Urodynamics Flashcards
What are LUTS?
Freq
urgency
Nocturia
Daytime freq
> 8
Nocturia
> 2
Voiding symptoms?
Hesitancy Poor stream Intermittent Straining Dribbling Urinary Tenesmus
which nervous system when urinating?
Sympathetic in storage phase
Parasympathetic - pons micturition > sacral micturition
Soft drinks affect bladder now?
Aspartame - detrusor over activity
Normal residual volume?
Normal residual volume for elderly?
0-100ml
Urine sterile?
Nope
Constipation: 2 features
Infrequent passage of stools
Hardness
How to help with constipation mechanically?
Stool to have legs higher than pelvis, relax pelvic floor
How does benzo affect urination?
Sleeping more, wake up with fuller bladder
What is nocturnal polyuria?
Nocturnal polyuria: more than 1/3 of daily urine production made in the night
How does peripheral oedema increase urine?
When sleeping, extra fluid goes back into intarvascular space and you make more urine
Amlodipine affects urinary how?
Reduce contractility of bladder and bowel
How to manage urinary with dementia
Timed toileting
How much water is enough intake?
1.5L
Stool bulking
Movicol - fibergel
Psyllium husks
What is coloxel and senna?
Lactulose
Coloxel(Softener) with senna (stim)
Spinal cord patient regimen for bowel is?
Coloxel with every meal
Senna:5 every other night
bowel day:
Bowel massage/suppository
Meds for detrusor overactivity? Anticholinergics/muscarinics
Oxybutynin
Garifenesin?
B3 agonist is?
How metabolized?
Check what?
Mirebegron
Liver
Check HR and BP
If really bad detrusor overactivity?
IntraDetrusor Botox
3 types of catheters
Intermittent self
In dwelling
SuPrapubic
