Acute Urinary Retention Flashcards
1
Q
Acute Urinary Retention
A
inability to pass urine
2
Q
causes
A
obstruction: BPH prostate cancer pregnancy UTI constipation
medications
innervation problems
3
Q
signs
A
inability to pass urine
suprapubic pain
palpable bladder
4
Q
investigations
A
urinalysis culture U+Es bloods - for any infection USS before management
5
Q
management
A
immediate catherisation
discharge patient on tamsulosin and see how they cope without catherisation
depending on causes:
TURP
long term cauterisation
6
Q
what are the side effects of tamsulosin
A
postural hypotension
7
Q
what medications can cause AUR
A
TCA
spinal/epidural anaesthetics
NSAIDs
opioids
8
Q
complications
A
post-obstructive diuresis
chronic urinary retention