In this section : Renal
Kidney Biopsy Complications
Parenteral Iron for Non-HD CKD Patients
Management of uncomplicated Henoch-Schonlein Purpura (HSP) in under 16s
Prescribing Advice on Admission – Insulin
Sodium Glucose Transporter 2 Inhibitors (SGLT2i)
Gentamicin in Renal Replacement Therapy
Vancomycin in Renal Replacement Therapy
Haemodialysis Medication Prescribing
Contrast Associated AKI
Acute Kidney Injury – Introduction
Low Molecular Weight Heparin
Fluid Replacement in AKI
Management of Urinary Symptoms
Management of Acute Kidney Injury
Urinary Tract Infection
Urethral Catheterisation
Renal Transplants
Ureteric Colic & Renal Stones
Intravascular Catheter Related Blood Stream Infection
Care of Vascular Access
Urinary Incontinence
Peritoneal Dialysis Related Peritonitis
Urinary Incontinence
Last updated 30th March 2022
Stress Incontinence
- Most common in women.
- Gives rise to leakage on coughing, laughing, lifting etc.
- Due to weakness in pelvic floor muscles.
- Advise weight loss, stopping smoking and pelvic floor exercises
- If fail to improve refer to Gyn for consideration for surgery.
Urge Incontinence
- Patients usually get “caught short “ when they get a sudden urge to void but cannot make it to the toilet in time.
- Commonly caused by infection or bladder overactivity. Ensure infection is excluded.
- Try anticholinergics such as Trospium XL 60mg od.
- Be aware that bladder tumours can present as urge incontince. Therefore any patient with severe symptoms particularly if they have haematuria need urgent referral.
Overflow Incontinence
- Most commonly found in elderly men with bladder outflow obstruction who develop dribbling incontinence and are often incontinent in their sleep.
- On examination they are frequently found to have a painless retention. A bladder scan is useful to confirm a significant residual volume (>400ml).
- These patients often require catheterisation.
Content Updated by Ian Russell