Genitourinary Medications (27)

Question 1

NITROFURANTOIN: Nursing Considerations

Answer 1

• Take with food or milk
• Two daily doses if urine output is high or patient has diabetes
• Drug may turn urine rust-yellow to brown
• May cause false positive glucose in urine
• Do not break, crush, chew, or open tablets or capsules
• Rx; Preg Cat B

Question 2

NITROFURANTOIN: Side Effects

Answer 2

• Dizziness, headache
• Nausea, vomiting, diarrhea
• Abdominal pain
• Tooth staining
• Chills, confusion
• Rash, pruritus
• Chest pain
• Hepatitis
• Pancreatitis
• Anemia
• Cough, dyspnea

Question 3

NITROFURANTOIN: Purpose

Answer 3

Treatment of urinary tract infection

Question 4

PHENAZOPYRIDINE: Nursing Considerations

Answer 4

• Do not crush tablets; can take with food or milk to decrease GI upset
• Inform patient that urine will be bright orange/red
• Monitor for signs of hepatoxicity: dark urine, clay-colored stools, jaundice, itching, abdominal pain, fever, diarrhea
• May interfere with urine glucose tests
• OTC, Rx; Preg Cat B

Question 5

PHENAZOPYRIDINE: Side Effects

Answer 5

• GI upset
• Kidney and liver toxicity
• Rash
• Headache, vertigo

Question 6

PHENAZOPYRIDINE: Purpose

Answer 6

Treatment of urinary tract irritation (often in combination with urinary anti-infective )

Question 7

FINASTERIDE: Nursing Considerations

Answer 7

• May be taken without regard to food
• Pregnant women should avoid contact with crushed drug or patient’s semen; may adversely affect developing male fetus
• Full therapeutic effect: Propecia may require 3 months, Proscar may require 6–12 months
• Not for use in women and children
• Rx; Preg Cat X

Question 8

FINASTERIDE: Side Effects

Answer 8

• Decreased libido
• Decreased volume of ejaculate
• Testicular pain
• Impotence
• Breast tenderness and enlargement
• Decreased PSA levels

Question 9

FINASTERIDE: Purpose

Answer 9

Treatment of benign prostatic hyperplasia (Proscar) and male pattern baldness (Propecia)

Question 10

VARDENAFIL: Nursing Considerations

Answer 10

• Take 1 hour before sexual activity
• Contact provider if erection lasts over 4 hours
• Stop medication if hearing or visual disturbances occur
• Never use with nitrates; could have fatal fall in BP
• Does not protect against sexually transmitted diseases
• Rx; Preg Cat B

Question 11

VARDENAFIL: Side Effects

Answer 11

• Headache, dizziness
• Nasal congestion
• Flushing
• Dyspepsia, GERD
• Tinnitus, hearing loss
• Hypertension, chest pain
• Photophobia
• Arthralgia
• Sinusitis

Question 12

VARDENAFIL: Purpose

Answer 12

Treatment of erectile dysfunction

Question 13

TADALAFIL: Nursing Considerations

Answer 13

• Take 1 hour before sexual activity
• Take at same time each day for BPH
• Patients with severe hepatic impairment should not take
• Alert provider if erection lasts more than 4 hours
• Stop medication if hearing or visual disturbances occur
• Alcohol intake may increase orthostatic symptoms
• Never use with nitrates; could have fatal fall in BP
• Does not protect against sexually transmitted diseases
• Rx

Question 14

TADALAFIL: Side Effects

Answer 14

• Headache, flushing
• Dyspepsia
• Back pain
• Tinnitus, hearing loss
• Nasal congestion
• Dizziness
• Hypotension
• UTI
• Blurred vision

Question 15

TADALAFIL: Purpose

Answer 15

Treatment of erectile dysfunction and benign prostatic hyperplasia

Question 16

SILDENAFIL CITRATE: Nursing Considerations

Answer 16

• Take approximately 1 hour before sexual activity
• Do not use more than once a day
• Tablets may be split
• High-fat meal will reduce absorption; better absorption on empty stomach
• Never use with nitrates; could have fatal fall in blood pressure
• Notify provider if erection lasts longer than 4 hours
• Stop medication if hearing or visual disturbances occur
• Does not protect against sexually transmitted diseases
• Rx; Preg Cat B

Question 17

SILDENAFIL CITRATE: Side Effects

Answer 17

• Headache, flushing
• Dizziness
• Nasal congestion
• UTI
• Abnormal vision
• Rash
• Tinnitus, hearing loss
• Visual disturbances

Question 18

SILDENAFIL CITRATE: Purpose….Pendiente..

Answer 18

Pendiente…..

Question 19

TOLTERODINE TARTRATE: Nursing Considerations

Answer 19

• Patients should avoid alcohol during treatment
• Take without regard to meals
• Rx; Preg Cat C

Question 20

TOLTERODINE TARTRATE: Side Effects

Answer 20

• Dry mouth
• Dizziness, headache
• Constipation
• Nausea, vomiting
• Dyspepsia
• Blurred vision
• UTI
• Hepatic injury
• Chest pain, hypertension
• Anxiety
• Rash, pruritus
• URI, cough

Question 21

TOLTERODINE TARTRATE: Purpose

Answer 21

Treatment of overactive bladder and urinary incontinence

Question 22

OXYBUTYNIN: Nursing Considerations

Answer 22

• Take without regard to meals
• Avoid alcohol, CNS depressants
• Avoid activities requiring alertness until med response is known
• Decreased ability to perspire; avoid strenuous activity in warm weather
• Rx, OTC; Preg Cat B

Question 23

OXYBUTYNIN: Side Effects

Answer 23

• Anxiety, restlessness
• Dizziness
• Seizures
• Palpitations, tachycardia
• Drowsiness, blurred vision
• Nausea, vomiting
• Anorexia
• Dry mouth
• Constipation
• Hypertension
• Impotence
• Angioedema

Question 24

OXYBUTYNIN: Purpose

Answer 24

Antispasmodic for neurogenic bladder and overactive bladder in females

Question 25

TAMSULOSIN: Nursing Considerations

Answer 25

• Take the same time daily, once a day, 30 minutes after a meal
• Avoid changing positions (lying, sitting, standing) rapidly
• Use caution in potentially hazardous activities
• This medication should be stopped prior to cataract surgery; may cause floppy iris syndrome
• Do not crush, break, or chew capsules
• Rx; Preg Cat B

Question 26

TAMSULOSIN: Side Effects

Answer 26

• Insomnia
• Nausea, vomiting, diarrhea
• Blurred vision
• Abnormal ejaculation, priapism
• Dizziness
• Headache
• Increased cough
• Chest pain, orthostatic hypertension
• Floppy iris syndrome

Question 27

TAMSULOSIN: Purpose

Answer 27

Treatment benign prostatic hyperplasia