Continuous bladder irrigation - A three-way (lumen) irrigation is used to decrease bleeding and
to keep the bladder free from clots—one lumen is for inflating the balloon (30 mL); one lumen is
for instillation (inflow); one lumen is for outflow.
Continuous irrigation may be used with TURP.
Th...
continuous bladder irrigation a three way lumen irrigation is used to decrease bleeding and to keep the bladder free from clots—one lumen is for inflating
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2022 MILESTONE 2 RETAKE COMPLETE SOLUTION
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HEALTH CARE
2022 MILESTONE 2 RETAKE COMPLETE SOLUTION
Continuous bladder irrigation - A three-way (lumen) irrigation is used to decrease bleeding and
to keep the bladder free from clots—one lumen is for inflating the balloon (30 mL); one lumen is
for instillation (inflow); one lumen is for outflow.
Continuous irrigation may be used with TURP.
The amount of fluid recovered in the drainage bag must equal the amount of fluid instilled --
secondary hemorrhage may occur from overdistension
Urethritis - Common in postmenopausal women
Low estrogen levels decrease moisture and secretions in the perineal area, predisposing it to
the development of infection
Treatments:
- Antibiotic eyedrops if infection is the underlying cause
- Antithyroid therapy (propylthiouracil, methimazole), if Graves' disease is the underlying cause
- Corticosteroids for optic neuropathy
- Eye lubricants (artificial tears)
- Surgery if vision is threatened
Sensory perception peripheral neuropathy - The heels are particularly susceptible to breakdown
because of loss of sensation of pain and pressure associated with sensory neuropathy.
The skin is assessed for dryness, cracks, breakdown, and redness, especially at pressure
points and on the lower extremities. The patient is asked about symptoms of neuropathy, such
as tingling and pain or numbness of the feet. Deep tendon reflexes are assessed.
Teaching: Use a mirror to inspect feet daily.
Diabetes foot care - Feet should be cleaned, dried, lubricated with lotion (but not between the
toes), and inspected frequently
Supine position - alleviate pressure on the heels by elevating lower legs on a pillow, the heels
positioned over the edge of pillow
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