URINARY INCONTINENCE TREATMENT AND OVERACTIVE BLADDER TREATMENT

URINARY INCONTINENCE TREATMENT AND OVERACTIVE BLADDER TREATMENT

URINARY INCONTINENCE TREATMENT AND OVERACTIVE BLADDER TREATMENT

The Urinary Incontinence Treatment you will apply depends on the underlying cause ( also see Overactive Bladder Treatment)

Pharmacology (Drug Therapy)

  • Anticholinegic agents e.g. Oxybutyrin, diclomine and pro-bantine will decrease your bladder spasticity thereby relaxing your bladder muscles.
  • Anti depressants e.g. imipramine, doxepin, desipramine and nortripytyline will decrease your bladder contraction and increase your bladder neck resistance
  • When you take Estrogen orally, it has been shown to be a beneficial urinary incontinence treatment for all types of U.I, estrogen decreases obstruction to urine flow by restoring the mucosal, vascular and muscular integrity of your bladder. Example of estrogen are quinstrediol and estraiol.
  • Mirabegron (Myrbetriq): you can use this drug to treat Urge Incontinence (Overactive bladder treatment), this treatment relaxes your bladder muscle and can increase the amount of urine your bladder can hold.
  • Alpha-adrenergic blockers e.g. prazosin and phenibenzamine.
  • Sympathominetics e.g. ephedrine increases your bladder neck
  • Calcium channel blockes e.g. nifedipine , reduce detrusion contractions
  • Diazepam is used to relax external sphincter surgical management involve the underlying problem e.g. transurethral resection in patients to relieve symptoms of prostatic enlargement. If you are a woman with stress incontinence, you may also undergo anterior vaginal repair, retropubic suspension or needle suspension to reposition your urethra. An artificial sphincter can be used to close your urethra and promote incontinence.

 

"Urinary Incontinence Treatment and Overactive Bladder Treatment "

Nursing Management for Urinary Incontinence Treatment and Overactive Bladder Treatment

The following measures will be taken by the nurse or medical personnel while treating you of U.I or Overactive

  • Monitor/report your input and output
  • You will be properly informed about amount and timing of all fluid intake
  • Advise to avoid diuretics and foods drinks that will promote diuresis
  • Protect your skin by keeping the perineal area dry, change your clothing and bed linens as necessary to maintain the skin integrity
  • Promote measures to maintain fluid and electrolyte balance in your body and adequate nutrition
  • Provide environment that promotes easy access to the bathroom, supply bed pan or urinal with easy reach.
  • You are advised to do perineal and kegel exercises to improve your muscular control as appropriate. This is done by contracting your perineal muscles by trying to stop urinatory sustain contraction for 5 to 110 seconds and release, perform 10 to 15 sets of 10 repetitions each daily
  • Avoid diuretics after 4pm
  • Avoid bladder irritants such as caffeine and alcohol
  • Eat well balanced diet
  • Void regularly
  • Perform perineal and kegel exercise at home
  • Use .deodorant to prevent offensive odour
YOU CAN ALSO READ  STROKE MEDICATION AND STROKE NURSING DIAGNOSIS

 

"Urinary Incontinence Treatment and Overactive Bladder Treatment "

NURSING DIAGNOSES

Anxiety related to controlled micturition evidenced by patients verbalization

  • Poor self esteem related to disease condition evidenced by depression
  • Risk for infection related to uncontrolled sphincters

COMPLICATIONS

  • Urinary Tract Infection (UTI)
  • Psychosis
  • Offensive odour
  • Skin break down

 

"Urinary Incontinence Treatment and Overactive Bladder Treatment "

 

 

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