Retention and Incontinence

Question 1

urinary retention

Answer 1

inability to completely empty bladder with voiding or accumulation of urine because of inability to void.

acute: medical emergency
chronic: incomplete emptying despite urination

Question 2

when do we cath?

Answer 2

PVR CATH: >300-350 mL

Question 3

incontinence considerations

Answer 3

frequent toileting
prompt answering of call lights (if possible)

assess for skin breakdown
assess need for briefs or catherization
assess for psychosocial-shame/embarassment

Question 4

Normal PVR

Answer 4

PVR normal is 50-75 mLs

Question 5

PVR to repeat and re-evaluate

Answer 5

PVR repeat/further eval is >100 mL
PVR repeat/further eval is >200 mL

Question 6

what medications can be given?

Answer 6

Alpha-adrenergic blockers:
reduce urtheral sphincter resistance to urinary outflow

Doxazosin and Tamsulosin
Indicated for: BPH, bladder neck incoordination, detrusor muscle incoordination,

CAUTION/CONTRAINDICATION:
pregnancy/lactation, hypotension, hepatic and renal disease

monitor for orthostatic hypotension, pts. taking warfarin
report: dizziness or palpitations