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51 Cards in this Set
- Front
- Back
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Is the most widely used drug for UTIs. Is Bacteriostatic. Is 90% effective in treating e-coli. S/b taken on empty stomach. Increases ones sensitivity to sunlight.
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Sulfonamides (Bactrim, Sulfadine, Septra)
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Effective against most Gram-neg. bacteria; is bacterialcidal; Increased sensitivity to sunlight; Absorption affected by antacids; Classification: Fluoroquinolone
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Antiseptics: most common= Cinobac, Cipro, Levequin
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An azo dye that acts as a urinary tract analgesic; Relieves symptoms of dysuria, burning, freq. & urgency; Has no anti-infective action; Turns urine orange-red; Contraindicated in real insufficiency & hepatitis
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Analgesics: Pyridium
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state in which one experiences involuntary passage of urine soon after a strong sense of urgency to void
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urge incontinence
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state in which one experiences an involuntary passage of urine of less than 50mL, occurring with increased intra-abdominal pressure
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stress incontinence
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Defining characteristics: dribbling urine with increased intra-abdominal pressure, e.g. coughing, sneezing, laughing, straining, standing, running, lifting heavy objects
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stress incontinence
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Inability of usually continent person to reach toilet in time to avoid unintentional loss of urine
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functional incontinence
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loss of urine before or during an attempt to reach the toilet, "accident"
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functioinal incontinence
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state in which one experiences involuntary passage of urine soon after a strong sense of urgency to void
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urge incontinence
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most common cause of urge incontinence, resulting from a lack of sensation/nerve control in perineal area
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neurogenic bladder
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inability to suppress detrusor muscle contractions until reaching an appropriate receptacle
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urge incontinence
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incomplete emptying of the bladder
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urinary retention
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most common cause of urinary retention in male patients
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BPH
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irritation and inflammation of the bladder mucosa
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impaired urinary elimination
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What might the following meds cause r/t urinary elimination? Benzodiazepines, Anticholinergics, Antiparkinson agents, Tricyclic antidepressants, antipsychotics, opiods narcotic analgesics
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urinary retention
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What do the following meds treat? Flomax (alpha blocker), Avodart (anti-androgen), Proscar (anti-androgen), Bethanechol (parasympathomimetics) urecholine (cholinergic)
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medications to treat urinary retention
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What med, given to treat uninary retention, decreases the smooth muscles of the prostatic capsule, but also decrease blood pressure?
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Flomax
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These medications work on urinary retention r/t BPH by reducing prostate size, and takes up to 6 mos. to work?
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Avodart & Proscar
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These medication increase bladder contractility & are used often in post-partum.
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Bethanechol & Urecholine
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These meds are used to treat stress urinary incont.
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pseudoephedrine & vaginal estrogen cream
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These meds are used to treat an overactive bladder
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Vesicare, Detrol, Ditropan, Custospaz
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These meds, used to treat overactive bladder, cannot be given to Pts. w/ glaucoma
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Oxybutynin ER (Ditropan XL);
Tolterodine (Detrol) |
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commonly used drugs that can influence bladder function & have side effect of sedation
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antidepressants, antipsychotics, sedatives/hypnotics, alcohol, narcotics
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commonly used drugs that can influence bladder function & have side effect of frequency
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diuretics, caffine, alcohol
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commonly used drugs that can influence bladder function & have side effect of urgency
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diuretics, caffine
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commonly used drugs that can influence bladder function & have side effect of urinary retention(overflow incont.)
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antidepressants, antipsychotics, sedatives/hypnotics, anticholinergics, narcotics, alpha-adrenergic agonists, beta-adrenergic agonists, calcium chnl. blockers
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these drugs cause decreased urethral tone = stress incontinence
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alpha-adrenergic blockers
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these drugs cause increased urethral tone
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alpha-adrenergic agonists
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these drugs inhibit the detrusor muscle function
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beta-adrenergic agonists
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these drugs can cause a cough = stress incontinence
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ACE inhibitors
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these drugs increase bladder capacity & decrease frequence of voiding in Pts. w/ neurogenic bladder
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anticholinergics (Detrol, Ditropan)
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These drugs have the side effects of dry mouth, drowsiness, blurred vision, constipation, urinary retention
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anticholinergics (Detrol, Ditropan)
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this kind of incontinence results from a disease process
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chronic incontinence
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D-I-A-P-P-E-R-S
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Acute incontinence: delirium/confusion, infection, atrophic vaginitis, pharmacologic therapy, psychological probs., restricted mobility, stool impaction
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this presentation of urine means that bilirubin is up
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dark, concentrated
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this color indicates hematuria
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dark red/brown/orange
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this represents possible bacterial infection
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cloudy
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the sudden forceful urge to void - "I've got to go & I've got to go now!"
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urgency
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difficult/painful urination
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dysuria
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S&S of pain b/f voiding
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probable irriated/dystended bladder
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S&S of pain at the start of urination (actually starting stream)
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irritated bladder neck
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S&S of pain at the end of void
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traditionally a bladder spasm
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bedwetting, occurs during sleep, can be related to sm. bladder, allergies or UTI in adults
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enuresis
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voiding lg. amts. of urine
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polyuria
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decreased urine relative to intake
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oliguria
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inability to pass all/part of urine from the bladder
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retention
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delay in starting stream
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hesitancy
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blood in urine
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hemituria
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dark red blood in urine
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bleeding coming from kidneys or ureters
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bright red blood in urine
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bleeding coming from bladder/urethra
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an involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached
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impaired urinary elimination
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