Incontinence Flashcards

1
Q

Urge incontinence- Sx

A
  • Urgency followed by uncontrollable flow of large amount of urine
  • Urgency, frequency and nocturia
  • Detrusor overactivitiy
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2
Q

Urge incontinence- Eti

A
  • Bladder irritation- tumor, stones, diverticuli

- CNS upper motor neurons- stroke, dementia, parkinson

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3
Q

Stress incontinence- Sx

A

Involuntary loss of urine with increase intrabd. pressure

- Small Amt of urine

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4
Q

Overflow incontinence- Sx

A
  • High PVR

- Outlet obstruction due to prostate, stricture, cystocle

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5
Q

Acontractile bladder

A
  • Detrusor underactivity
  • Lower motor neuron lesions
  • ## autonomic neuropathy- DM, B12, syphilis
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6
Q

Overflow incontinence- Tx

A
  • Alpha blockers

- Beware of orthostatic HTN

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7
Q

Functional incontinence- Sx

A
  • Patient can’t get to toilet

- demential, delirium, restraints

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8
Q

Incontinence- Eti

A
  • 50% community
  • 50-75% institutionalized
  • W>M
  • Increases with age
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9
Q

Incontinence- Tx

A
  • Reduce dietary diuretics
  • Pelvic floor PT
  • Drink less liquid a night
  • Scheduled toileting
  • Topical estrogen
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