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8 Cards in this Set
- Front
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A man who has BPH in whom prostatic carcinoma has been ruled out, ask the NP about beginning drug therapy to treat his symptoms. The NP notes that he consistently has blood pressure readings around 145 / 90 the NP should prescribe? |
Doxazosin, cardura. Is a nonspecific Alpha blocker, which also lowers blood pressure and should be considered to treat BPH and patients who also have hypertension. Tadalafil is used to treat erectile dysfunction. Tamsulosin is a specific Alpha blocker and is first-line treatment for patients with BPH who do not have hypertension. Finasteride is a 5 Alpha reductase inhibitor which is not a first-line medication |
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A patient who has BPH is taking tamsulosin and dutasteride and ask the NP why he needs to take both medications. The NP should tell him |
One gives faster symptom relief, whereas the other shrinks the size of the prostate. 5 Alpha reductase inhibitor is given to shrink the size of the prostate, but maximum benefit is not achieved until 6 months of therapy. The alpha blocker is given to provide more rapid relief. The combination does not decrease the risk of carcinoma. The drug therapy is not a prerequisite to surgery although it may be used before surgical intervention |
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A patient who has BPH is taking alfuzosin, uroxatral and finasteride, proscar. The patient has two urinary tract infections in the past 2 months. The urinalysis in the clinic is negative for leukocyte esterase but positive for hematuria. The NP should |
Refer the patient to a urologist. Surgery is indicated for patients who are refractory to treatment with medications or who have recurrent UTIs or hematuria. The NP should refer the patient to a urologist. All alpha blockers are considered equally efficacious so changing the drug regimen is not indicated |
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A patient who has BPH is taking doxazosin and finasteride. The patient asks the NP whether he has an increased risk of prostate cancer. The NP should tell him |
He has an increased risk of a certain type of cancer. There is an overall reduction in prostate cancer risk for patients taking 5-alpha reductase inhibitors such as finasteride but there is an increase risk of high-grade prostate cancer. His overall cancer risk is less. Doxazosin does not affect cancer risk |
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A patient tells the NP that he has difficulty getting and maintaining an erection. The NP initial response should be to? |
Perform a medication history. |
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The primary care NP is preparing to prescribe sildenafil for a man who has erectile dysfunction. The NP should remember to tell this patient? |
To avoid oral nitrates while taking this medication. Deaths have been reported in men on concomitant treatment with oral nitrates who are taking sildenafil. Patients taking alprostadil may experience penile ache. Finasteride not sildenafil is teratogenic and a man taking finasteride should use condoms if his partner is pregnant. Dyspepsia is a common but not serious side effect of sildenafil |
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A man who has cardiovascular disease and takes nitroglycerin for angina pain develops erectile dysfunction the NP who cares for this patient should recommend? |
Use of a vacuum constriction device. Testosterone injections are used for men with documented as region deficiency. Vascular reconstruction surgery may be used for men with decreased blood flow and should be considered if other treatments are ineffective |
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A patient who has erectile dysfunction wants a medication to use as needed. The NP should recommend |
Avanafil, Stendra. Is the newest drug on the market and can be used on an as needed basis because it has a shorter Half-Life and short onset of action and maybe taken 30 minutes before sexual activity. The other agents have an onset of action of several hours |
