Urinary incontinence overview

Question 1

what are the two types of symptoms

Answer 1

irritative and obstructive

Question 2

does stress have irritative or obstructive symptoms?

Answer 2

No

Question 3

what are initiating events of stress incontinence

Answer 3

sneezing
coughing
standing
laughing

Question 4

what type symptoms does urge incontinence have

Answer 4

irritative symptoms

Question 5

will overflow have irritative symptoms or initiating event?

Answer 5

Yes and no

Question 6

what symptoms will overflow incontinence have

Answer 6

obstructive symptoms (but may have symptoms of urge or stress)

Question 7

what do you not use anticholinergics/ TCAs to treat?

Answer 7

overflow incontinence

Question 8

what are alpha blockers used to treat?

Answer 8

BPH, HTN (2nd line)

Question 9

how long is chronic incontinence considered

Answer 9

6 weeks

Question 10

what test do you do for stress incontinence?

Answer 10

pelvic laxity test

Question 11

place fingers in lateral fornices, and have them bear down if they void then don’t void with finger pressure

Answer 11

The bonney (Marshall) test

Question 12

what do you use for urge incontinence

Answer 12

bladder training

Question 13

old school drug used for urge incontinence. not bladder specific, can cause dry mouth and eyes.

Answer 13

Oxybutynin (OTC in patch)

Question 14

distended bladder due to obstruction at base or due to atonic or flaccid bladder. Strian to urinate or decreased flow to urinate. Will high post residual volume

Answer 14

overflow incontinence

Question 15

tx for overflow bladder

Answer 15

catheter them slowly or can have a massive vasovagal response

Question 16

what is hypothermia?

Answer 16

<35 C or 95 F

Question 17

do older people shiver for longer or shorter than younger people?

Answer 17

shorter

Question 18

tx for hypothermia

Answer 18

warm IV fluid

warm core before limbs

Question 19

anticipatory monitoring for hypothermia

Answer 19

metabolic acidosis
cardiac decompensation/ arrhytmias
hyperkalemia, hypoglycemia
renal failure

Question 20

best tx for hypothermia

Answer 20

prevention
patient awareness
foot wear for circulation

Question 21

hyperthermia

Answer 21

core temp >40.6C or >105

Question 22

type of incontinence alpha adrenergic agonists treats (increase urethral tone)

Answer 22

mild stress

Question 23

type of intontience that anticholinergic agents treat by increasing bladder capacity and volume threshold

Answer 23

Urge

Question 24

antispasmodic drugs are used to treat what type of incontinence by depressing smooth muscle activity.

Answer 24

urge

Question 25

type of incontinence that TCAs tx by increasing bladder relaxation and spinchter tone

Answer 25

mixed
stress
urge

Question 26

what type incontinence does estrogen tx?

Answer 26

Stress

Urge

Question 27

What type incontinence does botox tx?

Answer 27

urge

spinal cord injury, MS

Question 28

Type of drugs for BPH

Answer 28

alpha 1 blocker (relaxes smooth muscle)

5 alpha reductase inhibitors (block testosterone)`

Question 29

Tx for stress incontinence

Answer 29

Kegel
estrogen
duloxitine
surgery
pessary
diapers
alpha adrenergic agonists 
TCAs

Question 30

txs for urge incontinence

Answer 30

bladder training
anticholinergis/ antimusarcinic
TCAs with anticholinergic properties
diapers/ incontinence

Question 31

Tx for atonic or flaccid bladder (loss of neural innervation)

Answer 31

TCAs
narcotics
tranquilizers
anticholinergics