CYSTOSCOPY Flashcards
A 45-year-old male presents with gross hematuria. What is the primary indication for cystoscopy in this case?
a. Surveillance of upper tract urothelial cell carcinoma (UCC)
b. Assessment of irritative voiding symptoms
c. Evaluation of chronic pelvic pain syndrome
d. Diagnosis of bladder cancer
Answer: d. Diagnosis of bladder cancer
Rationale:
Gross hematuria is a concerning symptom that may indicate underlying bladder pathology, such as bladder cancer. Cystoscopy is the preferred diagnostic modality for directly visualizing the bladder lining and identifying any abnormalities, making option d the most appropriate indication in this case.
Position during cystoscopy
Lithotomy
Desire to void during Cystoscopy? Normal or not?
Normal
General Anesthesia for Cystoscopy: NPO for how many hours?
6-8 hrs
Nursing Intervention for patient taking Local Anesthesia
Advise the patient to Increase Fluid intake up to 3L or 3000ml
Provide adequate bed rest after cystoscopy to prevent?
To prevent Orthostatic Hypotension/Supine Hypotensive Syndrome
Why do patient need to Increase Fluid Intake when taking Local Anesthesia?
To prevent Ascending UTI
DOC for Sedation
Valium/Diazepam
↓ 30 mmHg from Systolic BP due to irritation of the mucus membrane in the urinary tract
Supine Hypotensive Syndrome
Is burning urination is expected a day or two after cystoscopy?
Yes, it is normal.
Normal color of urine after cystoscopy for 24-48h
Pink-tinged color urine
Rationale
Pink-tinged urine, burning, and frequency are common following a cystoscopy. The patient does not need to be NPO prior to the test, and contrast media is not needed. A cystoscopy does not always necessitate catheterization before or after the procedure.
Signs of Infection
Fever
Chills
Abdominal/Flank pain
F, C, A/F P
Rationale behind providing Hot-Sitz Bath after Cystoscopy
To relieve pelvic/perineal discomfort.
Do we secure consent for cystoscopy? Why?
Yes. It is an invasive procedure.
A patient scheduled for cystoscopy presents with symptoms of acute urinary infection. What is the appropriate course of action?
a. Proceed with the cystoscopy as planned
b. Delay the procedure until after the urinary infection is treated
c. Perform the cystoscopy and initiate antibiotic therapy simultaneously
d. Refer the patient for a different imaging procedure
Answer: b. Delay the procedure until after the urinary infection is treated
Rationale:
Evidence of acute urinary infection is a contraindication to cystoscopy due to the risk of sepsis. The procedure should be delayed until after the infection is appropriately treated to mitigate the risk of complications.
