Urinary Bladder Mass
Urinary Bladder Mass
Urinary Bladder Mass
Birthdate: May 23, 1954 Admitting Diagnosis: Impaired Urinary Elimination r/t Level/Block/Group:
Urinary Bladder Mass AEB Hematuria 4BSN-06
Subjective Data: A urostomy is a Desired Record urinary Sudden decrease in Goals met.
“Hindi ko surgical procedure Outcomes/ output. urine flow may indicate After nursing
nararamdaman yung ihi that creates a stoma Evaluation Investigate obstruction or interventions,
ko eh” as verbalized by (artificial opening) for Criteria: sudden reduction dysfunction, such as the patient
the patient. the urinary system. A or cessation of blockage by edema or can:
urostomy is made to After nursing urine flow mucus, or
Objective Data: avail for urinary interventions, the dehydration. - Display
Oriented diversion in cases patient is continuous flow
Observe and
Coherent where drainage of expected to: of urine, with
urine through the record color of Continued bleeding, output
Irritability urine. Note frank blood in the
bladder and urethra - Display adequate for
Anxious hematuria or pouch, or
is not possible, e.g., continuous flow individual
after extensive of urine, with bleeding from oozing around the situation.
surgery or in case of output adequate stoma. base of stoma requires
Vital Signs taken: obstruction. for individual medical - Maintained
BP- 140/90 situation. Position tubing evaluation and appropriate
mmHg and drainage intervention. mental and
HR- 70 bpm - Maintain pouch so that it physical
appropriate allows unimpeded functioning.
RR- 20 cpm Blocked drainage
mental and flow of urine.
Temp- 36.5 physical allows pressure to - Demonstrated
degrees Celsius Monitor and
functioning as build within urinary active
protect stents.
long as possible. tract, risking participation in
Encourage anastomosis leakage necessary and
increased fluids and damage to renal desired
- Demonstrate and maintain parenchyma activities in
active accurate intake activity levels.
participation in Maintains hydration
NURSING DIAGNOSIS necessary and and good urine flow.
Monitor vital
desired activities
signs. Assess
Impaired Urinary in activity levels.
peripheral pulses, Indicators of fluid
Elimination r/t Urinary
Bladder Mass AEB skin turgor, balance. Reflects level
Hematuria capillary refill, and of hydration and
oral mucosa. effectiveness of fluid
Weigh daily replacement therapy