benign prostatic hyperplasia Flashcards

1
Q

More common in men or women?

A

Men

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2
Q

As prostate tissue increases, it compresses _______ & _______

A

As prostate tissue increases, it compresses urethra & bladder outlet

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3
Q

Clinical manifestations

A
  • obstruction to flow
  • decreased urinary stream
  • hesitancy; difficulty initiating a stream
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4
Q

There is an imbalance btw _______ & _______

A

cell proliferation & death

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5
Q

Formation of large, discrete lesions in the _______ region of the prostate

A

periurethral

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6
Q

2 mechanisms & description

A
  1. Static– increase in prostatic size

2. Dynamic – increased prostatic smooth muscle tone

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7
Q

Dihydrotestosterone (DHT) is the main _____ in the prostate

A

androgen (sex hormone)

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8
Q

DHT contribute by increasing the proliferation of __________ and decreasing the death of __________

A

DHT contribute by increasing the proliferation of prostatic stromal cells and decreasing the death of epithelial cells

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9
Q

Need to assess/measure:

  • __________
  • ____________________ levels – can detect prostate cancer
  • __________ – to assess for distended bladder
A
  • prostate
  • prostate-specific antigen (PSA) levels – can detect prostate cancer
  • lower abdomen – to assess for distended bladder
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10
Q

Treatments

  • alpha blockers (eg. _____)
  • 5 alpha-reductase inhibitors (eg. _____): block the conversion of __________ to __________
  • ____________________
A
  • alpha blockers (eg. prazosin)
  • 5 alpha-reductase inhibitors (eg. finasteride) : block the conversion of testosterone to hydrotestosterone
  • transurethral prostatectomy (TURP)
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11
Q

Nur management:

  • palpate/percuss suprabubic area to check for __________
  • encourage increase oral fluid intake up to _____ml of water
  • assist with __________: monitor I/O and vital signs
A
  • palpate/percuss suprabubic area to check for bladder distention
  • encourage increase oral fluid intake up to 3000ml of water
  • assist with catheter insertion: monitor I/O and vital signs
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12
Q

On rectal exam, prostate finding would be:

A

enlarged, non-tender & rubbery

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