Irrigation fluids that should never be used with TURP
What are isotonic solutions excluding saline and water
100
Main diagnostic test for prostate cancer
What is PSA?
100
second most commonly diagnosed male cancer
What is prostate cancer?
100
Definition of BPH
What is benign growth of prostate sufficient enough to block urethral outlet, causing LUTS
100
most common surgical procedure for BPH
What is TURP?
200
Flomax, Hytrin, Cardura
What are alpha 1 adrenergic blockers, slow prostate growth, relax smooth muscle of prostate
200
Noninvasive exams of prostate
What are CT scan, MRI, radiography, ultrasound, radionuclide exam
200
risk factors for prostate cancer
What is obesity, hypertension, diabetes mellitus, family history, age, ethnicity
200
LUTS
What is lower urinary tract symptoms including urinary tract infection, hematuria, nocturia, pressure, lower abd pain/pressure
200
Complication of TURP including cause and s/s
What is TUR syndrome, use of hypotonic solutions
agitation, acute delirium, bradycardia, tachypnea, vomiting
300
injection of isotope
What is a radionuclide exam?
300
indications for testicular biopsy
What is male factor infertility evaluation
300
dietary considerations to reduce prostate cancer risk
What is lycopene rich diet-cooked tomatoes, yellow and green vegetables
300
method to manage urinary retention in BPH
What is placement of urinary catheter for 2-4 weeks
300
Nurse must never do this after TURP
What is adjust rate of irrigation or stopping irrigation(if not severe bleeding)
400
additional PSA tests
What are: PSA density, PSA velocity, Fractionated PSA
400
Avoid for how long prior to PSA-also list
What are prostatic massage, catheterization, cystoscopy, rectal exam
400
hormonal deprivation for prostate cancer
What is androgen blocking or testosterone, orchiectomy, estrogens, grh analogs, anti-androgens
Chemotherapy is palliative
400
Nursing interventions for BPH client
What is enhanced self care, impaired urinary elimination, urine output, pain management, home care teaching
400
operation of choice for large prostate, bladder abnormality, or need for abdominal exploration
What is suprapubic prostatectomy
500
urinary urgency, frequency, nocturia, chills, n/v, flank or abd pain, boggy prostate
What are s/s of prostatitis?
500
List values for PSA
What is : <2.6ng/ml-normal
2.6-10ng/ml-moderate likelihood
> 10ng.ml-high level of suspicion
500
Jewitt staging for prostate cancer and location of mets
What is T1-T2-inside prostate capsule, localized
T3-T4-spread outside prostate capsule, advanced, metastatic spread to lymph nodes, lungs, bone
500
location of increased tissue growth in BPH and brief explanation of patho
What is glandular cells of urethra-transitional zone
nodular hyperplasia in transitional zone causes narrowing of lumen of urethra and prostatic swelling over bladder neck, prostatic capsule expands due to edema of prostate and compresses urethra, obstructing outward flow of urine
500
Nursing care of post surgical prostate client
What is monitor vital signs, bleeding, infection, pain management, bladder spasms _med?, catheter patency, home care, ambulation, DVT, GI, pulmonary, sexual functioning, support groups