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Urinary Incontinence Flashcards

(42 cards)

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1
Q

Top 8 risk factors for urinary incontinence:

A
  • females
  • increased age
  • medications
  • obesity/pregnancy
  • pelvic muscle weakness
  • immobility/impaired cognition
  • benign prostatic hyperplasia (BPH)
  • neurogenic disorders
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2
Q

Females have increased risk of urinary incontinence b/c of…

A
  • changes in estrogen

- shorter urethra (less resistance to pressure)

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3
Q

Increased age increases the risk of urinary incontinence b/c…

A
  • kidney’s ability to [ ] urine decreases, so larger volume of urine
  • decreased muscle tone in bladder, sphincters, and pelvic muscles
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4
Q

Medications increase the risk of urinary incontinence b/c of the…

A

side effects

  • muscle relaxants
  • diuretics
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5
Q

Obesity/pregnancy increases the risk of urinary incontinence b/c of:

A

increased mass and pressure on bladder and urinary tract

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6
Q

Pelvic muscle weakness increases the risk of urinary incontinence b/c…

A
  • plays role in voluntary control of urination

- strengthening muscles is treatment option

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7
Q

Immobility/impaired condition increases the risk of urinary incontinence b/c…

A

pt might not be able to reach bathroom or unwilling to release urine in proper place

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8
Q

Benign prostatic hyperplasia (BPH) increases the risk of urinary incontinence b/c…

A

prostate gland is enlarged and blocks urethra

- common cause of overflow incontinence in males

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9
Q

Neurogenic disorders increase the risk of urinary incontinence b/c of…

A

can cause loss of voluntary control of urinary tract

- ex: diabetic neuropathy/spinal cord injury

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10
Q

4 types of urinary incontinence (can use absorbent OTC supplies):

A
  • stress incontinence
  • overactive bladder (OAB) or urge
  • overflow incontinence
  • functional incontinence
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11
Q

Most common type of incontinence in women:

A

stress incontinence

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12
Q

Common symptoms of stress incontinence involve the involuntary leakage or urine due to…

A
  • sudden increase in abdominal pressure
  • sneezing
  • laughing
  • coughing
  • lifting
  • pregnancy
  • obesity
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13
Q

Stress incontinence occurs due to…

A

weakness or urethral sphincter and pelvic floor muscles

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14
Q

Treatment of stress incontinence:

A
  • pelvic floor exercises (knack maneuver/kegel exercises)

- can use Rx topical estrogen creams (no oral)

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15
Q

Rx topical estrogen cream only works if…

A

primary cause is due to estrogen deficiency

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16
Q

Overactive bladder (OAB) or urge is more common w/…

A

increased age

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17
Q

Symptoms of overactive bladder (OAB) or urge:

Study These Flashcards
A
  • sudden and profound urgency
  • increased frequency ( > 8 times a day)
  • nocturia
18
Q

Treatment of overactive bladder (OAB) or urge:

Study These Flashcards
A
  • OTC Oxytrol patch
  • Rx anticholinergics
  • usage of absorbent supplies
19
Q

Overflow incontinence occurs due to…

Study These Flashcards
A
  • over-distention of bladder

- outlet obstruction/underactive bladder

20
Q

Symptoms of overactive bladder (OAB) or urge:

Study These Flashcards
A
  • dribbling
  • decreased force
  • increased urgency
  • incomplete voiding
21
Q

Treatment of overactive bladder (OAB) or urge:

Study These Flashcards
A

Rx medications and absorbent supplies

22
Q

Functional incontinence is more common in…

23
Q

Functional incontinence occurs due to…

Study These Flashcards
A
  • stroke
  • decreased mobility
  • impaired cognition
  • functionally impaired pts
24
Q

Urine loss for functional incontinence is due to…

Study These Flashcards
A

impaired physical/cognitive impairment

- interferes w/ pt’s ability to reach bathroom

25
Nonpharm treatment options:
- toileting assistance - bladder training - pelvic floor exercises - absorbent supplies
26
First line of treatment for all types of urinary incontinence except overflow:
behavioral modifications (toileting assistance)
27
Toileting assistance:
using routine/scheduled voiding at regular intervals (Q2-4H)
28
Bladder training:
- type of behavioral modification - delay voiding when urge occurs and increase urine volume by increasing interval between voids - positive reinforcement
29
Bladder training is recommended for...
OAB/urge incontinence
30
Pelvic floor exercises:
- type of behavioral modification - improves urethral closure pressure by activating muscles of urethra - knack maneuver - kegel exercises
31
Knack maneuver:
contracting pelvic floor muscles in anticipation of and during increases in intra-abdominal pressure
32
Kegel exercises:
- squeezing pelvic muscles to stop flow of urine | - 10 reps 3-4 times a day (hold for 10 seconds)
33
Choosing an absorbent supply depends on...
amount of urine leakage
34
Absorbent supplies are used to...
- absorb urine - minimize skin contact w/ urine - protect clothing, bedding, and furniture while allowing mobility
35
Absorbent supplies will help ______ but not _______
relieve pt discomfort, doesn't treat condition
36
OTC Oxytrol/oxybutynin patch are for women/males
women
37
OTC Oxytrol/oxybutynin patch:
anticholinergic medication that relaxes detrusor muscle of bladder
38
OTC Oxytrol/oxybutynin patch only treats...
OAB/urge
39
T/F: OTC Oxytrol/oxybutynin patch is the only OTC pharm treatment option approved for OAB/urge urinary
T, only approved for women
40
OTC Oxytrol/oxybutynin patch should be applied every...
4 days to abdomen, hips, or butt
41
Common adverse effects of OTC Oxytrol/oxybutynin patch:
- skin irritation - constipation - dry mouth
42
Pt should see a doctor if there's no relief after ______ of using OTC Oxytrol/oxybutynin patch
2 weeks

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