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Urinary & GI Elimination

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Urinary & GI Elimination
 

Urinary & GI EliminationOnline version

Study question

by Treaj Wortham
1

What is the primary function of elimination in the body?

2

1. Which of the following is NOT a type of urinary incontinence?

3

Which medication is commonly used to treat overactive bladder?

4

What is the primary risk factor for developing fecal incontinence?

5

What class of medication is used to treat diarrhea?

6

Which of the following is a non-pharmacologic treatment for stress incontinence?

7

Which condition results from excessive laxative use?

8

What is a serious side effect of Metoclopramide (Reglan)?

9

What is a common side effect of diuretics?

10

Which medication is commonly used to relieve urinary pain but does not treat infections?

11

Which medication should be avoided in children due to the risk of Reye’s syndrome?

Feedback

Elimination: The process of removing waste from the body via the urinary and digestive systems

Correct Answer: E) Gastrointestinal incontinence Explanation: Urinary incontinence refers to involuntary urine leakage, while gastrointestinal incontinence is not a medical term. Stress, urge, functional, and reflex incontinence are all recognized types of urinary incontinence

Explanation: Oxybutynin is an antispasmodic that relaxes bladder muscles, reducing urinary urgency and frequency. Furosemide is a diuretic, Loperamide treats diarrhea, and Metoclopramide improves gastric motility.

Chronic constipation can lead to fecal impaction, which weakens the rectal muscles and nerves, causing fecal incontinence. Other contributing factors include neurological disorders, aging, and childbirth-related injuries.

Antidiarrheals, such as Loperamide (Imodium) and Bismuth subsalicylate (Pepto-Bismol), slow intestinal motility and reduce stool frequency. Proton pump inhibitors (PPIs) treat acid reflux, prokinetics enhance GI motility, and diuretics increase urine output.

Pelvic floor exercises strengthen bladder-supporting muscles and are a first-line treatment for stress incontinence. Medications like antispasmodics treat urge incontinence, laxatives help with constipation, and antibiotics treat infections.

Overuse of stimulant laxatives (e.g., Bisacodyl, Senna) can weaken the body's natural bowel reflexes, leading to dependency on laxatives for normal bowel movements.

Tardive dyskinesia is an irreversible movement disorder caused by long-term use of Metoclopramide, a prokinetic drug. It results in involuntary facial and limb movements, such as lip smacking and jerking motions.

Diuretics (e.g., Furosemide, Hydrochlorothiazide) increase urine output, which can lead to potassium and sodium imbalances. Patients are often advised to monitor electrolytes and increase potassium intake if needed.

Phenazopyridine (Pyridium) is a urinary analgesic that relieves pain, burning, and discomfort from UTIs, but it does not treat the infection itself. Patients must also take an antibiotic to cure the UTI. It turns urine orange or red, which is a harmless side effect.

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