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Bladder Agents/Urinary Incontinence
Overview
28
Accounting
Kindergarten
03/29/2013

Additional Accounting Flashcards

 


 

Cards

Term
responds to contractions of detrusor muscle, when detrusor contracts --> opening of sphincter and allows urine to flow
Definition
Involuntary sphincter
Term
under voluntary control. this is when we actually feel the urge/need to empty bladder
Definition
External sphincter
Term
a sudden, compelling desire to pass urine, which is difficult to defer
Definition
urgency
Term
inability to control urination
Definition
incontinence
Term
need to void 8 or more times/day; usually accompanies urgency w/ or w/out urge incontinence and is the complaint by the patient who considers that he/she voids too often a day
Definition
frequency
Term
accompanies urgency with or without urge incontinence and is the complaint that the individual has to wake at night 2 or more times to void
Definition
Noctria
Term
urine loss accompanied by urgency resulting from abnormal bladder contractions (uncontrollable contractions of the detrusor muscle)
Definition
Urge incontinence
Term
urine loss resulting from sudden increased intra-abdominal pressure (e.g., laugh, cough, sneeze), ie pressure on bladder is greater than urethral pressure
Definition
Stress incontinence
Term
combo of stress and urge incontinence
Definition
mixed symptoms
Term
Factors that may be associated with Transient Incontinence
Definition
Delirium/dementia, infection, atrophic urethritis and vaginitis, pharmaceuticals, psychiatric disorders, excess fluid, restricted mobility, stool impaction
Term
aged cheese, beer and brewer's eyast, bananas, raisins, pineapples, yogurt, chocolate, cured, deli or processed meats
Definition
high tyrosin, trypophan
Term
alcohol, fruits/juices, tomatoes, vinegar and other dressings, curry and other spices, coffee and tea
Definition
acidic
Term
blind as a bat, red as a beet, dry as a bone, hot as a hare, mad as a hatter
Definition
anti-cholinergics
Term
can't see, can't pee, can't spit, can't shit
Definition
anti-cholinergics
Term
locations: cerebral cortex, hippocampus, SALIVARY GLANDS, eye
Definition
M1 receptors
Term
locations: smooth muscle, hippocampus, hindbrain, cardiac muscle, eye
Definition
M2 receptors
Term
locations: smooth muscle, SALIVARY GLANDS, eye, brain
Definition
M3 receptors
Term
locations: basal forebrain striatum, SALIVARY GLANDS
Definition
M4 receptors
Term
bladder contraction--- acetylcholind binds and contracts detrusor muscle, bowel motility, saliva and tear secretion, visual accomodation
Definition
M3 receptors
Term
location: substantia nigra, eye
Definition
M5 receptors
Term
OAB medication most likely to cross BBB and occupy M1 receptor sites
Definition
Oxybutynin
Term
are all under adrenergic or alpha 1 receptor control
Definition
urethra, bladder neck, trigone
Term
m3 selective drugs
Definition
Darifenacin (enablex) , oxybutynin (Ditropan), festoteridine (toviaz), solifenacin (vesicare)
Term
M2 and M3 selective drugs
Definition
tolterodine (Detrol), Trospium (Sanctura)
Term
an M1-sparing OAB medication with low potential to cross BBB has been shown to be "free" of CNS effects
Definition
Darifenacin (Enablex)
Term
most effective for multiple sclerosis, incomplete spinal cord injury, neurogenic detrusor over activity, detrusor-sphincter dysnergia
Definition
Botulinum Toxin Injection
Term
xerostomia treatments
Definition
sucking on ice chips/sugarless candy or saliva substitutes, xylitol containing gums, biotene line: contains enzymes
Term
beta3 adrenergic agonist-- involved in detrusor regulation
Definition
Mirabegron (Myrbetriq)
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