Urinary Incontinence Flashcards
urge
sudden and unstoppable urge to urinate… associated with neuropathy- diabetes, stroke, etc.
Stress
Urine leaks out during any form of exertion (exercise, cough, sneezing, laughing)
Mixed
urge and stress…
functional
no abnormality in the bladder, but the pt may be cognitively, socially, or physically impaired thus hindering access to the toilet
overflow
leakage that occurs when the quantity of urine stored in the bladder exceeds its capacity (often occurs without the urge to urinate, BPH is the most common cause)
long-acting anticholinergics
such as oxybutynin ER or transdermal (Oxytrol) often used initially
- less SE but can cause cognitive impairment
- Selective anticholinergic (darifenacin, solifenacin) less cognitive effects
- Generic (oxybutynin) have lower cost
Mirabegron (beta-3 agonist) has similar efficacy to anticholinergics w/ different SE GI upset, dizziness, headache and increased BP
onabutolinumtoxin A
botox
better efficacy but not first line due to cost and route of admin
Oxybutynin ER
Ditropan XL
patch- Oxytrol (available OTC)
- anticholinergics drugs
tolterodine
Detrol
- anticholinergics drugs
Solifenacin
Vesicar
- anticholinergics drugs
Trospium
- anticholinergics drugs
decreasing risk of dry mouth
- ER formulation use
- try gel or patch
- mirabegron lower incidence of dry mouth
- non drug: avoid mouth washes, use ice chips, water, sugar free candy
mirabegron
Myrbetriq
warning: urinary retention
- beta-3 agonist
Vibegron
Gemtesa
warning: Urinary retention
- beta-3 agonist
desmopressin
DDAVP- tablet
Nocdurna- SL tablet
antidiuretic hormone to temporarily decrease urine production
boxed warning: hyponatremia!! life-threatening
this is for nocturia tx
