Lower GU Flashcards
Anticholinergics - Medications (2)
tolterodine (Detrol)
oxybutynin (Ditropan)
NM for acute UR (7)
bladder scan
palpate height
ask about voiding history (how many times do you pee)
needs indwelling urinary catheter
drink small amounts of fluids
Avoid alcohol, caffeine, acidic fruits……
sitting in tub of warm water or warm shower
NM for chronic UR (2)
intermittent or indwelling urinary catheter
schedule toileting time
Nursing interventions for Neurogenic bladder (5)
Provide routine voiding measures
Avoid caffeine and alcohol
Kegel exercises
Catheter care when indicated, or catheterize prn
Medication – Tamsulosin (Flomax) improves bladder storage and emptying
What does urinalysis measure? (3)
Measurement of color, pH, specific gravity
Determination of present of glucose, protein, blood, & ketones
Microscopic exam for crystals, bacteria
S/S of UTI (5)
Hesitancy
Frequency
Urgency
Dysuria
Suprapubic pain
Risks for urosepsis (6)
Urinary catheters
advanced age
compromised immune system
diabetes
female gender
surgical procedures involving urinary tract
Symptoms of prostatitis (4)
Flu-like
Pain in abdomen, groin, or back
dysuria
Pain with ejaculation
PT teaching of prostatitis (6)
Safe sex
Weight loss
Avoid spicy or acidic foods
Avoid alcohol and caffeine
Eat more fresh/unprocessed foods & less sugar
Water, water, water!!
BPH irritative (3)
nocturia
frequency
urgency
BPH obstructive (3)
weak stream
difficulty starting & stopping stream
dribbling
BPH medicines (osin) (3)
tamsulosin (Flomax)
Doxazosin (Cardura)
Terazosin (Hytrin)
BPH medicines (ride) (2)
finasteride (Proscar)
dutasteride (Avodart)
S/S of Testicular cancer (5)
Most found in early stage
Lump or swelling on testicle
Feeling of heaviness in scrotum
Dull ache in lower belly or groin
Usually painless in early stages
Risk factors of prostate cancer (4)
Age
Obesity
Alcohol
Family history