Flashcards in Urinary incontinence overview Deck (31):
what are the two types of symptoms
irritative and obstructive
does stress have irritative or obstructive symptoms?
what are initiating events of stress incontinence
what type symptoms does urge incontinence have
will overflow have irritative symptoms or initiating event?
Yes and no
what symptoms will overflow incontinence have
obstructive symptoms (but may have symptoms of urge or stress)
what do you not use anticholinergics/ TCAs to treat?
what are alpha blockers used to treat?
BPH, HTN (2nd line)
how long is chronic incontinence considered
what test do you do for stress incontinence?
pelvic laxity test
place fingers in lateral fornices, and have them bear down if they void then don't void with finger pressure
The bonney (Marshall) test
what do you use for urge incontinence
old school drug used for urge incontinence. not bladder specific, can cause dry mouth and eyes.
Oxybutynin (OTC in patch)
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
tx for overflow bladder
catheter them slowly or can have a massive vasovagal response
what is hypothermia?
<35 C or 95 F
do older people shiver for longer or shorter than younger people?
tx for hypothermia
warm IV fluid
warm core before limbs
anticipatory monitoring for hypothermia
cardiac decompensation/ arrhytmias
best tx for hypothermia
foot wear for circulation
core temp >40.6C or >105
type of incontinence alpha adrenergic agonists treats (increase urethral tone)
type of intontience that anticholinergic agents treat by increasing bladder capacity and volume threshold
antispasmodic drugs are used to treat what type of incontinence by depressing smooth muscle activity.
type of incontinence that TCAs tx by increasing bladder relaxation and spinchter tone
what type incontinence does estrogen tx?
What type incontinence does botox tx?
(spinal cord injury, MS)
Type of drugs for BPH
alpha 1 blocker (relaxes smooth muscle)
5 alpha reductase inhibitors (block testosterone)`
Tx for stress incontinence
alpha adrenergic agonists
txs for urge incontinence
TCAs with anticholinergic properties