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PRP2 > Gentio Urinary > Flashcards

Gentio Urinary Flashcards

1
Q

What medications or drugs increase urine production?

A

Diuretics, Alcohol and Caffeine

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2
Q

Urgency Urinary incontinence treatment? 1st line? 2nd line? 3rd line?

A

1st line: Bladder training for 6 weeks

2nd line: Antimuscarinics
(Oxybutynin or Tolterodine)

3rd line: Mirabegron

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3
Q

Stress urinary incontinence treatment?

A

Pelvic muscle training at least 3 months
Or
Surgery
or
Duloxetine

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4
Q

Mixed treatment of urinary incontinence?

A

Bladder training for 6 weeks atleast
+
Pelvic floor muscle training for more than 3 months

TREAT ACCORDING TO DOMINATING TYPE CAUSING IT

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5
Q

Antimuscarinics examples?

A

Fesoterodine
Solfenancin
Trospium
Oxybutynin
Tolteridone

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6
Q

Antimuscarinics side effects?

A

Dry mouth
Constipation
Flushing
Dizziness
Drowsiness - Can affect Driving!
Tachycardia

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7
Q

Antimuscarinics contraindicated in?

A
  • Angle closure Glaucoma
  • Gastrointestinal obstruction
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8
Q

Nocturnal Enuresis treatment process? 5-7yrs

A

Fluid restriction

Enuresis alarm (more than 1-2 wet beds)

Review alarm after 4wks

Continue until min 2wks of dry nights

If finally unsuccessful -> Desmopressin

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9
Q

Nocturnal Enuresis over 5 years?

A

Desmopressin

*used in holidays, alarm not worked

Assess after 4 weeks + continue 3 months if responding

3 month intervals!!!

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10
Q

Specialist treatment for Nocturnal Enuresis?

A

Desmopressin +/- Antimuscarinic (Oxybutynin or tolterodine)

If not responding:
Imipramine

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11
Q

Desmopressin what to know

A

More potents and longer duration than vasopressin

No vasoconstrictor effect

Hyponatraemia caused -> convulsions

Hyponatraemia especially if given rapidly

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12
Q

Urinary retention 2 types?

A

Acute - medical emergency

Chronic - unable to completely empty bladders

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13
Q

Main chronic type of urinary retention?

A

Benign prostatic hyperplasia

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14
Q

Acute urinary retention treatment?

A

Immediate catheterisation

Before removing catheter: Alpha blocker given for 2 days prior

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15
Q

Chronic urinary retention?

A

Long term catheter used

May cause recurrent UTI’s

Urethra Trauma, Pain and stone

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16
Q

Benign Prostatic Hyperplasia treatment?

A

Alpha blockers (relaxes smooth muscle)

(Alfuzosin, Doxazosin, Tamsulosin, Terazosin)

17
Q

Patients with enlarged prostrate, raised prostrate antigens, or at high risk of progression?

A

Finasteride or Dutasteride

18
Q

Alpha blockers affect on BP

A

Lowers Bp - Postural Hypotension

19
Q

Avoid Alpha blockers in which pts?

A

Patients that have history of:

  • Fainting - Micturition Syncope
  • Postural Hypotension
20
Q

What should be counselled in Alpha blockers?

A

First dose can cause collapse - hypotensive

Take before bed

Lie down if dizziness, fatigue, or sweating develops until they feeling better

21
Q

5 Alpha Reductase inhibitors examples?

A

Finasteride, Dutasteride

22
Q

5 Alpha Reductase inhibitors can cause what?

A
  • Breast disorder
  • Sexual Dysfunction
23
Q

Male breast cancer in Finasteride use?

A

Report lump pains or nipple discharge

24
Q

Finasteride condoms use?

A

Use condom if partner is pregnant or likely to become pregnant

25
Q

Finasteride and depression?

A

If depression or suicidal thoughts

STOP FINASTERIDE IMMEDIATELY
Inform GP

26
Q

Phosphodiesterase type 5 inhibitor example?

A

Avanafil, Sildenafil, and Vardenafil

27
Q

Longer acting erectile dysfunction drug?

A

Tadalafil (Max 1 dose (20mg))

28
Q

Erectile Dysfunction Second line?

A

Intracavernosal, Intraurethralor

Topical Aprostadil

29
Q

Erectile Dysfunction lifestyle change?

A

Smoking Cessation

Reduce Alcohol intake

30
Q

Side effects of Phosphodiesterase type
5 inhibitor?

A

Flushing
Dizziness
Nasal Congestion
Migraine

31
Q

Big side effect in erectile Dysfunction drug?

A

PRIAPISM - Erection lasting longer than 4hrs

32
Q

Contraindications in erectile dysfunction drugs?

A

Patients taking Nitrates/have hypotension

Patients with unstable angina/stroke

Patients angina during intercourse

Patients who shouldn’t have sexual activity

33
Q

Erectile dysfunction drugs - other drugs that interact with?

A

Nitrates

Alpha-Blockers

—— Leading to hypotension ——

34
Q

Alpostadil counselling?

A

Wear a condom if partner is of child bearing age, pregnant or lactating

PRP2 (74 decks)

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