Urinary frequency and incontinence Flashcards
What is urinary incontinence
Involuntary leakage of urine which can range in severity and nature
What is stress incontinence
Involuntary leakage on effort/ exertion
What is given to women for stress incontinence
Duloxetine but it is not first line. Pelvic floor exercises and bladder training is first line
Should duloxetine be withdrawn quickly
No
What do antimuscarinic drugs do
Exert a relaxing effect on urinary smooth muscle
Name some antimuscarinics
Tolterodine, oxybutynin and solifenacin (newer one)
What is the issue with Mirabegron, TCAs and propantheline
Prolongs QTC prolongation
What is the drug treatment in children for nocturnal enuresis
Desmopressin
What is the common side effect of nocturnal enuresis
Hyponatremia
Whats the consultation for desmopressin
Hyponatraemic convulsions - to avoid water overload
Should you continue desmopressin when D+V
No
Should you go with the intranasal route for desmopressin
No - increased risk of SE
When should fluid be limited
Limit fluid intake 1 hour before and 8 hours after
What must you also test for in women who are experiencing urinary frequency and incontinence
UTI because UTI can also cause leakage
What can children under 12 be given for urinary frequency/incontinence
Oxybutinin
