Urinary incontinence overview Flashcards Preview

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Flashcards in Urinary incontinence overview Deck (31):
1

what are the two types of symptoms

irritative and obstructive

2

does stress have irritative or obstructive symptoms?

No

3

what are initiating events of stress incontinence

sneezing
coughing
standing
laughing

4

what type symptoms does urge incontinence have

irritative symptoms

5

will overflow have irritative symptoms or initiating event?

Yes and no

6

what symptoms will overflow incontinence have

obstructive symptoms (but may have symptoms of urge or stress)

7

what do you not use anticholinergics/ TCAs to treat?

overflow incontinence

8

what are alpha blockers used to treat?

BPH, HTN (2nd line)

9

how long is chronic incontinence considered

6 weeks

10

what test do you do for stress incontinence?

pelvic laxity test

11

place fingers in lateral fornices, and have them bear down if they void then don't void with finger pressure

The bonney (Marshall) test

12

what do you use for urge incontinence

bladder training

13

old school drug used for urge incontinence. not bladder specific, can cause dry mouth and eyes.

Oxybutynin (OTC in patch)

14

distended bladder due to obstruction at base or due to atonic or flaccid bladder. Strian to urinate or decreased flow to urinate. Will high post residual volume

overflow incontinence

15

tx for overflow bladder

catheter them slowly or can have a massive vasovagal response

16

what is hypothermia?

<35 C or 95 F

17

do older people shiver for longer or shorter than younger people?

shorter

18

tx for hypothermia

warm IV fluid
warm core before limbs

19

anticipatory monitoring for hypothermia

metabolic acidosis
cardiac decompensation/ arrhytmias
hyperkalemia, hypoglycemia
renal failure

20

best tx for hypothermia

prevention
patient awareness
foot wear for circulation

21

hyperthermia

core temp >40.6C or >105

22

type of incontinence alpha adrenergic agonists treats (increase urethral tone)

mild stress

23

type of intontience that anticholinergic agents treat by increasing bladder capacity and volume threshold

Urge

24

antispasmodic drugs are used to treat what type of incontinence by depressing smooth muscle activity.

urge

25

type of incontinence that TCAs tx by increasing bladder relaxation and spinchter tone

mixed
stress
urge

26

what type incontinence does estrogen tx?

Stress
Urge

27

What type incontinence does botox tx?

urge
(spinal cord injury, MS)

28

Type of drugs for BPH

alpha 1 blocker (relaxes smooth muscle)
5 alpha reductase inhibitors (block testosterone)`

29

Tx for stress incontinence

Kegel
estrogen
duloxitine
surgery
pessary
diapers
alpha adrenergic agonists
TCAs

30

txs for urge incontinence

bladder training
anticholinergis/ antimusarcinic
TCAs with anticholinergic properties
diapers/ incontinence

31

Tx for atonic or flaccid bladder (loss of neural innervation)

TCAs
narcotics
tranquilizers
anticholinergics