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38 Cards in this Set
- Front
- Back
What amount of post-void residual is abnormal and requires further eval?
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>200cc
100-200= border line <100cc adequate if over 65 yrs |
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T/F Post void residual volume puts you at INC risk of Infection?
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True
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Tx for Urge incontinence?
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Anticholinergics!!
- Oxybutynin - Tolerodine |
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Side Effects of Anticholinergics?
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Dry mouth, dry eyes
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Stress Incontetinence Rx?
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Pseudoephedrine (sudafed)
Estrogen (tipical) Surgery |
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Detrusor over activity is eitiology for what type of Incontinence?
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URGE
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Detrusor underactivity is etiology for what type of incontinence?
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NEUROGENIC
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Urethral Obstruction is etiology for what type of incontinence?
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OVERFLOW
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Urethral INCONTINENCE is etiology for what type of incontinence?
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STRESS (i.e girl that just had babies)
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NEUROGENIC Incontinence is due to...?
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Detrusor underactivity
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Stress incontinence is due to...?
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Urethral Incontinence
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Overflow Incontinence is due to...?
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Urethral obstruction
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Urge Incontinence is due to?
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Detrusor OVER ACtivity.
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Indications for PERMANENT Bladder?
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Neurogenic Bladder
Skin protection for debilitated, immobile pt - Comfort measure during terminal illness - Non repairable bladder outlet obstruxn |
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UTIs present with what one or all of 4 sx?
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Fever, dysuria, Frequency, Lethargy/weakness/confusion
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Most common bacteria that infects community/health ppl on catheters? Hospital/LTC?
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EColi for both!!
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Is urinary incontinence more common in Men or Women?
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80% are women
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T/F Urinary incontinence is a normal part of aging?
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FALSE!!! (believe it or not)
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T/F most pts will NOT willingly volunteer info on their incontinence to the physician?
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TRUE. Only 25-50% of pts will volunteer.
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What are the 5 types of urinary incontinence?
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Urge, Stress, Overflow, Functional, Mixed
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Which type of incontinence is most common >75yrs?
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URGE Incontinence aka Overactive bladder
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T/F Urge incontinence is typically IDIOPATHIC?
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True
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T/F Caffeine, Alcohol, chocolate are all KNOWN bladder irritants?
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TRUE!!!
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Loss of Urine with INC IntraABD pressure is what type of incontinence?
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STRESS
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Stress incontinence is most common in Men or Women?
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WOMEN due to childbirth
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Over distention of the bladder causing frequent urination and dribbling= what kind of incontinence?
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Overflow (duuuuh)
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What are the 2 main causes of overflow Incontinence?
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Bladder outlet obstruction (i.e. prostate enlargement)
2. Atonic/acontractile bladder (i.e. Diabetis, MS, Spinal cord injury, LUMBAR STENOSIS) |
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a pt with LUMBAR STENOSIS would most likely present with what type of incontinence?
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OVERFLOW
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Which type of incontinence, if NOT worked up can lead to renal failed from hydronephrosis?
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OVERFLOW
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Which type of incontinence does not DIRECTLY have problems with Lwr urinary tracts?
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FUNCTIONAL
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Cognition and Physical impairment are 2 causes of what type of incontinence?
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FUNCTIONAL
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T/F you can classify incontinenct via Permanent and Temporary?
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FALSE... the classifications are Transient (will go away)
and ESTABLISHED (permanent) |
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What does DIAPERS Stand for and type of incontinence is this etiology for?
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TRANSIENT Incontinence:
D= Delerium. I= Infection (UTI Sx-omatic) A= Atrophic Urethritic/vaginitis; P= Pharmaceutical and Psychological; E= Excessive Urine Output; R= Restricted mobility; S= Stool Impaction |
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What are the 5 main questions to ask about a pt presenting with INCONTINENCE?
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1. Description of prob--> MOST IMPORTANT!!!!
2. Prior Tx 3. Prior Sz 4. Prior Pregos 5. Meds!! (script and OTC) |
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T/F Glucose is an important part of the Incontinence work up
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TRUE
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What are the diff things you are looking for from an Incontinence Lab work up?
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UA with c/s
Lytes, BUN, Creatinine, glucose, Calcium |
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Whata re the 2 imaging tools utilized for a urinary Workup?
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Bladder scan and Renal Ultrasound
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T/F a Post void residual should be done 5 mins AFTER voiding
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True
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