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Published on: March 21, 2013
Urodynamic evaluation of the older adult: bench to bedside
Kimberly C Berni1, James M Cummings
1Division of Urology, Saint Louis University, 3635 Vista Avenue, St. Louis, MO 63110, USA. Bernikc@slu.edu
Abstract:
Urinary symptoms are prevalent in the geriatric population.Symptoms, however, often are misleading. Urodynamic evaluation can help target specific treatments of specific disorders. In this article, the fundamentals of urodynamics are described. In addition,urodynamic findings in common geriatric conditions, such as Parkinson's disease, cerebral vascular accidents, benign prostatic hypertrophy, and incontinence, are discussed.
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Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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To assess respiratory depth, observe the degree of chest excursion or movement:
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