An 83-year-old man falls at night when rushing to pass urine. He has nocturia four times nightly and drinks tea late in the evening. No postural drop

Question

An 83-year-old man falls at night when rushing to pass urine. He has nocturia four times nightly and drinks tea late in the evening. No postural drop is found and urine dipstick is negative. Current medicines include tamsulosin and bendroflumethiazide. What is the most appropriate management?

Accepted Answer

Review fluid timing, diuretic timing and lower urinary tract symptoms

Answer

Start night sedation

Answer

Insert a catheter for falls prevention

Answer

Ignore nocturia because it is expected

Answer

Refer directly for hip surgery

Nocturia falls — DGM MCQ

An 83-year-old man falls at night when rushing to pass urine. He has nocturia four times nightly and drinks tea late in the evening. No postural drop is found and urine dipstick is negative. Current medicines include tamsulosin and bendroflumethiazide. What is the most appropriate management?