Drugs Affecting the Urinary and Renal System

Question 1

Bethanechol

Answer 1

Bladder control
Loss of strength in urinary muscles
Helps treat functional urinary retention (neurogenic bladder) and urinary atony
Expected outcome: non-distended bladder

Common side effect: urinary urgency, sweating, low HR and BP

Question 2

Finasteride

Answer 2

Given for large prostate
BPH
will help shrink prostate

Question 3

Terazosin and tamsulosin

Answer 3

Given to treat urinary retention in clients with enlarged prorate that hold back the urine
BPH
relaxes smooth muscle to help the body release urine
Slow position changes for orthostatic hypotension and avoid low BP medications due to relaxation of smooth muscles
Headache can also be a side effect
Avoid sildenafil
Grapefruit juice is okay with this drug

Question 4

Oxybutynin Tolerodine

Answer 4

Used to treat overactive bladder
reduced urinary urgency and frequency and Nocturia

Dries body - anticholinergic
Cant see, cant pee, can’t spit can’t poop
may cause blurred vision, dry eyes and mouth
Avoid glaucoma and BPH
Constipation is common - stool softeners, avoid bowel obstructions

Question 5

Oxybutynin Tolerodine adverse effects

Answer 5

urinary rention, no urine all day - report to HCP
Slow position changes ti prevent orthostatic hypotension
Avoid hyperthermia = too much sun exposure

Question 6

The nurse is conducting teaching with an elderly patient newly prescribed terazosin which instructions should be included in the teaching plan?

Answer 6

It is not necessary to avoid foods that contain grapefruit
Make sure to change positions slowly while on this medication
I will not take this mediation with antacids
Do not take sildenafil while on this medication

Question 7

Which are side effects of oxybutynin

Answer 7

Dry eyes
Dry mouth