Elimination Flashcards

1
Q

Bulk Forming Laxatives

A

Polycarbophil (Fibercon, Fiber-Lax)

Psyllium (Metamucil)

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2
Q

Stool Softeners/Laxatives

A

Colace

Pericolace

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3
Q

Osmotic

A

Lactulose (Cephulac)
Polyethylene glycol/electrolyte ( Golytely)
Polyethylene glycol (Miralax)

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4
Q

Stool Softeners/Laxatives

A

Colace

Pericolace

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5
Q

Osmotic

A

Lactulose (Cephulac)
Polyethylene glycol/electrolyte ( Golytely)
Polyethylene glycol (Miralax)

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6
Q

5-alpha reductase inhibitors

AntiCholinerhics

A

Shrinks prostate

Ex: proscar
Avodart

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7
Q

Alpha andrenergic

A

Decreases contraction of smooth muscle of prostate (BPH)

Ex: Flomax
Hytrin

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8
Q

Tricyclics

A

Treats stress and urge incontinence

Ex: Tofranil (imipramine)

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9
Q

Cholinergics

A

Causes contraction of bladder and relaxation of urinary sphincter.

Ex: urecholine (bethanechol)

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10
Q

Anti-Cholinergics

A

Decreases bladder spasms and decreases urinary incontinence.

Ex: vesicare
Ditropan
Detrol

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11
Q

Specific gravity - Normal

A

1.000-1.030

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12
Q

Stress incontinence

A

women>60
men post prostate surgery
Loss of urine when coughing, sneezing
Frequency and urgency

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13
Q

Functional Incontinence

A

Dementia, LTC, Frail, elderly

involuntary loss of urine (can’t make it to BR)

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14
Q

Overflow Incontinence

A
Enlarged prostate
DM
Ca+ channel blockers, anticholinergics, 
andrenergics
Lack of urge to Void
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15
Q

urge incontinence

A

older adults
Strong SUDDEN urge
detrusor instability, internal sphincter weakness

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16
Q

Total/Reflex incontinence

A

older adults and spinal cord injuries
Bladder neuropathy
independent detrusor reflex due to spinal cord problems

17
Q

Assessment of Urinary incontinenece

A
  1. Pattern of urination
  2. Symptoms of urinary alterations
  3. Factors affecting Urination
  4. Urine- color, odor, I/O, clarity
  5. Physical assessment-inspect, auscultate, etc
18
Q

How does Pt gain control over urine elimination?

A

Kegels, Meds,Bladder retraining, Catheterization (reqs. MD order)