Description

NR 667 Vise call focused Possibilities Study online at https://quizlet.com/_eu32pi 1. 1. BPH AUA Questions "Over the past month have you...": 1. Sensation of incomplete emptying 2. Urinate less than 2 hours after you finished (Frequency) 3. How often have you found that you start and stop several times when urinating 4. found it difficult to postpose urination 5. Weak urinary stream 6. push or strain when urinating 7. how many times do you typically get up to urinate Mild= 0-7 moderate= 8-19 Severe 20-35 2. BPH Labs: U/A PSA High PSA and free PSA (cancerous is high PSA and normal to low free PSA) Renal panel post void residual 3. BPH Differentials: Prostatitis Prostate cancer UTI Bladder cancer 4. BPH Assessment: DRE Firm, smooth symmetrically enlarged prostate 5. BPH Non-pharm education: Limit bedtime fluids Limit caffeine, alcohol, antihistamine/anticholinergics Limit salt intake 6. BPH Pharm education: Alpha 1 Blocker Flomax 0.4mg daily at bedtime May cause dizziness Follow up in 2-4 weeks Urology if patient is not responding to treatment Annual PSA and DRE if initial PSA >2.5 7. 2. Sinusitis (Maxillary) Assessment findings: Viral 10 days Purchase document to see full attachment