Nocturnal Enuresis Flashcards
What is nocturnal enuresis?
Involuntary discharge of urine during sleep
Common in young children
At what developmental age are children expected to be dry?
Five years old
When is treatment for nocturnal enuresis commonly considered?
When children reach 7 years old
Is treatment needed for children under 5 years old?
No, as the condition is likely to resolve on its own
What initial advice is given for managing nocturnal enuresis?
Advise on fluid intake, diet, toileting behaviour, and instil reward systems
What should be done if initial advice does not work?
Use enuresis alarm and review after 4 weeks
How long should the enuresis alarm be used?
2 weeks
What is the goal of using the enuresis alarm?
To achieve uninterrupted, dry nights
What medication is used for children aged 5 years and above?
Desmopressin
How long should desmopressin be assessed after starting?
4 weeks
For how long should desmopressin be continued after assessment?
3 months
What should be done if there is no response to desmopressin?
Use imipramine and withdraw slowly
What counselling advice is given regarding fluid intake while on desmopressin?
Limit fluid intake one hour before bed and eight hours after
What is a potential side effect of desmopressin?
Hyponatremia
What should patients or parents be counseled about regarding hyponatremia?
Hyponatremic convulsions
What should be done with desmopressin during diarrhea and vomiting?
Stop desmopressin
What is a notable side effect of the intranasal route of desmopressin?
More side effects
