Drugs r/t BPH and Erectile Dysfunction
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| What is the result of PDE5 inhibition? | A long and harder erection.
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| Which drug is used for erectile dysfunction and pulmonary HTN? | Viagra (sildenafil)
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| Persistent and painful erection of the penis. Also an AE of Viagra. | Priapism
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| Name two rare AE of the Viagra. | Nonarteritic ischemic optic neruopathy.
Sudden hearing loss.
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| Pts taking viagra should not stand up quickly. T or F? | True. Hypotension is a SE
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| Headache and flushing are potential AE of which erectile dysfunction drug? | Viagra (sildenafil)
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| Which of these drugs is not contraindicated with Viagra? Nitrites, Diuretics, a-blockers, CYP3A4 drugs? | Diuretics. The other three are contraindicated.
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| Cialis should only be taken when a pt has the need for an erection. T or F? | False. Take daily.
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| Which erectile dysfunction drug causes QT interval prolongation w/antidysrhythmic drugs? Viagra, Levitra, Cialis, or Avodart? | Levitra
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| Excessive growth of epithelial (gradular) cells is which type of BPH? Mechanical or Dynamic? | Mechanical
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| Exessive growth of smooth muscle cells is which type of BPH? Mechanical or Dynamic? | Dynamic
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| This type of BPH can have s/s without an enlarged prostate. Mechanical or Dynamic | Dynamic
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| 5-alpha reductase inhibitors are used for which type of BPH? Mechanical or Dynamic? | Mechanical
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| Alpha-1 adrenergic antagonists are used for which type of BPH? Mechanical or Dynamic? | Dynamic
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| finasteride (Proscar) and dutasteride (Avodart) are used for which type of BPH? Mechanical or Dynamic? | Mechanical
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| Proscar and Avodart are known as which classification of drug? | 5-alpha reductase inhibitors
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| Pt states they have been on Avodart for 4 months now and still have s/s of BPH. How should the nurse respond? | It may take 6-12 months to experience full effects.
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| Which lab levels should be drawn when taking Proscar? Should they be lower or higher than before drug started? | PSA. They should be lower.
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| Might pts who are on Proscar need a prescription for an erectile dysfunction as well? Why or why not? | Yes. An AE of Proscar/Avodart is dec. ejaculate vol. and libido.
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| A male pt on Avodart complains of pain, swelling, and growth in his pectoral area. How should the nurse respond? | Gynecomastia is an AE of Avodart
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| Women should avoid sexual intercourse with men taking Avodart if they are of child bearing age or pregnant? T or F? | True. Avodart is Preg X drug.
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| This BPH drug relaxes smooth muscle in the bladder neck, prostate capsule and prostatic urethra. | Alpha 1 Adrenergic Antagonists (Flomax)
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| This BPH drug is useful in symptom management with MILD enlargement | A-1 Adrenergic Ant.
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| silodosin (Rapaflo) and tamsulsosin (Flomax) are selective or nonselective? | Selective
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| Abnormal ejaculation is more an AE of selective or nonselective drugs? | Selective
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| "osins" such as alfuzosin are selective or nonselective drugs? | Nonselective
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| What is a primary nsg dx for "osin" drugs? Risk for infection, Risk for falls, Risk for disturbed body image, Risk for aspiration? | Risk for falls. AE of osins include Hypotension, dizziness, and fainting.
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| Nasal congestion is a common AE of selective or nonselective drugs? | Nonselective
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| Which of these drugs is most contraindicated with doxazosin? lasix, metformin, insulin, gabapentin? | Lasix. These two drugs combined can severly drop blood pressure.
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| What is an herbal preparation commonly used with BPH? | Saw Palmetto
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| Since Saw Palmetto is a herbal supplement, it is safe in use with pregnancy. T or F? | False
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