Shared Flashcard Set

Details

Gero final
notes on meds, SE, UI, pain
19
Health Care
Not Applicable
05/09/2005

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Cards

Term
Adverse drug rx of
TCAs
Definition
postural hypotension, tremor, sedation, arrhythmias
Term
Adverse drug rx of
Sedatives and hypnotics
Definition
sedation, weakness, decreased coordintaion, confusion
Term
Adverse drug rx of
Narcotic analgesics
Definition
sedation, decreased coordintaion, confusion
Term
Adverse drug rx of
Antipsychotics
Definition
postural hypotension, sedation, EPS
Term
Adverse drug rx of
Antihypertensives
Definition
postural hypotension
Term
Adverse drug rx of
B-adernergic blockers
Definition
decreased ability to respond to workload
Term
Side effects of diuretics
Definition
hypokalemia, azotemia, thirst, muscle cramps, irregular heart beats, hypotension
Term
Beta blockers: use-SE
Definition
used in compensated HF, slows progression of cardiomyopathy - hypotension, bradycardia, SOB, volume retention, decreased ability to respond to blood glucose
Term
Risk Factors for UI
Definition
increased residual urine, diminished bladder capacity, detrussor instability, BPH, excessive nocturnal output, chronic constipation, smoking, children, estrogen deficit, cog. decline
Term
Transient (acute) Incontinence
characteristics-causes
Definition
sudden onset, associated w/ med/surgical problems, usually resolves with tx of underlying problem, present <6 mo.
*delerium/confusion, infection, restricted mobility, stool impaction, meds
Term
Stress incontinence
definition, s and Sx, related factors
Definition
the involuntary loss of urine with increaseed abd. pressure in the absence of a detrussor contraction
*leakage in sudden spurts, leakage during provocation, occur more often late in day, palpable external sphincter weakness
*, bladder capacity, pregnancy, gas, rectocele, ineffective toileting habits, weakening of supportive tissue
Term
Urge
def., s & s/x, related factors
Definition
involuntary loss associated w/ a sudden strong sensation of urgency
*loss of urine when: volume is moderated to large, with direct provocation, self-report of inability to delay voiding in presence of urge to void
*detrussor instability or hyperreflexia from cystitis, uretheritis, renal calculi, tumors, effects of meds, high caffine or ETOH intake, sm. bladder capacity
Term
Reflex
def, s & sx, related factors
Definition
*involuntary loss of urine at somewhat predictable times when a specific bladder capacity is reached
*predictable pattern of voiding, no sensation of urge or bladder fullness, uninhibited bladder contractions , sensations ass. w/full bladder (HA, sweating)
*neuro. impairment
Term
Overflow UI
def, s & sx, related factors
Definition
*involuntary loss that occurs when bladder capacity is exceeded in the absence of detrussor activity
*palpable or percussable bladder, suprapubic tenderness, post void residual >100 cc, dribbling, leakage in sm. amts day & noc, reports sense of incomplete emptying, hesitancy
*outlet obstruction, underactive detrussor, meds, sphincter spasms
Term
Functional UI
definition, s and Sx, related factors
Definition
*inability of usually continent person to reach tiolet in time or loss by factors other than bladder storage or emptying
*accidents on way to toilet, only inc. early in am, senses need to void, complete emptying
*mobility problems, impaired vision or cognition, environmental factors
Term
Mixed inc,
definition, s and Sx, related factors
Definition
*loss ass. w/increased intra-abd pressure (stress) and inability to delay voiding (urge)
*need to hurry to toilet, sudden urge to go, loss of urine in spurts, wet pants
*female, aging-related changes
Term
Constant or total UI
definition, s and Sx, related factors
Definition
*continuous involuntary flow concurrent w/normal voiding pattern
*constant wetness, leakage w/no evidence of bladder distention,
*ectopic ureter, anatomic fistula, surgical trauma
Term
Iatogenic UI
def.
Definition
*loss of urine caused by tx of other condittions
Term
Eden alternative
3 main problems w/OA,ideas
Definition
*Lonliness, helplessness, boredom
*institutions control, habitats nurture and grow. nurture the human spirit as well as body, care balance,
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