BPH part 2

Question 1

What 2 medications treat BPH?

Answer 1

• 5-Apha-Reductase Inhibitors

- Alpha1-Adrenergic Antagonists

Question 2

What are the 2, 5-Apha-Reductase Inhibitors? What do they do? Adverse effects?

Answer 2

• Finasteride (Proscar)
• Ductasteride (Avodart)
• These decrease the size of the prostate by blocking hormones (decrease DHT)
• Adverse effects: make boobs, decrease libido and ejaculate
• prostate is 5x’s the size it should be, takes 5 months to kick in, makes your baby have 5 heads (teratogen)

Question 3

What are the 2, alpha 1-adrenergic antagonists? What do they do? What are the adverse effects? What is an important nursing consideration for both of these medications?

Answer 3

• Tamulosin (Flowmax): ejaculation issues
• Terazosin (Hytrin): hypotension, fainting
• relax the smooth muscle to facilitate urination
• counsel pt about cataract surgery if they are on this medication

Question 4

What is a non pharmacological consideration for BPH?

Answer 4

-self-cath

Question 5

What are the minimally invasive therapies for BPH?

Answer 5

• TUMT: transurethral microwave thermotherapy
• Transurethral needle ablation (TUNA)
• Laser prostatectomy

Question 6

What should a PSA score be?

Answer 6

less than 4.0

Question 7

What findings from a DRE indicate BPH?

Answer 7

prostate feels firm, smooth, and symmetrically enlarged

Question 8

Will BPH meds effect sexual relationships?

Answer 8

it should not effect an erection

Question 9

Who needs to be counseled if they have BPH and are getting cataract surgery?

Answer 9

pt’s on alpha 1 adrenergic agonists
Flowmax
or Hytrin