WEB WOC CONTINENCE CARE
abdominal leak point pressure - ANSWERS-performed during the filling CMG to
determine the intra-abdominal pressure needed to push urine out in a partially
closed sphincter. This test is used to determine severity of stress urinary
incontinence (SUI) especially identifying the patient with ISD (intrinsic sphincter
deficiency) leading to SUI that may benefit from procedures to increase urethral
resistance
daily fiber recommendation - ANSWERS-25-38 grams per day
fiber (stool bulking agent) - ANSWERS-holds on to water
when given for constipation: give with lots of water
when given for diarrhea: give with little water
surfactant stool softener - ANSWERS-ex: docusate sodium
brings water to the gut to soften feces
osmotic laxative - ANSWERS-ex: miralax, milk of magnesia, lactulose, sorbitol
,pulls fluid into the bowel to soften stool and distends the bowel wall to stimulate
peristalsis
stimulant laxative - ANSWERS-ex: senna, bisacodyl, castor oil
stimulates enteric nervous system to increase peristalsis
antidiarrheals - ANSWERS-ex: loperamide, bismuth subsalicylate
slow bowel transit time and/or thicken stool
sympathetic nerves release __________ and have __________ receptors -
ANSWERS-adrenaline (norepinephrine)
adrenergic
parasympathetic nerves release __________ and have __________ or
__________ receptors - ANSWERS-acetylcholine
cholinergic/muscarinic
adrenergic receptors - ANSWERS-*promote urine storage*
beta-adrenergic: cause bladder relaxation
alpha-adrenergic: cause bladder neck closure
, cholinergic/muscarinic receptors - ANSWERS-*promote urine emptying*
cholinergic/muscarinic: cause detrusor muscle contraction, indirectly stop alpha-
adrenergic stimulation (so the bladder neck can relax)
anticholinergic meds - ANSWERS-goal: promote urine storage
mechanism: relax detrusor muscle
uses: overactive bladder, urge UI
drugs: oxybutynin, tolterodine, trospium, solifenacin
s/e: dry mouth, constipation, blurred vision, urinary retention, confusion
beta 3 adrenergic agonist meds - ANSWERS-goal: promote urine storage
mechanism: relax detrusor muscle
uses: overactive bladder, urge UI
abdominal leak point pressure - ANSWERS-performed during the filling CMG to
determine the intra-abdominal pressure needed to push urine out in a partially
closed sphincter. This test is used to determine severity of stress urinary
incontinence (SUI) especially identifying the patient with ISD (intrinsic sphincter
deficiency) leading to SUI that may benefit from procedures to increase urethral
resistance
daily fiber recommendation - ANSWERS-25-38 grams per day
fiber (stool bulking agent) - ANSWERS-holds on to water
when given for constipation: give with lots of water
when given for diarrhea: give with little water
surfactant stool softener - ANSWERS-ex: docusate sodium
brings water to the gut to soften feces
osmotic laxative - ANSWERS-ex: miralax, milk of magnesia, lactulose, sorbitol
,pulls fluid into the bowel to soften stool and distends the bowel wall to stimulate
peristalsis
stimulant laxative - ANSWERS-ex: senna, bisacodyl, castor oil
stimulates enteric nervous system to increase peristalsis
antidiarrheals - ANSWERS-ex: loperamide, bismuth subsalicylate
slow bowel transit time and/or thicken stool
sympathetic nerves release __________ and have __________ receptors -
ANSWERS-adrenaline (norepinephrine)
adrenergic
parasympathetic nerves release __________ and have __________ or
__________ receptors - ANSWERS-acetylcholine
cholinergic/muscarinic
adrenergic receptors - ANSWERS-*promote urine storage*
beta-adrenergic: cause bladder relaxation
alpha-adrenergic: cause bladder neck closure
, cholinergic/muscarinic receptors - ANSWERS-*promote urine emptying*
cholinergic/muscarinic: cause detrusor muscle contraction, indirectly stop alpha-
adrenergic stimulation (so the bladder neck can relax)
anticholinergic meds - ANSWERS-goal: promote urine storage
mechanism: relax detrusor muscle
uses: overactive bladder, urge UI
drugs: oxybutynin, tolterodine, trospium, solifenacin
s/e: dry mouth, constipation, blurred vision, urinary retention, confusion
beta 3 adrenergic agonist meds - ANSWERS-goal: promote urine storage
mechanism: relax detrusor muscle
uses: overactive bladder, urge UI
