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Male Infections
of the reproductive system
| Question | Answer |
|---|---|
| what is an acute or chronic infection of the prostate gland that is commonly a result of bacterial invasion from the urethra? | |
| What specifically is bacterial invasion that originates in the bloodstream or from a descending infection from the kidneys caused by? | causative organisms include E.coli, Klebsiella, Proteus, Pseudomonas, Streptococcus, Staphylococcus |
| Assessment of prostatitis may find what clinical manifestations in the acute phase? | sudden onset of chills/fever, urinary urgency/freq, dysuria, cloudy urine, perineal fullness, lowerback pain, Arthralgia, myalgia, tenderness, edema, frimness of prostate gland, |
| What clinical manifestations are found in the chronic phase of prostatitis? | May appear asymptomatic, same symptoms usually exist in acute phase except with less intensity |
| DX is made by what ? | observed prostattits clinical manifestation, C&S test of urethra, prostatic fluid, urine for organism identification and appropriate therapy, the ph of prostate fluid is generaly elevated iin prostatitis |
| Medical Mgm | abx therapy, periodic digital massage of the prostate by the physician to increase the flow of infected prostatic secretions, sitz bath for heat, analgesics as orderd, |
| Nursing Interventions... | explanation of abx therapy/need for compliance, Bed rest to relieve strain and pain of the perineum and suprapubic, sitz bath to promote muscle relaxation, stool softeners to prevent straining of defecation, monitor intake and output, f/u |
| nursing process | pain, acute, r/t disease process, assess type/location of pain, provide analgesics, encourage bed rest, and nonpharmacological: pt position of comfort, diversion, restful environment, compliance for abx/activity level orders |
| Self -esteem, situational low risk for r/t to fear impotence and embarrassment | encourage pt to express feelings, actively listen, encourage adaptive coping behaviors |
| epididymitis | caused by S. aureus, E. coli, Streptococcus species, N. gonorrheae, infection of cordlike excretory duct of the testicle, may cause sterility |
| symptoms may occur after what? | trauma to genital area, instrumentation of the urethra, cystosopy, physical exertion, prolonged sexual activity |
| Assessment of epididmytis may show what clinical manifestatons? | sudden appearance of severe pain in the scrotum, pain radiates along spermatic tube, scrotal edema and tenerness, duck walk due to pain stimulated by walking, pyuria, chills and fever |
| DX is based on? | clinical manifestations, and dx tests such as: first daily, midstrea urine specimen for urinalysis for pyuria, massage epididymis and expressed fluid from urethra is sen tto lab for leukocytosis |
| medical mgmg | bed rest, scrotal support, application of cold for relief of edema and discomfort, abx, I&D of scrotum if abcess forms |
| nursing interventions | bed rest during acute phase, support of testicular area w/ scrotal support by elevation of the scrotum on a folded towel during bed rest and thletic support when ambulatory, ice compresses under the tender scrotum i the intial phase. use intermittently |
Created by:
redhawk101
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