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Flashcards in Incontinence Deck (28):
1

what increases risk of inconteience

women
age
multi parity

2

age related bladder changes

bladder capacity decline
increase in residual urine
involuntary bladder contractions

3

what causes atrophic vaginitis and urethritis? can lead to UTI and urgency incontinence

low estrogen

4

Prostatic enlargement often causes what in men?

Overflow types of incontinence

5

2 types of inconteinence

Reversible and non-deversible

6

what is DRIP? (reversible incontinence)

Delirium
restriction mobility/ retention
infection/ infalm/ impaction
polyuria/ polypharm

7

what can cause osmotic diuresis, increased urine output?

Hyperglycemia

8

urethral spinchter is weakened so that transient increases in intra-abdominal pressure raise the bladder pressure to levels that excessed urethral resistance

stress incontinence

9

momentary leakage of small amount of liquid with coughing, laughing, sneezing. Not associated w/ a desire to urinate.

stress incontinence

10

Detrusor contractions stronger than normal and overcome the normal urethral resistance. Usually a small bladder. Caused by cortical inhibition, hyper excitability of sensory pathway, deconditioning of voiding refluxes.

Urge incontinence

11

detrusor contraction insufficient to overcome urethral resistance. large bladder. can be due to BPH, tumor. associated w/ peripheral nerve dz at sacral level

Overflow incontinence

12

functional inability to get to the toliet in time.

Functional incontinence

13

what type of incontinence do you not use anticholinergics for.

Overflow incontinence

14

What two types of incontinence have initiating events? (cough, laugh, sneeze, walking)

Stress
Overflow

15

Does urge incontinence have high or low volume?

high

16

What type of incontinence has a large bladder?

overflow

17

What is an example of alpha-adrenergic agonist used to treat mild stress?

pseudophedrine

18

Oxybutynin, tolterodine, trospium are what?

Anticholinergic agents to treat urge

19

What are tricyclic antidepressants for?

Mixed, stress and urge

20

What is estrogen deficient related to?

stress and urge

21

If does not resolve within ____ weeks = chronic, established incontinence

6

22

The Q-tip test and the Bonney (Marshall) test are associated with

Stress incontinence

23

Treatment for stress incontinence

Kegel
Estrogen (only if postmenopausal)
Duloxitine – serotonin/norepinephrine reuptake inhibitor
Surgery
Pessary
Diapers/incontinence pads

24

What are sensory causes of urge incontinence?

infection or inflammation

25

What is the goal of pharm for urge incontinence?

relax smooth muscle at base (trigone) of bladder or block the involuntary bladder contractions

26

What are 5 drugs for overflow incontinence?

tricyclics, narcotics, tranquilizers, CCB, anticholinergics

27

What incontinence can't be treated with meds?

functional incontinence

28

What are irritative symptoms?

urinary frequency, urgency, nocturia