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Renal Exam 2 > Urinary Incontinence > Flashcards

Urinary Incontinence Flashcards

1
Q

Urge Urinary Incontinence

A

Overactive bladder (OAB) - detrusor contracts during filling phase

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2
Q

Stress Urinary Incontience

A

Urethra or urethral sphincters cannot sufficiently impede urine flow

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3
Q

Overflow incontinence

A

Bladder underactivity

Bladder outlet obstruction

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4
Q

Symptoms of UUI

A

> 8 times/day and urgency
Nocturia (>1/night) and/or enuresis (incontinence at night)
Volume large due to complete emptying of the bladder

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5
Q

Symptoms of SUI

A

During activities that increase intraabdominal pressure (running, coughing, sneezing)
Small volume, proportional to level of activity

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6
Q

Overflow Incontinence

A

Bladder is filled to capacity but unable to empty
Loss of function of detruser muscle
Obstruction

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7
Q

Overflow incontience symptoms

A

Difficulty initiating stream
Dribbling
Small amounts of urine leaking constantly

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8
Q

Non-pharm management

A

Weight loss
Bladder training for UUI
Pelvic flow muscle rehab
Anti-incontinence device

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9
Q

UUI Recommendations

A

Bladder training
Weight loss
Drugs

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10
Q

SUI Recommendations

A

Pelvic floor muscle training
Weight loss
Topical meds

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11
Q

UUI + Antichollinergic agent/antispamodics MOA

A

Antagonize muscarinic receptors
Decrease PS nerve impulses to detrusor
- Most effect for suppression of premature detrusor contraction, enhancing bladder storage and reliving symptoms

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12
Q

First line UUI treatment

A

oxybutynin or tolterodine

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13
Q

Oxybutynin IR

A

Ditropan

***Orthostatic hypoTN

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14
Q

Oxybutynin ER =

A

Ditropan XL

***Orthostatic hypoTN

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15
Q

Tolterodine

A

Detrol (LA)

Dry mouth, headache, constipation

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16
Q

Fesoterodine

A

Toviaz

Dry mouth, constipation

17
Q

Solifenacin and Darifenacin

A

Vesicare and enablex

Dry mouth, constipation

18
Q

Trospium

A

Sanctura (XR)
Dry mouth, constipation, headache
Esp in elderly

19
Q

Beta 3 Agonist

A

UUI

Mirabegron (myrbetriq)

20
Q

Mirabegron

A

Myrbetriq
High BP, tachycardia
Alternative for those who can’t handle anticholinergic effects

21
Q

Tricylic antidepressants + UUI

A

Only if they have depression
**Orthostatic hypoTN
Desipramine and nortriptyline

22
Q

SUI first line treatment =

A

Duloxetine (cymbalta)

23
Q

Duloxetine

A

Cymbalta

Nausea, headache, insomnia

24
Q

Alpha adrenergic agonists

A

SUI
Pseudoephedrine
Phenylephrine
HTN, headache, insomnia

25
Q

Topical estrogeins

A

SUI + urethritis or vaginitis

26
Q

Overflow Incontinence Treatment if Bladder underactivity

A

Self-cathertization 3-4 X day

Bethanechol

27
Q

Overflow Incontinence Treatment if BOO

A

Relief of the obstruction

Renal Exam 2 (10 decks)

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