chapter 7

Question 1

what are the 3 types of bladder and urinary disorders

Answer 1

1. urinary frequency
2. enuresis
3. incontinence

Question 2

drugs used to treat urinary frquency and incontinance?

Answer 2

• tamsuloson
• desmopressin
• solifencin
• oxybutin. tolterdine, arifenacin, solifenacin(antimuscarninc)
• TCA - imipramine, duloxetine (women)
• mr preps have less SE!

Question 3

urinary frquency and incontinance causes?

Answer 3

destrusor instability

Question 4

nocturnal enuresus medication? (children)

Answer 4

desmopressin

imipramine , amitrptyline but TCA have lots of SE

Question 5

what is the difference between acute and chronic urinary retention

Answer 5

acute: all of a sudden cant pass urine. this is emergency

Chronic: develops over time, builds up over months years
- inability to empty bladder completely

Question 6

what is the most common cause of urinary retention in men

Answer 6

benign prostate hyperplasia (BPH)

Question 7

complications of (BPH)?

Answer 7

renal impairment
uti
infections
enlarged prostate

Question 8

drugs used to treat bph?

Answer 8

drug treatment : alpha blockers - alfuzosin, doxasozin, tamsulosin

5 a reductase inhihitors - finasteride

combo of both drug classes can be used
non drug treatment - cathetor and surgery

Question 9

how do alpha blockers work?

Answer 9

relax smooth muscle, allowing to pass urine

they can reduce BP - so first dose hypotension common espec if on BP tabs

Question 10

se of alpha blockers

Answer 10

drowsiness, dizzy, dry mouth

hypotention, vommiting

Question 11

caution of alpha blockers?

Answer 11

cataract surgery - floppy iris syndrome risk