Urinary Incontinence Flashcards
Is urinary incontinence a normal age related change?
No
What are the causes of urinary incontinence?
Delirium Restricted mobility Infx Polyuria Pharmaceuticals
[DRIPP}
What is urge incontinence?
pts experience sudden, strong urge to urinate.
The detrusor muscle is responding to small urinary volumes with contraction
What is the treatment for urge incontinence?
Kiegel exercises and bladder relaxation
What are the two meds that are good for urge incontinence?
Ditropan
Detrol
What is stress incontinence?
Pts lose urine d/t increased intraabdominal pressure
What is the treatment for stress incontinence?
Kiegel exercises Alpha blockade (sudafed)
What is overflow incontinence?
Bladder will not empty until there is enough volume to push it out
What are the causes of overflow incontinence?
B12 deficiency
DM
tabes dorsalis
EtOH-ism
Outlet obstruction
What is mixed urinary incontinence?
Stress + urge incontinence
What is functional UI?
Inability or unwillingness d/t psych
What is bladder sphincter dyssynergia?
no relaxation of the sphincters
T or F: UTIs can cause UI
True
Precipitant urgency suggests what?
Detrusor overactivity
Loss of urine with cough or strain suggests what?
Stress UI
Continuous leakage suggests what?
Weakness or overflow UI
True or false: keeping a voiding record is very useful for determining the type of UI
True
What is the standing bladder test?
Relaxing followed by coughing with resultant loss of urine suggests stress UI
What is the normal value for a post-void residual?
What is urodynamic testing?
Testing stress of bladder at various urine loads
What is the main treatment for detrusor instability?
Kiegel exercises
True or false: decreasing EtOH and caffeine has not been shown to relieve UI
false
What is the main treatment for Stress incontinence?
Kiegels
When is estrogen replacement helpful for UI?
Stress or urge
What type of drugs are used to treat urge incontinence?
Anticholinergics
What is the treatment for BPH induced UI?
alpha blockade or surgery
What is the only type of catheter that is appropriate for care?
Silver alloy hydrogel catheter in a closed system
True or false: foley caths are only to be used in chronic UI
true
How often do you change foley caths?
6-8 weeks
