Nocturnal enuresis Flashcards
1
Q
Nocturnal enuresis
A
e.g. bedwetting
Typically occurs in children
2
Q
Management
A
1st line = enuresis alarms
2nd line = desmopressin
3
Q
Desmopressin - how to take
A
5+
S/L or oral
Do not give intranasally (increased side effects)
4
Q
Side effects
A
Hyponatraemic convulsions
5
Q
Counselling
A
Avoid fluid overload
- Including during swimming.
- Restrict fluid intake 1 hour before and 8 hours after taking.
Stop during episodes of vomiting/diarrhoea
- Until normal fluid balance restored.
- Avoid concomitant drugs that increase vasopressin secretion (e.g. TCAs)
