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23 Cards in this Set

  • Front
  • Back
List 5 classes of meds that can be used for GU problems.
1. Nitrofurantoin (Furadantin)
2. Phenazopyridine (Pyridium)
3. Anticholinergics
4. Anti-impotence
5. Testosterone Inhibitors
What type of drug is Nitrofurantoin (Furadantin)?
anti-infective
Side effects r/t Nitrofurantoin (Furadantin)
1. D, N, V
2. asthma attacks*
NC for a pt on Nitrofurantoin (Furadantin)
1. check CBC
2. monitor I&O
3. give w/ food or milk*
4. monitor pulmonary status
What type of drug is Phenazopyridine (pyridium)?
urinary tract analgesic/ spasmolytic
2 side effects of Pyridium?
1. headache
2. vertigo
2 NC for a pt taking Pyridium?
1. urine will be BRIGHT ORANGE
2. take w/ meals!
List 6 anitcholinergics that are used for GU problems
1. Oxybutynin (Ditropan)
2. Hyoscyamine (Anaspaz)
3. Propantheline (Pro-Banthine)
4. Darifenacin (Enablex)
5. Solifenacin (Vesicare)
6. Tolterodine (Detrol)
Common Anticholinergic side effects (5)
1. drowsiness
2. blurred vision
3. dry mouth
4. C
5. urinary retention
Indications for anticholinergics in terms of GU problems?
1. to reduce bladder spasms
2. to tx urinary incontinence
NC for pt taking an anticholinergic in relation to diet
increase fluids and fiber in diet!
Oxybutynin and older adults--special considerations?
1. older adults require a higher dose

2. greater incidence of side effects
3 meds for anti-impotence?
1. Sildenafil (Viagra)
2. Vardenafil (Levitra)
3. Tadalafil (Cialis)
4 side effects of anti-impotence meds.
1. headache
2. flushing
3. hypotension
4. priapism (failure to return to flaccid)
what do anti-impotence meds tx?
ED
When should a pt take an anti-impotence med?
1 hr before sexual activity
What 3 substances should you never mix anti-impotence meds w/?
1. NITRATES
2. ALPHA BLOCKERS (doxazosin)
3. GRAPEFRUIT JUICE
What adverse effect can anti-impotence meds + alpha blockers & nitrates have?
fatal HYPOtension
Give an example of a Testosterone inhibitor.
Finasteride (Proscar, Propecia)
3 side effects of Proscar/Propecia
1. decreased libido
2. impotence
3. breast tenderness
What does Proscar tx?
BPH (benign prostatic hyperplasia)
What adverse effect does Propecia have in men?
male hair loss
If a man taking a testosterone inhibitor has a pregnant wife, what must they consider?
pregnant women shoiuld avoid contact w/ crushed drug or pt's semen---may adversely affect male fetus