1 / 19

MANAGING GENITO-URINARY PROBLEMS THE ROLE OF THE PHARMACIST

MANAGING GENITO-URINARY PROBLEMS THE ROLE OF THE PHARMACIST. Dr Rebekah Moles Faculty of Pharmacy Rebekah.moles@sydney.edu.au. URINARY INCONTINENCE. LECTURE AVAILABLE FROM. http://www.rhef.com.au/programs/program-1/?program_id=135#. URINARY SYSTEM.

sasha-ruiz
Télécharger la présentation

MANAGING GENITO-URINARY PROBLEMS THE ROLE OF THE PHARMACIST

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MANAGING GENITO-URINARY PROBLEMS THE ROLE OF THE PHARMACIST Dr Rebekah Moles Faculty of Pharmacy Rebekah.moles@sydney.edu.au

  2. URINARY INCONTINENCE

  3. LECTURE AVAILABLE FROM • http://www.rhef.com.au/programs/program-1/?program_id=135#

  4. URINARY SYSTEM http://www.umm.edu/urology-info/images/utract1.gif

  5. TYPES OF INCONTINENCE • STRESS (small leakage during physical activity) • Weak Pelvic Floor Muscles • Relaxed Sphincter (can be caused by drugs) http://myhealth.ucsd.edu/library/healthguide/en-us/images/media/medical/hw/nr55551951.jpg

  6. TYPES OF INCONTINENCE • URGE (loss of urine with strong desire to urinate, unable to get to toilet in time) • Detrussor Overactivity • MIXED (combination of stress and urge)

  7. TYPES OF INCONTINENCE • OVERFLOW(leakage from overfull bladder) • poor bladder emptying

  8. PROSTATE GLAND http://www.daviddarling.info/images/prostate_gland.jpg

  9. TYPES OF INCONTINENCE • NOCTURNAL ENURESIS (Bedwetting) • Detrussor Instability • FUNCTIONAL(inability to reach toilet in time) • Physical Factors • Environmental Factors • REFLEX(spontaneous emptying of bladder with no sensation or control) • Neurological Damage

  10. Australian Pharmacist: Feb 2003

  11. MANAGEMENT OF INCONTINENCE LIFESTYLE • PELVIC FLOOR EXERCISES • LOOSE EXCESS WEIGHT • DECREASE CAFFEINE • AVOID ALCOHOL • AVOID CONSTIPATION(increase fluids) • BLADDER TRAINING

  12. MANAGEMENT OF INCONTINENCE MEDICATIONS • ANTICHOLINERGICS • OXYBUTYNIN • PROPANTHELINE • TOLTERODINE • DARIFENACIN • SOLIFENACIN • TCA’s – IMIPRAMINE / NORTRIPTYLINE / AMITRIPTYLINE

  13. MANAGEMENT OF INCONTINENCE MEDICATIONS • ANTIDIURETIC HORMONE • DESMOPRESSIN • HORMONE REPLACEMENT THERAPY ?(NO) • CHOLINERGICS? • ALPHA AGONISTS?

  14. MANAGEMENT OF INCONTINENCE MEDICATIONS • ALPHA BLOCKERS • ALFUZOSIN • PRAZOSIN • TAMSULOSIN • TERAZOSIN • 5-ALPHA-REDUCTASE INHIBITORS • FINESTERIDE • DUTASTERIDE

  15. MANAGEMENT OF INCONTINENCE INCONTINENCE AIDS • ABSORBANT PADS AND PANTS • ABSORBENT COVERS (beds and chairs) • CATHETERS • DRAINAGE BAGS • URINARY CONDOMS • ODOUR NEUTRALISERS • ENURESIS ALARMS

  16. Drugs which can Cause Incontinence

  17. Drugs which can Cause Incontinence

  18. Drugs which can Cause Incontinence

More Related