Incontinence- urinary and GI

Question 1

Bladder innervation

Answer 1

External sphincter: pudendal nerve
Internal sphincter: SNS (upper lumbar/lower thoracic)
Detrusor: PNS (S2-4)

Question 2

Functional incontinence

Answer 2

Pt otherwise continent but physical/cognitive problems such as immobility means it takes them too long to get to toilet

Question 3

Overflow incontinence pathology

Answer 3

bladder is atonic, not contracting

empties by intravesicular pressure exceeding intraurethral resistance

Question 4

Overflow incontinence main sx

Answer 4

dribbling

Question 5

Constipation mx

Answer 5

1. osmotic laxative
2. stimulant laxative
3. add softener

Question 6

Osmotic laxative examples

Answer 6

1. Movicol (polyethylyne glycrol)

2. Lactulose

Question 7

Stimulant laxative example

Answer 7

Senna

Question 8

Stool softener example

Answer 8

Docusate