MRU Wk 5 Diagnosis of Overactive Bladder Discussion Questions

Question Description

I’m working on a health & medical discussion question and need an explanation and answer to help me learn.

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?

Explanation & Answer:

3 Discussion Questions 250 Words Each

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