reproductive objectives

most common male urologic problem

begin prostatic hyperplasia

signs and symptoms of obstructive BPH

decrease in force of stream, difficulty initiating stream

signs and symptoms of irritative BPH

frequency, urgency, bladder pain, nocturia

possible complications associated with BPH

urinary retention, UTI, bladder stones

nursing interventions for BPH

dietary changes (decrease caffeine, spicy foods), avoid decongestants, restrict evening fluids, caution with anticholinergic medications

reduces the size of the prostate in BPH

Proscar

promotes smooth muscle relaxation in the prostate

Hytrin, Cardura (hypertension meds)

incisions made into the prostate for obstruction relief

transurethral incision of the prostate

risk factors for erectile dysfunction

over 50 years of age, diabetes, hypertension, high cholesterol, low T, cardiovascular disease, psychological issues

nursing consideration associated with testosterone supplementation to treat erectile dysfunction -

risk for cancer

what is associated with nitrates

priapism

twisting of spermatic cord that supplied blood to the testes and epididymis

testicular torsion

removal of the prostate using a resectoscope inserted through the urethra; obstructive prostatic tissue cauterized and taken out

TURP

complications associated with TURP include:

bleeding, clot retention, dilutional hyponatremia, bladder spasms, urinary incontinence, infections

removal of ovaries; creates surgical menopause

bilateral oophorectomy

complications associated with bilateral oophorectomy -

increased severity of menopausal symptoms due to the sudden hormone decrease

risks associated with estrogen hormone replacement therapy -

stroke and DVT

risks associated with estrogen and progesterone replacement therapy -

breast cancer, stroke, cardiovascular disease, DVT, PE

patient education associated with post-menopause

reduce caffeine and alcohol, relaxation, include soy/tofu/chickpeas and diet

what role does soy play in helping manage post-menopause

it reduces hot flashes

pruritus, thick white curdy discharge

vulvovaginal candidiasis

what is the treatment of vulvovaginal candidiasis?

antifungal (monistat, fluconazole)

pruritus, frothy green/gray discharge, hemorrhage spots on the cervix or vaginal wall

trichomonas

treatment for trichomonas

metronidazole (Flagel)

watery discharge with fishy odor

bacterial vaginosis

treatment for bacterial vaginosis

metronidazole (flagyl), clindamycin

cervicitis, mucopurulent discharge, postcoital spotting from cervical inflammation

chlamydia

treatment of chlamydia

azithromycin (Zithromax)

severe recurrent vaginitis

candida albicans

severe recurrent vaginitis can also be indicative of?

HIV

signs and symptoms of HSV-2 (genital herpes)

pain, small vesicular lesions, fever, lymphadenopathy

treatment of HSV-2 (genital herpes)

antivirals (valtrex)

signs and symptoms of HPV (genital warts)

papillary growths that are white to flesh colored

treatment of HPV (genital warts)

remove warts, HPV vaccine for prevention

nursing considerations for Viagra

do not take with nitrates (both are vasodilators which can cause a drastic drop in blood pressure)

promotes smooth muscle relaxation in the prostate for BPH

Cardura

given for bladder spasms

belladonna and opium suppository

removal of the head of the pancreas; parts of the intestine and stomach; pancreatic ducts are connected to CBD and stomach is connect to the jejunum

whipple procedure