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11 Cards in this Set
- Front
- Back
Define urinary incontinence
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The involuntary loss of urine which is objectively demonstratable and a social/hygenic problem
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4 main types of incontinence?
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1.Genuine/stress
2.Detruser instability 3.Obstruction/retention 4.Functional |
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Which nerves control bladder storage?
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SNS T2-L3
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Which nerves control voiding?
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PNS S2-4
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Why are pelvic floor muscles more improtant for bladder control in females than males?
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Females have less strongly developed bladder neck and no prostate
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What age-related changes may occur affecting continence? (5)
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Detruser instability
Reduced bladder capacity Increased residual volume (<100mls) Prostatism Insults ouside of urogenital tract (pathological, physiological, psychological, pharmacological) |
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What is transient incontinence caused by?
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Think DRIP
Drugs, delerium Retention, restraints Infection, impaction of stool Polyuria |
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What is etablished incontinence caused by?
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Think DOUSE
Detruser instability (MS? Stroke?) Overflow (Prostate enlargement? Stricture?) Urge (Functional? Infection? Stones?) Stress External |
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Sympathetic blockers will...?
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Impair storage - cause incontinence or aid voiding
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Parasympathetic blockers will...?
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Impair voiding - Cause retention or Rx unstable bladder
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What do you do on the initial assessment of UI?
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Catagorise incontinence
Bladder diary Urine dipstick for blood, glucose, protein, infection |