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51 Cards in this Set

  • Front
  • Back

dysfx of the urethra, bladder or both

UI

neurotransmitter that mediates involuntary and volitional bladder contraction

Acetylcholine

urethra and or urethral sphincters can't generate enough resistance to impede urine flow from the bladder when intra abdomina pressure is elevated

stress inc

urethral underactivity

stress inc

leaking small amounts of urine with physical exertion, coughing sneezing, laughings

stress inc

bladder overactivity

urge inc

detrusuor muscle is overactie and contracts inappropriately during the filling phase

urge inc

urethral overactivy and bladder underactivity

overflow incontinence

bladder is filled to capacity but is unable to empty causing urine to leak from a distended bladder past a normal outlet and sphincter

overflow incontine

common causes: bph, prostate cancer, cystocele formation

overflow incon

caused by factors outside of the urinary tract




immobility


cognitive impairment

fx incon

Drug effects on the urinary system




stimulate urethral smooth muscle contraction

alpha agonist

Drug effects on the urinary system




urehtral constriciton(may cause retention)

ccb

Drug effects on the urinary system




impaired bladder contractility

opioid

Drug effects on the urinary system




fx UI due to sedation, immobility

sedative hypnotics

Drug effects on the urinary system




urinary retention,


potentila to help with urge

anticholinergic

Drug effects on the urinary system




combo of antichol effects and alpha block

tca

Drug effects on the urinary system




polyuria and frq, fx ui

ethanol

Drug effects on the urinary system




may worsen stress incontinence due to adverse effect of cough

ACEI

1st line treatm for urge urinary incontincne

anticholinergic/antispamsotics

most effectve aggents to supress premature detrussur contract enhance bladder storage, and overall relief of symptoms

anticholinergic/antispamsotics

AE




lack selectivity for bladder muscarin recect




so; dry mouth, constipate, tacy, etc

anticholinergic/antispamsotics

has alpha block and antihistmain active leads to orthostatic hypotension, sedat, and weight gain




which anticholinre/antispasmodic?

oxybutynin

selective serotnin and norephien reuptake inhib


for stress incon

duloxetine

moa


enhances central serotenrgi and adrenger tone which is involced in control of urehteral smooth muscle and interna urinary sphincter

duloxetine

uses




major depression pain assoicated with diabetic neeuropahty


also used for stress incon

duloxetine

serotin and norpe repupeka= dulox


estrogent


alpha agonist= pseudo

stress

bethanecola

overflow incoinrtinec

uti




confied to lower uti

cysticis

involve upper uti

pyeloneirnt

most common patho for uit

e coli

triad of




dysuria


frequane


urgency

acute uncom utie

subapur low back pina


afebriale


positive urinaliys

acute


uncompliact uti

first line for uti

bactrim

sjs syndrome

bactrim

taste changes

bactrim

pyscoscis, tendon reptur

cipro

hemolytic anemia

nitrofuranton

pulmonary hypersensitivy

nitrofuriantion

more common casue of recurrent uti


organis reintrod by fecal resorvir




relapse or reinfciont?

reinfction

previosul sequres organinsm




relapse or reinfection

relapse

flank pain(costovertebral angle tenderness)


fever


chillls

pyyeloneeprioti

gram stain helps guide tx(try to get this before tx of this)

actue pyleoen

blood culter

actue pyelonephritis

histopatoa




pathy edmea


polymoer nurlc cells

acute pyenl

otoxtociy, dizzienye, nephrotoix

gentamyainc

most common casue of nosciom infection

cathos assoi uti

most comm soru of g - sepficimea

cathos asosion uti

majority asympst so need for ab therapyh




which type of utis

complicate cathier uti

becoming more commin in cather related infection?

candiduria

most repsres of colinzaiotn




which type of uti

candiduria