Bladder Dysfunction Flashcards
What are the two bladder dysfunction?
Urinary Incontience
Urinary retention
What is urinary incontinence?
Involuntary leakage of urine
Urinary Incontience is more prevalent in which group of people and gender
However it’s important to know that isn’t is because of what ?
Older adults
Women
Not consequence of aging
Gender differences in urinary Incontience is what?
Male (3)
Women (2)
Common with BPH
Prostate cancer
Overfilled incontinece from urinary retention
Stress and urge incontience
Etiology and Pathophysiology
Urinary incontience
Explain what/how/why it occurs?
It’s when the bladder pressure is greater than urethral closure pressure
Urinary Incontience causes what?
What’s the acronym?
(3)
(2)
(3)
(2)
D : Delirium, dehydration, depression
R : restricted mobility, rectal impaction
I : infection; inflammation, impaction
P : Polyuria, polypharmacy
What are the 5 types of urinary incontience?
Stress
Urge
Overflow
Reflex
Functional
Stress Incontience is associated with what?
Patients will have what type of muscles?
Most common in which gender and how ?
Caused by (3)
Treatment ?
Increased intraabdominal pressure
Weak pelvic floor muscles
Women & birth/decrease estrogen
Cough, laughing, change in position
Pelvic floor strengthening with kegel exercise
What is urge Incontience?
What are the symptoms (3)
What is treatment (3)
Sense of urgency due to overactive bladder
Increased urgency to void
Difficulty holding urine once urge develops
Leaks when hearing water running
Asses for UTI
Bladder training
Pelvic floor training
What is overflow Incontience?
What are symptom (3)
What is treatment (2)
Caused by overdistended bladder
Distended bladder
High post void residual
Nocturia
Bladder training
Intermittent or indwelling catheter
What is reflex Incontience?
Symptoms (3)
Treatment (2)
Urine leakage when bladder volume reaches specific volume usually related to SCI ( spinal cord injuries )
Decreased awareness of bladder filling
Incomplete emptying
Unaware of urine leakage
Bladder emptying schedule
Monitor for urinary retention
What is functional Incontience?
Symptoms ( 3)
Treatment (3)
Cause of Incontience unrelated to urinary tract
Altered mobility
Sensory deficit
Decreased assess to bathroom
Improve access to bathroom
Modification in the environment make it easier to avoid functional Incontience
Mobility aids
What are diagnostic studies we can do for urinary Incontience? (4)
Urinalysis
Post void residual
Urodynamic studies
Ultrasound
We may want to also do a physical and basic evaluation on patients who are having urinary incontience. What would we be looking for? (3)
General health
Pelvic exam
Bladder log
( onset & factors that promote it )
Interprofessional care for urinary Incontience is?(9)
Treating anagram!!
Treats transient, revisible factors
Individualize patient preference
Life style modifications
Schedule voding
Pelvic floor muscle
Anti Incontience devices
Containment devices
Drugs therapy
Surgery therapy
What’s an anagram to help me remember Interprofessional care?(9)
Treating anagram!!
Treat
Individuals
Life
So
People
Aren’t
Coming
Down to
Surgery
What is the nursing management for Urine incontience? (5)
Identify physical and emotion concern
Main dignity, privacy & self worth
Life style modifications
Behavioral treatments
Products to contain urine
Urinary Incontience inpatients, it’s super important as you as a nurse to get up and get them where?
Going to the bathroom ever 3-4 hours
Urinary retention what is it?
Inability to empty bladder with voiding
Urinary retention may be associated with what ? (2)
Leakage or post void dribbling ( overflow )
What is acute urinary retention? (2)
What is chronic urinary retention?
Inability to pass urine ; medical emergency
Incomplete emptying despite urination
Individuals who have chronic urinary retentions ; what is the most common post void residual ; PVR ?
Normal vs abnormal
Normal 50 - 75 ML
Over 200ML
Etiology & Pathophysiology
How does urinary retention happened? (3)
(2)(1)(4)
Bladder outlet obstruction
Bladder can’t empty due to severe bloackage
( mainly in men with enlarged prostate )
Deficiency destrusor contraction
- muscles can’t contact with enough force or time to empty bladder
Neurologic diseases
- diabetics; overdistenrion, chronic alcohol use, anticholingrix drugs
What are diagnostic studies for urinary retention? (4)
Urinalysis
Post void residual
Urodynamic studies
Ultrasound
