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Details Title: Gero final Description: notes on meds, SE, UI, pain Total Flash Cards: 19 Created: 05/09/2005 00:49:10	To study from this set of flash cards, or to create your own your own study flash cards, register HERE. If you are already a registered user, CLICK HERE.
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,