Name at least 2 risk factors for BPH
Smoking, Heavy Alcohol, Diabetes, Western Diet
What symptoms are associated with moderate to severe BPH?
Urinary Frequency, Urgency, Nocturia, Hesitancy, Decreased Stream, Dribbling, Incomplete Bladder Emptying
What is a TURP
Transurethral Resection of the Prostate. Most common surgical treatment. Endoscopically removes the prostate gland.
You are caring for a patient post-op TURP. What nursing interventions are needed?
Fluid Balance: Fluid in the catheter should equal fluid out (irrigation); Electrolyte Imbalances; Relieve pain; Monitor Catheter Output;
Finasteride is a (medication class).
5-Alpha Reductase Inhibitor
Finasteride is used for ______.
BPH- inhibits metabolism of testosterone causes decreased proliferation of prostatic cells (reduce enlargement of prostate)
Tamsulosin (Floxax) is a (medication class).
Alpha1-Adrenergic Blocker
Medications for Erectile Dysfunction will not work without ______.
Sexual Stimulation
Causes for Erectile Dysfunction are categorized into 2 categories:
Psychogenic and Organic
What is stress incontinence?
involuntary loss of urine through an intact urethra due to sneezing, coughing, changing position
What is urge incontinence?
involuntary loss of urine associated with a strong urge to void that cannot be suppressed. Client unable to stop flow long enough to get to toilet in time.
What is functional urinary incontinence?
Functional incontinence is also known as disability associated urinary incontinence. It occurs when the person's bladder is working normally (dementia)
Non-Medication interventions for urinary incontinence:
Fluid management (1500-1600ml/day). Water is best- include 1 glass cranberry juice day. Avoid: caffeine, carbonated bev, alcohol, art sweeteners
What will you educate your patient about kegel excercises?
gently tighten same muscles used to stop flatus or stream of urine for 5-10 seconds followed by 10 second resting phase. 2-3 times/day for 6 weeks
What are nursing interventions for a patient with UTI?
Pain usually resolves with abx treatment, drink lots of fluids, void every 2-3 hours, prevent sepsis that can cause kidney damage
Which treatment option for renal calculi involves using a shock wave to fragment the stone?
Extracorporeal Shock Wave Lithotripsy (ESWL)
