urinary & male reproductive

Question 1

Finasteride (Proscar)

Answer 1

Blocks the enzyme 5-a-reductase Reduces the size of the prostate May cause decreased libido (interest in sexual activity). Women who may be or are pregnant should not handle tablets.

Question 2

Doxazosin (Cardura), Terazosin (Hytrin), Tamsulosin (Flomax)

Answer 2

Promotes smooth muscle relaxation in the prostate Facilitates the flow of urine in BPH Watch for orthostatic hypotension, dizziness, retrograde ejaculation and nasal congestion.

Question 3

Lueprolide (Lupron)

Answer 3

Decreases testosterone production Treats prostate cancer Watch for hot flashes, decreased libido, erectile dysfunction, and depression. Must be taken indefinitely

Question 4

anemia

Answer 4

A manifestation of a pathologic process (not a specific disease) that has commonalities in mechanisms and clinical manifestations regardless of the cause

Question 5

Signs and Symptoms anemia

Answer 5

Pallor (mucus mb), jaundice, pruritus
Blurred vision, retinal hemorrhage
Glossitis, smooth tongue
Tachycardia, increased pulse pressure,
    angina, heart failure
Tachypnea, dyspnea
Headache, vertigo, irritability, depression
Anorexia, hepatomegaly, dysphagia
Bone pain
Sensitivity to cold, weight loss, lethargy

Question 6

Hemoglobin Levels

Answer 6

• mild 10-12
• moderate 6-10
• severe <6

Question 7

iron deficiency anemia s/s

Answer 7

Pallor – most common finding
Glossitis – inflammation of the tongue
Cheilitis – inflammation of the lips

Plus all the other; signs and symptoms related to the severity of the anemia

Diagnosis
Hemoglobin is below 14, usually see symptoms when 6-10
Other diagnostic studies such as stool guaiac
Bone Marrow Biopsy if other test are inconclusive

Question 8

iron def treatment

Answer 8

Drug Therapy – Oral Iron
Give in ferrous sulfate form, best absorbed from duodenum and proximal jejunum
Best absorbed in an acidic environment – take with vitamin C
Undiluted should be drank via a straw
Side effects:
Heartburn
Constipation
Drug Therapy – parenteral iron
Given deep IM, change needles
Use Z-track technique
Do NOT massage the site after administration

Question 9

Thallessemia

Answer 9

genetic/ need blood transfusion, zinc

Complication: iron overload

Question 10

B12 def

Answer 10

dianosis schillings test/radioactive b12

-pt teaching about injections/intranasal cobalamin

Question 11

polycytemia

Answer 11

hydration therapy

drug immunosuppresive agents