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most common male urologic problem

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1

most common male urologic problem

begin prostatic hyperplasia

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2

signs and symptoms of obstructive BPH

decrease in force of stream, difficulty initiating stream

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3

signs and symptoms of irritative BPH

frequency, urgency, bladder pain, nocturia

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4

possible complications associated with BPH

urinary retention, UTI, bladder stones

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5

nursing interventions for BPH

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

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6

reduces the size of the prostate in BPH

Proscar

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7

promotes smooth muscle relaxation in the prostate

Hytrin, Cardura (hypertension meds)

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8

incisions made into the prostate for obstruction relief

transurethral incision of the prostate

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9

risk factors for erectile dysfunction

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

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10

nursing consideration associated with testosterone supplementation to treat erectile dysfunction -

risk for cancer

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11

what is associated with nitrates

priapism

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12

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

testicular torsion

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13

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

TURP

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14

complications associated with TURP include:

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

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15

removal of ovaries; creates surgical menopause

bilateral oophorectomy

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16

complications associated with bilateral oophorectomy -

increased severity of menopausal symptoms due to the sudden hormone decrease

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17

risks associated with estrogen hormone replacement therapy -

stroke and DVT

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18

risks associated with estrogen and progesterone replacement therapy -

breast cancer, stroke, cardiovascular disease, DVT, PE

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19

patient education associated with post-menopause

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

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20

what role does soy play in helping manage post-menopause

it reduces hot flashes

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21

pruritus, thick white curdy discharge

vulvovaginal candidiasis

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22

what is the treatment of vulvovaginal candidiasis?

antifungal (monistat, fluconazole)

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23

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

trichomonas

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24

treatment for trichomonas

metronidazole (Flagel)

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25

watery discharge with fishy odor

bacterial vaginosis

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26

treatment for bacterial vaginosis

metronidazole (flagyl), clindamycin

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27

cervicitis, mucopurulent discharge, postcoital spotting from cervical inflammation

chlamydia

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28

treatment of chlamydia

azithromycin (Zithromax)

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29

severe recurrent vaginitis

candida albicans

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30

severe recurrent vaginitis can also be indicative of?

HIV

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31

signs and symptoms of HSV-2 (genital herpes)

pain, small vesicular lesions, fever, lymphadenopathy

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32

treatment of HSV-2 (genital herpes)

antivirals (valtrex)

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33

signs and symptoms of HPV (genital warts)

papillary growths that are white to flesh colored

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34

treatment of HPV (genital warts)

remove warts, HPV vaccine for prevention

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35

nursing considerations for Viagra

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

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36

promotes smooth muscle relaxation in the prostate for BPH

Cardura

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37

given for bladder spasms

belladonna and opium suppository

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38

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

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