NR 601 final exam review
Most common type of UI in men and women?
Men is urgency and women is stress
What is urge UI?
Feeling of needing to go right away. Rush to the bathroom.
What is stress UI?
Sneezing, coughing, laughing, pressure.
What is mixed incontinence?
Both stress and urgency
Risk factors for UI?
Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy.
What is the first line therapy for most older patients with UI?
Behavioral therapy
pg. 1
,What does behavioral therapy include for UI?
Weightloss, stop caffeinated beverages and alcohol, minimize fluid intake at night, stop
smoking,loop diuretics should be taken in afternoon. Bladder trainings, kegal exercises, and
prompted voiding.
Which med can be used for OAB? S/e?
Myrbetriq; can cause high BP.
What medications can be used for urge incontinence and OAB? What are their class?
Detrol (tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to BEERS
criteria
Patients with dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence?
Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese younger older
women with UI?
Weight loss
pg. 2
,Treatment of UI in older persons should be be proceeded how?
Step wise process. Stating with addressing first comorbidities and medications, then lifestyle
interventions, behavioral treatment, pharmacological treatment, minimally invasive procedures
or surgeries.
Management of UI should focus on what?
The most bothersome factors
All patients with UI should be screened for?ex?
Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
Urinary frequency may reflect what ?
High fluid intake, and or use of caffeinated drinks or alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind
of symptoms? What should be done?
Red flag symptoms. For underlying neurologic or neoplastic disease. Requires immediate
referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons?
UI may be precipitated or worsened by outside factors of urinary tract, including meds,
mobility, environment, mentation, manual dexterity.
pg. 3
, What is an assessment tool for UI bother and quality of life? And can be used to assess for the
effect of treatment?
Urogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI?
Both behavioral and drug therapy. Than either alone
Morbidity with UI are?
Skin breakdown, falls. Fractures
Symptoms of UTI?
Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in who?
Older adults in nursing homes, or hospitals.
Asymptomatic bacteriuria increases with?
Age and debility
pg. 4
Most common type of UI in men and women?
Men is urgency and women is stress
What is urge UI?
Feeling of needing to go right away. Rush to the bathroom.
What is stress UI?
Sneezing, coughing, laughing, pressure.
What is mixed incontinence?
Both stress and urgency
Risk factors for UI?
Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy.
What is the first line therapy for most older patients with UI?
Behavioral therapy
pg. 1
,What does behavioral therapy include for UI?
Weightloss, stop caffeinated beverages and alcohol, minimize fluid intake at night, stop
smoking,loop diuretics should be taken in afternoon. Bladder trainings, kegal exercises, and
prompted voiding.
Which med can be used for OAB? S/e?
Myrbetriq; can cause high BP.
What medications can be used for urge incontinence and OAB? What are their class?
Detrol (tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to BEERS
criteria
Patients with dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence?
Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese younger older
women with UI?
Weight loss
pg. 2
,Treatment of UI in older persons should be be proceeded how?
Step wise process. Stating with addressing first comorbidities and medications, then lifestyle
interventions, behavioral treatment, pharmacological treatment, minimally invasive procedures
or surgeries.
Management of UI should focus on what?
The most bothersome factors
All patients with UI should be screened for?ex?
Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
Urinary frequency may reflect what ?
High fluid intake, and or use of caffeinated drinks or alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind
of symptoms? What should be done?
Red flag symptoms. For underlying neurologic or neoplastic disease. Requires immediate
referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons?
UI may be precipitated or worsened by outside factors of urinary tract, including meds,
mobility, environment, mentation, manual dexterity.
pg. 3
, What is an assessment tool for UI bother and quality of life? And can be used to assess for the
effect of treatment?
Urogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI?
Both behavioral and drug therapy. Than either alone
Morbidity with UI are?
Skin breakdown, falls. Fractures
Symptoms of UTI?
Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in who?
Older adults in nursing homes, or hospitals.
Asymptomatic bacteriuria increases with?
Age and debility
pg. 4
