Urinary incontinence overview Flashcards
what are the two types of symptoms
irritative and obstructive
does stress have irritative or obstructive symptoms?
No
what are initiating events of stress incontinence
sneezing
coughing
standing
laughing
what type symptoms does urge incontinence have
irritative symptoms
will overflow have irritative symptoms or initiating event?
Yes and no
what symptoms will overflow incontinence have
obstructive symptoms (but may have symptoms of urge or stress)
what do you not use anticholinergics/ TCAs to treat?
overflow incontinence
what are alpha blockers used to treat?
BPH, HTN (2nd line)
how long is chronic incontinence considered
6 weeks
what test do you do for stress incontinence?
pelvic laxity test
place fingers in lateral fornices, and have them bear down if they void then don’t void with finger pressure
The bonney (Marshall) test
what do you use for urge incontinence
bladder training
old school drug used for urge incontinence. not bladder specific, can cause dry mouth and eyes.
Oxybutynin (OTC in patch)
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
overflow incontinence
tx for overflow bladder
catheter them slowly or can have a massive vasovagal response
what is hypothermia?
<35 C or 95 F
do older people shiver for longer or shorter than younger people?
shorter
tx for hypothermia
warm IV fluid
warm core before limbs
anticipatory monitoring for hypothermia
metabolic acidosis
cardiac decompensation/ arrhytmias
hyperkalemia, hypoglycemia
renal failure
best tx for hypothermia
prevention
patient awareness
foot wear for circulation
hyperthermia
core temp >40.6C or >105
type of incontinence alpha adrenergic agonists treats (increase urethral tone)
mild stress
type of intontience that anticholinergic agents treat by increasing bladder capacity and volume threshold
Urge
antispasmodic drugs are used to treat what type of incontinence by depressing smooth muscle activity.
urge
type of incontinence that TCAs tx by increasing bladder relaxation and spinchter tone
mixed
stress
urge
what type incontinence does estrogen tx?
Stress
Urge
What type incontinence does botox tx?
urge
spinal cord injury, MS
Type of drugs for BPH
alpha 1 blocker (relaxes smooth muscle)
5 alpha reductase inhibitors (block testosterone)`
Tx for stress incontinence
Kegel estrogen duloxitine surgery pessary diapers alpha adrenergic agonists TCAs
txs for urge incontinence
bladder training
anticholinergis/ antimusarcinic
TCAs with anticholinergic properties
diapers/ incontinence
Tx for atonic or flaccid bladder (loss of neural innervation)
TCAs
narcotics
tranquilizers
anticholinergics
