An older adult patient who lives alone and is somewhat forgetful has an overactive bladder (OAB) and reports occasional constipation. The patient has tried behavioral therapy to treat the OAB without adequate results
Which treatment will the nurse anticipate for this patient? a. Oxybutynin short-acting syrup
b. Oxybutynin [Ditropan XL] ex-tended-release tablets
c. Oxybutynin [Oxytrol] transdermal patch
d. Percutaneous tibial nerve stimulation (PTNS)
C
The transdermal patch is applied weekly and may be the best option for a patient who is more likely to forget to take a daily medication. The transdermal preparation has fewer side effects than the systemic dose, so it is less likely to increase this patient's constipation. The syrup has a high incidence of dry mouth and other anticholinergic side effects. The extended-release tablets must be given daily, and this patient may not remember to take them. PTNS is used after beha-vioral and drug therapies have failed.
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