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66 Cards in this Set

  • Front
  • Back

Male menopause

andropause

painful urination

dysuria

age of onset of first menstruation

menarche

the end of monthly cycles; referring to the fertility cycle of women

menopause

impaired bladder function caused by a nervous system abnormality, typically an injury to the spinal cord

neurogenic bladder

voiding at night

nocturia

conditions of urgency, frequency, and nocturia, with or without incontinence

overactive bladder syndrome (OBS)

prolonged, painful penile erection

priapism

losing urine without meaning to during physical activity

stress incontinence

strong, sudden need to void due to bladder spasm or contraction

urge incontinence

antiadrenergic drug that is selective for alpha receptors in the urinary system and not generalized

uroselective

When a women is going through menopause she may need ____ replacement

estrogen

Aging of the female GU includes ____ atrophy and hormonal changes

fat

These are responsible for _____ wall becoming thinner and losing elasticity, vaginal wall producing less _____ and slower rate of sexual arousal, ph environment changes making it susceptible to yeast infection, and pelvic floor weakened.

vaginal




lubrication

Estrogens can lessen the sx of menapause and their uses include relief of moderate to severe _____ sx of menopause and tx of osteoporosis

menopause

Estrogen us given ____ or ____to treat uterine bleed caused by hormonal imbalance

IM




IV

Estrogens can be given by ____ rte

any

Adverse reactions of the CNS include HA, migraine, dizz, ___ ___

mental depression

adverse reactions of the skin include dermititis, ____, chloasma (pigmentation of the skin), or melasma (discoloration of the skin),

pruritis

______ are cholinergic blocking drugs that inhibit bladder contractions and delay the urge to void.

antispasmotic

These drugs counteract the smooth muscle ____ of the urinary tract by relaxing the detrusor and other muscles through the action at the parasympathetic nerve receptors

spasm

____ is used to relieve symptoms of dysuria, urinary urgency, nocturia, suprapubic pain and frequently and urge incontinence.

Flavoxate (Urispas)

Antispasmodic drugs relax ____ muscle

smooth

Other antispasmodic drugs are used to tx bladder instability caused by ______ bladder (this is impaired bladder function caused by a nervous system abnormality, typically an injury to the spinal cord

neurogenic

An example of an Antispasmodic drug is

oxybutynin (Ditropan XL)

Contraindicated in pts with ____, gastric blockage, abd bleed, myasthenia gravis, and urinary tract blockage.

glaucoma

These drugs should be used with caution in pts with____ infections, BPH, urinary retention, hyperthyroidism, hepatic or renal dx, and hypertension

GI

Common adverse reactions for antiplasmodics are ___ ___, decreased tears/sweating, blurred vision, ____ or diarrhea, drowsiness, ___ ____, NV, and mental confusion (elderly)

dry mouth




constipation




urinary hesitancy

______ is contraindicated in renal impairment and undiagnosed UTI pain

Pyridium (phenazopyridine)

_____ will interact with antispasmodic drugs and cause increased serum levels of the drug

digoxin

When tx with antispasmodics encourage ____, sucking on hard candy, and high fiber diet

fluids

The outer ____ of oxybutynin may be excreted in your stool

capsule

drug or agent that destroys or kills bacteria

bactericidal

drug or agent that slows or retards the multiplication of bacteria

bacteristatic

inflammation of the bladder

cystitis

inflammation of the prostate gland

prostatitis

inflammation of the kidney nephron

pyelonephritis

infection by pathogenic microorganism of one or more structures of the urinary tract

Urinary tract infection (UTI)

UTI are types of infections are caused by _____ microorganisms of one or more structures of the urinary tract.

pathogenic

Drugs used to treat UTIs are called _______

anti infectives

They are primarily excreted by the kidneys and exert their major antibacterial effects in the ___ as it travels through the bladder

urine

The most common types of drugs used to tx UTI include amoxicillin, trimethroprim, and ________

nitrofurantoin

nitrofurantoin is not and ______ or sulfonamide

antibiotic

Another drug used to treat UTIs is _______, a urinary analgesic, used to relieve discomfort assoc with UTIs

phenazopyridine (Pyridium)

anti infective drugs _____ with the reproduction of bacteria in the urine

interfer

They rapidly _____ resulting in a high drug concentration in the urine

excreted

Nitrofurantoin may be _________ or ______ depending on the concentration of the drug in the urine

bacteriostatic or bactericidal

slows and retards the multiplication of bacteria

bacteriostatic

destroys bacteria

bactericidal

_______ is a dye that exerts a topical analgesic effect on the lining of the urinary tract. This is used often in combo therapy

phenazopyridine

What are the routes of infection:

1. ascending from bladder to kidney




2. ascending urethra to bladder; descending urethra from the bladder




3.from rectum, cervix, and prostate to bladder




4. from bowel to bladder

examples of anti infective drugs are :

nitrofurantoin




trimethoprim/ sulfamethoxazole

BPH drugs are age-related for _____ enlargememt

prostate

It may cause difficulty _____, retention, and incontinence

urination

an example of BPH drug is ___ which improves urine flow

tamsulosin (flomax)

Some common adverse reactions for anti infectives are NVD, anorexia, ___ ___, ____, rash, pruritis, photosensitivity

abd pain




stomatitis





in large doses can cause _____ with urination

burning

nitrofurantoin can cause acute/chronic ______ reactions such as fever, chills, cough, dyspnea, chest pain, and pleural effusion

pulmonary

Anti infectives can cause hypersensitivity and are used with caution in pt with ____ and ____ impairment, gout, and diabetes

renal and liver

If a pt has an allergy to food dye they should not use _____

hiprex

Anti infectives will interact with ___ _____ and increase the risk for bleeding

oral anticoagulants

Anti infectives will interact with _____ (magnesium trisilicate) or _____ (magaldrate) causing decreased absorption of the anti infective

MOM




maalox

anti infectives will interact with antocholinergic (cholinergic blocking drugs) causing a delay in _____ emptying

gastric

Nursing assessments include enouraging fluid intake of _____ ml per day

2000

pulmonary sx can occur with in hours and up to ____ into the tx

3 weeks

Take all meds with ___ or meals

food