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Geriatrics > Urinary Incontinence > Flashcards

Urinary Incontinence Flashcards

1
Q

Is urinary incontinence a normal age related change?

A

No

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2
Q

What are the causes of urinary incontinence?

A 
Delirium
Restricted mobility
Infx
Polyuria
Pharmaceuticals

[DRIPP}

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3
Q

What is urge incontinence?

A

pts experience sudden, strong urge to urinate.

The detrusor muscle is responding to small urinary volumes with contraction

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4
Q

What is the treatment for urge incontinence?

A

Kiegel exercises and bladder relaxation

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5
Q

What are the two meds that are good for urge incontinence?

A

Ditropan

Detrol

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6
Q

What is stress incontinence?

A

Pts lose urine d/t increased intraabdominal pressure

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7
Q

What is the treatment for stress incontinence?

A 
Kiegel exercises
Alpha blockade (sudafed)
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8
Q

What is overflow incontinence?

A

Bladder will not empty until there is enough volume to push it out

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9
Q

What are the causes of overflow incontinence?

A

B12 deficiency
DM
tabes dorsalis
EtOH-ism

Outlet obstruction

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10
Q

What is mixed urinary incontinence?

A

Stress + urge incontinence

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11
Q

What is functional UI?

A

Inability or unwillingness d/t psych

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12
Q

What is bladder sphincter dyssynergia?

A

no relaxation of the sphincters

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13
Q

T or F: UTIs can cause UI

A

True

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14
Q

Precipitant urgency suggests what?

A

Detrusor overactivity

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15
Q

Loss of urine with cough or strain suggests what?

A

Stress UI

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16
Q

Continuous leakage suggests what?

A

Weakness or overflow UI

17
Q

True or false: keeping a voiding record is very useful for determining the type of UI

A

True

18
Q

What is the standing bladder test?

A

Relaxing followed by coughing with resultant loss of urine suggests stress UI

19
Q

What is the normal value for a post-void residual?

A
20
Q

What is urodynamic testing?

A

Testing stress of bladder at various urine loads

21
Q

What is the main treatment for detrusor instability?

A

Kiegel exercises

22
Q

True or false: decreasing EtOH and caffeine has not been shown to relieve UI

A

false

23
Q

What is the main treatment for Stress incontinence?

A

Kiegels

24
Q

When is estrogen replacement helpful for UI?

A

Stress or urge

25
Q

What type of drugs are used to treat urge incontinence?

A

Anticholinergics

26
Q

What is the treatment for BPH induced UI?

A

alpha blockade or surgery

27
Q

What is the only type of catheter that is appropriate for care?

A

Silver alloy hydrogel catheter in a closed system

28
Q

True or false: foley caths are only to be used in chronic UI

A

true

29
Q

How often do you change foley caths?

A

6-8 weeks

Geriatrics (30 decks)

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