MP is a 55-year-old woman who presents with complaint of inability to hold urine
MP is a 55-year-old woman who presents with complaint of inability to hold urine
GU
MP is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment.
Past Medical History
· Six vaginal deliveries, all to full term
· Osteoarthritis
· Postmenopausal
Medications
· Boniva, 150 mg once a month
· Calcium, 500 mg daily
· Vitamin D3, one daily
Family History
· Mother, alive and well; hypertension, type 2 diabetes
· Father, deceased; cardiovascular disease, myocardial infarction at age 77
Social History
· No alcohol intake
· Previous smoker
· Walks 2 miles/day
Physical Examination
· Vital signs normal
· Palpation of uterus suggests enlargement
Labs
· Liver function: Normal
Discussion Questions
1. What factors in MP’s history would help support a diagnosis of overactive bladder?
2. The clinician prescribes oxybutynin 10 mg (extended-release). What does MP need to know about this drug?
3. If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does MP need to know about this new drug?
APA 7th ed format.
Requirements: 250 minimum
Nursing
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