Week 6 Exam Questions Bowel and Bladder

Question 1

what does bladder function depend on after an SCI

Answer 1

the intactness of the sacral arc

Question 2

what happens to the bladder in the 6-8 weeks following an SCI

Answer 2

it becomes flaccid, and areflexive, which means it fills and distends. This is part of the spinal shock

Question 3

what kind of bladder do you have at or below T12 (with lost sacral arc), and what does this mean

Answer 3

below T12, areflexive bladder, which means you can no long sense its full. It fills and you have urine retention

Question 4

what happens to the bladder above T12

Answer 4

you have reflexive bladder, which means some of the S2-4 arc is intact, and you can empty when you sense it is full. It is usually triggered by pressure of urine on other abdominal contents.

Question 5

how often do you need to change an indwelling catheter

Answer 5

every month,

Question 6

advantages of a foley catheter

Answer 6

low maintenance and it is easy to use.

Question 7

what is the advantages of a supra public catheter

Answer 7

you can have less occlusions because it is a large bore. and you can still have sex

Question 8

what must you be able to do to use a condom catheter

Answer 8

void completely on your own

Question 9

at what level and below can you self Cath

Answer 9

C6

Question 10

what kind of bowel do you have with an UMN and LMN

Answer 10

UMN, reflexive bowel

LMN, areflexive

Question 11

what happens in a reflexive bowel

Answer 11

you have defecation when the sphincter senses distention, it relaxes. this happens above T12 or with an UMN

Question 12

what happens when you have an areflexive bowel

Answer 12

you cannot sense when full, and you might get backed up. this is T12 and below, or LMN