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Jason's MD3 Aged Care-Palliative > Urodynamics > Flashcards

Urodynamics Flashcards

1
Q

What are LUTS?

A

Freq
urgency
Nocturia

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2
Q

Daytime freq

A

> 8

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3
Q

Nocturia

A

> 2

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4
Q

Voiding symptoms?

A 
Hesitancy
Poor stream
Intermittent
Straining
Dribbling
Urinary Tenesmus
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5
Q

which nervous system when urinating?

A

Sympathetic in storage phase

Parasympathetic - pons micturition > sacral micturition

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6
Q

Soft drinks affect bladder now?

A

Aspartame - detrusor over activity

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7
Q

Normal residual volume?

A
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8
Q

Normal residual volume for elderly?

A

0-100ml

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9
Q

Urine sterile?

A

Nope

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10
Q

Constipation: 2 features

A

Infrequent passage of stools

Hardness

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11
Q

How to help with constipation mechanically?

A

Stool to have legs higher than pelvis, relax pelvic floor

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12
Q

How does benzo affect urination?

A

Sleeping more, wake up with fuller bladder

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13
Q

What is nocturnal polyuria?

A

Nocturnal polyuria: more than 1/3 of daily urine production made in the night

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14
Q

How does peripheral oedema increase urine?

A

When sleeping, extra fluid goes back into intarvascular space and you make more urine

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15
Q

Amlodipine affects urinary how?

A

Reduce contractility of bladder and bowel

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16
Q

How to manage urinary with dementia

A

Timed toileting

17
Q

How much water is enough intake?

A

1.5L

18
Q

Stool bulking

A

Movicol - fibergel

Psyllium husks

19
Q

What is coloxel and senna?

A

Lactulose

Coloxel(Softener) with senna (stim)

20
Q

Spinal cord patient regimen for bowel is?

A

Coloxel with every meal
Senna:5 every other night
bowel day:
Bowel massage/suppository

21
Q

Meds for detrusor overactivity? Anticholinergics/muscarinics

A

Oxybutynin

Garifenesin?

22
Q

B3 agonist is?
How metabolized?
Check what?

A

Mirebegron
Liver
Check HR and BP

23
Q

If really bad detrusor overactivity?

A

IntraDetrusor Botox

24
Q

3 types of catheters

A

Intermittent self
In dwelling
SuPrapubic

Jason's MD3 Aged Care-Palliative (18 decks)

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