-4 (Hinkle and Cheever) color of urine

12. cystoscopy

13. cystoscopy
Description
Nursing implications