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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 |
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impaired bladder function caused by a nervous system abnormality, typically an injury to the spinal cord |
neurogenic bladder |
|
voiding at night |
nocturia |
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conditions of urgency, frequency, and nocturia, with or without incontinence |
overactive bladder syndrome (OBS) |
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prolonged, painful penile erection |
priapism |
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losing urine without meaning to during physical activity |
stress incontinence |
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strong, sudden need to void due to bladder spasm or contraction |
urge incontinence |
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antiadrenergic drug that is selective for alpha receptors in the urinary system and not generalized |
uroselective |
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When a women is going through menopause she may need ____ replacement |
estrogen |
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Aging of the female GU includes ____ atrophy and hormonal changes |
fat |
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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 |
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Estrogens can lessen the sx of menapause and their uses include relief of moderate to severe _____ sx of menopause and tx of osteoporosis |
menopause |
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Estrogen us given ____ or ____to treat uterine bleed caused by hormonal imbalance |
IM IV |
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Estrogens can be given by ____ rte |
any |
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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) |
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Antispasmodic drugs relax ____ muscle |
smooth |
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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) |
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Contraindicated in pts with ____, gastric blockage, abd bleed, myasthenia gravis, and urinary tract blockage. |
glaucoma |
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These drugs should be used with caution in pts with____ infections, BPH, urinary retention, hyperthyroidism, hepatic or renal dx, and hypertension |
GI |
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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) |
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_____ will interact with antispasmodic drugs and cause increased serum levels of the drug |
digoxin |
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When tx with antispasmodics encourage ____, sucking on hard candy, and high fiber diet |
fluids |
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The outer ____ of oxybutynin may be excreted in your stool |
capsule |
|
drug or agent that destroys or kills bacteria |
bactericidal |
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drug or agent that slows or retards the multiplication of bacteria |
bacteristatic |
|
inflammation of the bladder |
cystitis |
|
inflammation of the prostate gland |
prostatitis |
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inflammation of the kidney nephron |
pyelonephritis |
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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 |
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They are primarily excreted by the kidneys and exert their major antibacterial effects in the ___ as it travels through the bladder |
urine |
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The most common types of drugs used to tx UTI include amoxicillin, trimethroprim, and ________ |
nitrofurantoin |
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nitrofurantoin is not and ______ or sulfonamide |
antibiotic |
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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 |
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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 |
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_______ 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 |
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an example of BPH drug is ___ which improves urine flow |
tamsulosin (flomax) |
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Some common adverse reactions for anti infectives are NVD, anorexia, ___ ___, ____, rash, pruritis, photosensitivity |
abd pain stomatitis |
|
in large doses can cause _____ with urination |
burning |
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nitrofurantoin can cause acute/chronic ______ reactions such as fever, chills, cough, dyspnea, chest pain, and pleural effusion |
pulmonary |
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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 |
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Anti infectives will interact with _____ (magnesium trisilicate) or _____ (magaldrate) causing decreased absorption of the anti infective |
MOM maalox |
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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 |