Flashcards in Incontinence Deck (28):
what increases risk of inconteience
age related bladder changes
bladder capacity decline
increase in residual urine
involuntary bladder contractions
what causes atrophic vaginitis and urethritis? can lead to UTI and urgency incontinence
Prostatic enlargement often causes what in men?
Overflow types of incontinence
2 types of inconteinence
Reversible and non-deversible
what is DRIP? (reversible incontinence)
restriction mobility/ retention
infection/ infalm/ impaction
what can cause osmotic diuresis, increased urine output?
urethral spinchter is weakened so that transient increases in intra-abdominal pressure raise the bladder pressure to levels that excessed urethral resistance
momentary leakage of small amount of liquid with coughing, laughing, sneezing. Not associated w/ a desire to urinate.
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.
detrusor contraction insufficient to overcome urethral resistance. large bladder. can be due to BPH, tumor. associated w/ peripheral nerve dz at sacral level
functional inability to get to the toliet in time.
what type of incontinence do you not use anticholinergics for.
What two types of incontinence have initiating events? (cough, laugh, sneeze, walking)
Does urge incontinence have high or low volume?
What type of incontinence has a large bladder?
What is an example of alpha-adrenergic agonist used to treat mild stress?
Oxybutynin, tolterodine, trospium are what?
Anticholinergic agents to treat urge
What are tricyclic antidepressants for?
Mixed, stress and urge
What is estrogen deficient related to?
stress and urge
If does not resolve within ____ weeks = chronic, established incontinence
The Q-tip test and the Bonney (Marshall) test are associated with
Treatment for stress incontinence
Estrogen (only if postmenopausal)
Duloxitine – serotonin/norepinephrine reuptake inhibitor
What are sensory causes of urge incontinence?
infection or inflammation
What is the goal of pharm for urge incontinence?
relax smooth muscle at base (trigone) of bladder or block the involuntary bladder contractions
What are 5 drugs for overflow incontinence?
tricyclics, narcotics, tranquilizers, CCB, anticholinergics
What incontinence can't be treated with meds?