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Renal-Prostate > BPH > Flashcards

BPH Flashcards

1
Q

Decreasing sexual function
Deceased libido
Slower sexual response
Longer time before sexual arousal can occur again
Increased incidence of gennitourinal tract cancer
Urinary incontinence

A

Gerontological considerations

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2
Q

Decreased function of the testers

A

Male hypogonadism

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3
Q

Cancer of the kidney, bladder, prostate, and penis

A

Cancer risks

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4
Q

Digital rectal examination

A

DRE

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5
Q

Prostate specific antigen

A

PSA

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6
Q

Medications
Neurologic disease
BPH

A

Urinary incontinence

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7
Q

Symptoms related to bladder function and urination

A

Prostatism

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8
Q 
Enlarged prostrate gland 
Increased urinary frequency 
Decreased force of urine stream 
Double or triple voiding 
Dysuria
Nocturia 
Hematospermia
A

Causes of obstruction

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9
Q 
Diabetes 
MS 
STROKE 
cardiac disease 
Medications= antihypertensives, anticholesterlemic, psychotrophic medications 
Stress 
Use of alcohol
A

Factors that affect sexual function

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10
Q 
Permission 
Limited information
Specific suggestion 
Intensive therapy 
-model of sexual assessment and intervention to maybe use divide framework for nursing interventions allows healthcare professionals it was sexual issues with a level of comfort and expertise
A

PLISSIT

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11
Q 
Bringing up the topic 
Explaining 
Telling 
Timing
Educate- educate about treatment s/e
Recording 
- include sexuality in the assessment of patient with cancer
A

BETTER

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12
Q

Used to screen for prostate cancer recommended annually for everyman old are the age of 50 years old
- 45 years of age from men at high risk such as African-Americans and man with strong family history of prostate cancer annually

A

DRE

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13
Q
  • The practitioner uses lube glove finger plays into the rectum assesses : the size shape symmetry
  • and consistency of the posterior surface of the prostate gland
  • the clinician assess for tenderness of the prostate gland on palpation and for the presents and consistency of any nodules
A

DRE

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14
Q

Male genitalia are inspected for abnormalities and palpated for masses
•the scrotum is palpated carefully for nodules masses and inflammation examination of the scrotum can reveal such orders as:
Hyrdocele
Inguinal hernia
Testicular torsion
Orchitis
Epididymitis
Tumor of the testis
• The penis is inspected and palpated for ulcerations, nodules inflammation discharge, curvature

A

TSE

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15
Q

The cells within the prostate gland produces a protein that can be measured in the blood

A

Prostate specific antigen (PSA)

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16
Q 
Prostrate gland enlarges
Prostate secretion decreases 
Testes decrease in weight, atrophy, become softer 
Pubic hair becomes sparse/stiffer
Decline in plasma testosterone 
Reduced production of progesterone
A

Changes in older men

17
Q 
Lethargy and confusion 
Hypotension 
Tachycardia 
Nausea vomiting 
Collapse
Headache 
Muscle spasms
Seizures 
Hyponatremia 
Hypovolemia
Hyperammonemia
* caused by neurologic, cardiovascular, electrolyte imbalances, associated with absorption of the solution used to irrigate the surgical during the procedure
A

TURP resection syndrome

18
Q

Discontinue irrigation
Administer diuretics
Replace irrigation with NS
Monitor I & O
Differentiate Lethargy and confusion of TUR syndrome from postoperative disorientation and hyponatremia
Assess for pulmonary edema, heart failure

A

Interventions for Transurethral resection syndrome

19
Q

e bladder can fill but you are not voiding, so the urine goes up the ureters to the kidneys –
▪ This is a drowning of the kidneys
▪ This is a cause of renal failure

A

Hydronephrosis

20
Q

is the most sensitive indicator of renal function

A

Creatinine

21
Q

o A sensor picks up the size of the prostate

o Goes up rectum, towards umbilicus to measure the size of the prostate

A

TRUS – transrectal ultrasound

22
Q

To identify the presence of cancer cells

They will do an MRI or CT Scan to identify an area that may be cancerous

A

Prostate biopsy

23
Q

Assess knowledge and understanding of procedure, clarify- ing information as needed.
• Schedule IVP prior to any ordered barium test or gallbladder studies using contrast material.
• Ask about allergy to seafood, iodine, or radiologic contrast dye. Notify physician or radiologist if allergies are known.
• Verify the presence of a signed consent for the procedure.
• Assess renal and fluid status, including serum osmolality, creatinine, and blood urea nitrogen (BUN) levels. Notify the
physician of any abnormal values.
• Instruct the client to complete ordered pretest bowel prepa-
ration, including prescribed laxative or cathartic (see p. 000) the evening before the test, and an enema or suppository the morning of the test. Withhold food for 8 hours prior to the test; clear liquids are allowed.
As the dye is injected, you may feel a transient flushing or burning sensation, along with possible nausea and a metallic taste.

A

IVP procedure

24
Q

using local or general anesthesia. You may feel some pressure or a need to urinate as the scope is inserted through the urethra into the bladder. The procedure takes approximately 30 to 45 minutes.
• Do not attempt to stand without assistance immediately after the procedure as you may feel dizzy or faint.
• Burning on urination for a day or two after the procedure is to be expected.
• Immediately notify the physician if your urine remains bloody for more than three voidings after the procedure, or you develop bright bleeding, low urine output, abdominal or flank pain, chills, or fever.
• Warm sitz baths, analgesic agents, and antispasmodic med- ications may relieve discomfort after the procedure.
• Increase fluid intake to decrease pain and difficulty voiding and reduce the risk of infection.
• Laxatives may be ordered after the procedure to prevent constipation and straining, which may cause urinary tract bleeding.

A

Cytoscopy

25
Q

a special x-ray exam of the kidneys, bladder, and ureters (the tubes that carry urine from the kidneys to the bladder).

A

IVP

26
Q 
Urinary tract infections
o Bladder or kidney damage
o A cause of chronic renal failure
o Bladder stones
o Incontinence
o Urine retention –Renal failure
A

Complications of BPH

27
Q

• Rare but potentially serious complication.
S/S: neurologic, cardiovascular and electrolyte imbalances associated with absorption of the solution used to irrigate the surgical site during the surgical procedure. Hyponatremia, hypovolemia and occasionally hyperammonemia may occur. S/S: Lethargy, confusion, hypotension, tachycardia, nausea, vomiting, collapse, headache, muscle spams and seizure.

A

Transurethral Resection Syndrome

Renal-Prostate (6 decks)

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