Elimination: BPH and Incontinence Flashcards
1
Q
Continence
A
proper functioning of all the muscles and sphincters, and a proper functioning brain
2
Q
BPH
A
benign prostatic hyperplasia
- increase number of cells
- nonmalignant NOT cancer
- blocks flow of urine through urethra
- increase risk for retention
3
Q
Symptoms of BPH
A
weak stream, problems starting stream, post void urgency, frequency, nocturia, inability to empty bladder, distention
4
Q
Risk Factors BPH
A
age, presence of testes, high fat/meat diet, african american, hispanic
5
Q
Hydroureter
A
obstruction in ureter
6
Q
Hydronephrosis
A
dilation inside kidney
7
Q
Tests: BPH
A
PSA, DRE, UA, PVR
8
Q
PSA
A
prostate antigen protein elevated for prostate cancer
9
Q
DRE
A
digital rectal exam, want to feel smooth
10
Q
UA
A
urine analysis
11
Q
PVR
A
post void residual
12
Q
What causes BPH
A
no known cause, related to testosterone converting to DHT
13
Q
5 alpha reductase inhibitors
A
- dutasteride
- finasteride
inhibits conversion of testosterone to DHT
14
Q
Alpha Adrenergic blockers
A
- doxazosin
- prazosin
- tamsulsoin
- terazosin
block access muscle contractions (hypertensive meds)
15
Q
Anticholinergics
A
- tolerodine
relax muscles in bladder, prevents urgency
SE urinary retention
