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adult 2 > bph, CA, acute kidney injury > Flashcards

bph, CA, acute kidney injury Flashcards

1
Q

bph

A

increased testosterone = increased number of cells inner part of gland

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2
Q

BPH obstructive symptoms

A

urinary retention, weak stream, difficulty initiating, intermittency, dribbling

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3
Q

BPH irritative symptoms

A

Increased frequency, urgency, dysuria, bladder pain, nocturia, incontinence

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4
Q

BPH comps

A

UTI from incomplete bladder emptying, Calculi in bladder from alkalinization from urine, Hydronephrosis and pyelonephritis bc of urine backpressure

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5
Q

BPH dx

A

DRE, PSA>4= transrectal US

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6
Q

BPH treatment

A

5a reductase inhibitor[-ide] pregnant women shouldnt handle, a-adrenergic receptor blocker [-osin]-htn meds to increase relaxation to decrease symptoms=retrograde ejaculation (w TURP too) saw palmetto helps urinary symptoms, ^BP/Bleeding

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7
Q

Prostate cancer

A

androgen dependent

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8
Q

Prostate cancer mets s/s

A

pain lumbosacral area->hips/legs

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9
Q

Prostate CA dx

A

DRE , PSA>4, biopsy

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10
Q

Prostate CA treatments

A

radical prostatectomy(!), radiation beam if confined, Brachytherapy (time, distance, shielding), cryosurgery freezes

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11
Q

Prostate CA meds

A

Lh+FSH to decrease testosterone=gynecomastia, hot flash, , androgen receptor blocker

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12
Q

Testicular CA mets s/s

A

chest pain, cough, dyspnea

cryopreservation to save sperm

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13
Q

Acute Kidney injury caused by

A 
renal ischemia- disruption of basement membrane
nephrotoxic injury (acute tubular necrosis)- tubules get clogged
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14
Q

Acute kidney injury characterized by

A

rapid loss of kidney function (^cr, decrease UO, ^BUN-azotemia)

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15
Q

Acute kidney injury follows what

A

lots of hypotension, hypovolemia, nephrotoxic agents

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16
Q

Acute kidney injury Oliguric phase

A

?

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17
Q

Acute kidney injury Diuretic phase

A

1-3L/day+

kidneys in recovery, can excrete, but cant concentrate

18
Q

Acute kidney injury recovery phase

A

Increased GFR= LOW BUN and CR

19
Q

Acute kidney injury meds

A

calcium gluconate to raise threshhold that dysrhythmias occur, keyexalate and dialysis to remove potassium

20
Q

Promt ____ to prevent ischemic tubular damage

A

replacement of fluid

21
Q

ACEi affect on GFR

A

decreases=increased potassium

STOP TAKING OR DECREASE

22
Q

BPH obstructive symptoms

A

urinary retention, weak stream, difficulty initiating, intermittency, dribbling

23
Q

BPH irritative symptoms

A

Increased frequency, urgency, dysuria, bladder pain, nocturia, incontinence

24
Q

BPH comps

A

UTI from incomplete bladder emptying, Calculi in bladder from alkalinization from urine, Hydronephrosis and pyelonephritis bc of urine backpressure

25
Q

BPH dx

A

DRE, PSA>4= transrectal US

26
Q

BPH treatment

A

5a reductase inhibitor[-ide] pregnant women shouldnt handle, a-adrenergic receptor blocker [-osin]-htn meds to increase relaxation to decrease symptoms=retrograde ejaculation (w TURP too) saw palmetto helps urinary symptoms, ^BP/Bleeding

27
Q

Prostate cancer

A

androgen dependent

28
Q

Prostate cancer mets s/s

A

pain lumbosacral area->hips/legs

29
Q

Prostate CA dx

A

DRE , PSA>4, biopsy

30
Q

Prostate CA treatments

A

radical prostatectomy(!), radiation beam if confined, Brachytherapy (time, distance, shielding), cryosurgery freezes

31
Q

Prostate CA meds

A

Lh+FSH to decrease testosterone=gynecomastia, hot flash, , androgen receptor blocker

32
Q

Testicular CA mets s/s

A

chest pain, cough, dyspnea

cryopreservation to save sperm

33
Q

Acute Kidney injury caused by

A 
renal ischemia- disruption of basement membrane
nephrotoxic injury (acute tubular necrosis)- tubules get clogged
34
Q

Acute kidney injury characterized by

A

rapid loss of kidney function (^cr, decrease UO, ^BUN-azotemia)

35
Q

Acute kidney injury follows what

A

lots of hypotension, hypovolemia, nephrotoxic agents

36
Q

bph

A

increased testosterone = increased number of cells inner part of gland

37
Q

Acute kidney injury Oliguric phase

A
38
Q

Acute kidney injury Diuretic phase

A

1-3L/day+

kidneys in recovery, can excrete, but cant concentrate

39
Q

Acute kidney injury recovery phase

A

Increased GFR= LOW BUN and CR

40
Q

Acute kidney injury meds

A

calcium gluconate to raise threshhold that dysrhythmias occur, keyexalate and dialysis to remove potassium

41
Q

Promt ____ to prevent ischemic tubular damage

A

replacement of fluid

42
Q

ACEi affect on GFR

A

decreases=increased potassium

STOP TAKING OR DECREASE

adult 2 (5 decks)

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