Kidney/Pudenda - Unit 4 - Care of Male Patients with Reproductive Problems Flashcards
What happens in benign prostatic hyperplasia?
Glandular units in the prostate that undergo an increase in the number of cells —-> enlargement of the prostate gland.
What happens in benign prostatic hyperplasia?
Glandular units in the prostate that undergo an increase in the number of cells —-> enlargement of the prostate gland.
What are some risk factors for BPH?
Age & Family History
What are some signs and symptoms of BPH?
Increased frequency, nocturia, urinary urgency, hesitancy in starting urination, decreased volume and force of urinary stream, feeling of bladder fullness, recurrent UTI’s
What are some diagnostic procedures for BPH?
Urinalysis with culture, PSA, renal function tests, digital rectal exam, biopsy of prostate, KUB, etc.
What is the normal Prostate Specific Antigen (PSA) level?
Should a patient have their PSA drawn before a digital rectal exam?
Yes - don’t want the DRE to be increasing the PSA
What’s a TRUS?
Transrectal ultrasound and needle biopsy - performed to rule out prostate cancer.
What are two types of drugs taken for BPH?
5-alpha reductaste inhibitors (5-ARI) and Alpha blocking agents.
How long will someone be on a 5-ARI before they might feel better?
6 months
How long will someone be on a 5-ARI before they might
blah blah blah
What are some risk factors for BPH?
Age & Family History
What are some signs and symptoms of BPH?
Increased frequency, nocturia, urinary urgency, hesitancy in starting urination, decreased volume and force of urinary stream, feeling of bladder fullness, recurrent UTI’s
What are some diagnostic procedures for BPH?
Urinalysis with culture, PSA, renal function tests, digital rectal exam, biopsy of prostate, KUB, etc.
What is the normal Prostate Specific Antigen (PSA) level?
Should a patient have their PSA drawn before a digital rectal exam?
Yes - don’t want the DRE to be increasing the PSA
What’s a TRUS?
Transrectal ultrasound and needle biopsy - performed to rule out prostate cancer.
What are some complications of TURP? Nursing actions to prevent them?
Urethral trauma, urinary retention, bleeding, infection
NA = monitor urine, force fluids, avoid caffeine, stool softeners can help, etc.
What are some 5-Ari’s - what do they do? SE?
Proscar, avodart - they reduce the size of the prostate gland.
Side effects include gynocomastia, ED, flushing -
How long will someone be on a 5-ARI before they might
blah blah blah
If you’re pregnant, you can touch a 5-ARI - T/F?
FALSE - DO NOT touch it.
What do alpha-blocking agents do for BPH? What do they do?
cardura, hytrin, flomax, uroxatral (ER), smooth muscle relaxation of prostate.
What’s TURP?
Transurethral Resection of the prostate - 23 hour hold, small glands - poor surgical risk - may need to be repeated.
What are some pre-operative nursing actions for a TURP?
are they healthy? general anesthetic? Flush fluids for irritated urethra, etc.
What are some post operative nursing actions for a TURP?
PCA, pain, monitor urine, Monitor VS, etc.
What’s continuous bladder irrigation?
Three-way urinary catheter with a 30-40ml retention balloon through the urethra into the bladder.
What continuous bladder irrigation, what do patients feel?
An uncomfortable urge to void continuously.