Urinary Incontinence Flashcards Preview

Geriatrics > Urinary Incontinence > Flashcards

Flashcards in Urinary Incontinence Deck (29):
1

Is urinary incontinence a normal age related change?

No

2

What are the causes of urinary incontinence?

Delirium
Restricted mobility
Infx
Polyuria
Pharmaceuticals

[DRIPP}

3

What is urge incontinence?

pts experience sudden, strong urge to urinate.

The detrusor muscle is responding to small urinary volumes with contraction

4

What is the treatment for urge incontinence?

Kiegel exercises and bladder relaxation

5

What are the two meds that are good for urge incontinence?

Ditropan
Detrol

6

What is stress incontinence?

Pts lose urine d/t increased intraabdominal pressure

7

What is the treatment for stress incontinence?

Kiegel exercises
Alpha blockade (sudafed)

8

What is overflow incontinence?

Bladder will not empty until there is enough volume to push it out

9

What are the causes of overflow incontinence?

B12 deficiency
DM
tabes dorsalis
EtOH-ism

Outlet obstruction

10

What is mixed urinary incontinence?

Stress + urge incontinence

11

What is functional UI?

Inability or unwillingness d/t psych

12

What is bladder sphincter dyssynergia?

no relaxation of the sphincters

13

T or F: UTIs can cause UI

True

14

Precipitant urgency suggests what?

Detrusor overactivity

15

Loss of urine with cough or strain suggests what?

Stress UI

16

Continuous leakage suggests what?

Weakness or overflow UI

17

True or false: keeping a voiding record is very useful for determining the type of UI

True

18

What is the standing bladder test?

Relaxing followed by coughing with resultant loss of urine suggests stress UI

19

What is the normal value for a post-void residual?

20

What is urodynamic testing?

Testing stress of bladder at various urine loads

21

What is the main treatment for detrusor instability?

Kiegel exercises

22

True or false: decreasing EtOH and caffeine has not been shown to relieve UI

false

23

What is the main treatment for Stress incontinence?

Kiegels

24

When is estrogen replacement helpful for UI?

Stress or urge

25

What type of drugs are used to treat urge incontinence?

Anticholinergics

26

What is the treatment for BPH induced UI?

alpha blockade or surgery

27

What is the only type of catheter that is appropriate for care?

Silver alloy hydrogel catheter in a closed system

28

True or false: foley caths are only to be used in chronic UI

true

29

How often do you change foley caths?

6-8 weeks