Urinary output in patient with BPH

[cognitus]

Have patient in PACU. S/p fempop bypass. UOP low last hour. Urine seems concentrated in foley. I think patient is just dry but I also told nurse to check foley. She tells me that flomax can decrease UOP even in patients with foley because the relaxation of smooth muscle in bladder. This seems stupid and really off. Is this true or is she just a *****?

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[nimbus]

Have patient in PACU. S/p fempop bypass. UOP low last hour. Urine seems concentrated in foley. I think patient is just dry but I also told nurse to check foley. She tells me that flomax can decrease UOP even in patients with foley because the relaxation of smooth muscle in bladder. This seems stupid and really off. Is this true or is she just a *****?

Are you really asking this?

 

[cognitus]

Have patient in PACU. S/p fempop bypass. UOP low last hour. Urine seems concentrated in foley. I think patient is just dry but I also told nurse to check foley. She tells me that flomax can decrease UOP even in patients with foley because the relaxation of smooth muscle in bladder. This seems stupid and really off. Is this true or is she just a *****?

I’m asking and yes, flomax doesn’t do much in patients that already have catheter. Need confirmation.

 

[anbuitachi]

And why would it decrease uop in patients with a Foley? How does your bladder muscle affect it?

 

[deleted162650]

Dude, she's a *****. Foley will drain with zero smooth muscle contraction just by gravity and siphon action.

Your next conversation with her should go like this:

 

[Ronin786]

You should tell her your online friends said she's wrong.

 

[anonperson]

Have patient in PACU. S/p fempop bypass. UOP low last hour. Urine seems concentrated in foley. I think patient is just dry but I also told nurse to check foley. She tells me that flomax can decrease UOP even in patients with foley because the relaxation of smooth muscle in bladder. This seems stupid and really off. Is this true or is she just a *****?

That really doesn't make sense. Think about extreme examples.

If you have a patient with flaccid neurogenic bladder they have no bladder tone. You just stick in a catheter and the bladder decompresses.

If you botox the hell out of a bladder, it is essentially paralyzed, you stick in a Foley and it drains.

The things that lead to decreased urine in the Foley bag are either issues with the kidney (hypoperfusion) or some type of obstruction of both ureters or the catheter itself.

The bladder having little or no tone/relaxed smooth muscle has no bearing on whether there is urine draining into a Foley bag.

 

[nimbus]

You lost your credibility with these questions

 

[Psai]

Are you really a doctor

 

[cognitus]

Are you really a doctor

I know you. We work together

 

[Psai]

I know you. We work together

Don't think so.

 

[Neopolymath]

I love it when I stumble upon threads that get weird so fast.