Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

APA 2 Horvath > urologic procedures > Flashcards

urologic procedures Flashcards

1
Q

what makes up the upper urinary tract

A

ureter and kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what makes up the lower urinary tract

A

bladder, prostate, urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how does CP nerve injury happen

A

compression of fibular head on leg brace

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how does saphenous nerve injury happen

A

compression of medial tibial condyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how does sciatic nerve injury happen

A

excessive external rotation of legs, excessive extension of the knees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what spinal level is needed for cystoscopy

A

T9-T10/ T8 for ureters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

indications for cysto

A

retrograde ureteral cauterization, to visualize the ureter and kidney, to place stents, to drain obstructions, to remove renal calculi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

TURBT stands for

A

transurethral resection of the bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TURBT indicated for

A

resection and electrodesication are used to treat superficial bladder tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how does the risk of perforation increase when doing a TURBT under regional

A

the bladder becomes atonic and may become thinner when distended, increasing the risk of perf

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how does bladder perf present in the awake patient

A

shoulder discomfort, nausea, vom, suprapubic fullness, abd spasm and pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

bladder perf consequences

A

blood loss, hypothermia, bacteremia, spreading high grade malignancy into the peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bladder perf cv signs

A

htn and tachycardia are early signs, followed by severe hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

bladder perf : cool irrigation causes vaso___, give what to decrease the risk

A

constriction, give warm fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

bladder perf causes what clotting abnormality

A

DIC triggered by release of prostatic thrombogenic substances - esp with cancer of prostate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what spinal level do you need for TURP

A

T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

obturator reflex

A

bladder rupture/ injury secondary to adductor muscle contraction from obturator nerve stimulation from electrocautery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

blood loss estimation in TURP

A

2-5ml of resection time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

early signs of TURP

A

hypertension and tachycardia - think fluid overload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

absorbed volume estimate in TURP

A

10-30ml of resection time

21
Q

TURP resection time should be limited to

A

1h

22
Q

height of TURP solution should be kept no more than ___cm above the OR table in the beginning of the case and no more than ___ above the OR table towards the end

A

30, 15

23
Q

sorbitol causes

A

hyperglycemia and lactic acidosis

24
Q

mannitol causes

A

nonmetabolized, osmotic diuresis causing hypervolemia [fluid overload, CHF]

25
Q

first sign of TURP syndrome may be

A

change in mental status d/t hyponatremia

26
Q

turp syndrome circulatory overload symptoms

A

htn, reflex brady, CHF, pulm edema, dysrhythmias, MI

27
Q

classic triad TURP syndrome

A

htn (with increased pulse pressure, bradycardia (reflex), AMS

28
Q

hypervolemia and hyponatremia is treated with

A

fluid restriction and diuretics (lasix 10-20mg)

29
Q

postpone procedure if sodium is

A

125

30
Q

open prostate - radical prostatectomy - more hemorrhage occurs with ____ approach

A

retropubic

31
Q

methylene blue 1% can cause

A

hypotension

32
Q

indigo carmine dye 0.8% has an ____ effect

A

alpha sympathomimetic , increases BP

33
Q

pulse ox for dyes

A

65% (false low)

34
Q

methyl blue has a ____ effect than indigo

A

greater

35
Q

nephrectomy - use lateral-flex table and kidney bar - concerns

A

vena cava compression and hypotension (d/t decreased venous return)

36
Q

what conditions are common in pt needing kidney transplant

A

anemia, hyperK, metabolic acidosis, hypocalc

37
Q

why would regional be contraindicated in renal transplant patient

A

preexisting coagulopathy and or immunosuppression

38
Q

complications of renal transplant

A

hyperkalemia, delayed renal function, graft failure

39
Q

temp for kidney preservation

A

4 degrees C

40
Q

preservation of kidney with renal perfusion:

A

72 hours

41
Q

preservation of kidney with cold storage

A

48 hours before necrosis jeopardizes graft survival

42
Q

radical cystectomy is done in what position

A

supine

43
Q

what is the main concern with radical cystectomy

A

fluid shifting - need CVP

44
Q

radical cystectomy complications

A

hypothermia, inadequate fluid replacement, need for post op ventilation

45
Q

what position for orchiopexy

A

supine or lithotomy

46
Q

what sensory level block needed for orchiopexy

A

T9

47
Q

position for AV fistula/ shunts

A

supine with arm extended

48
Q

ESWL - pulse wave is timed to the ___ wave

A

R

49
Q

absolute contraindications to ESWL

A

pregnancy, risk of bleeding

APA 2 Horvath (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions