NR 667 Vise call focused Possibilities
Questions and Correct Answers/ Latest
Update / Already Graded
1. BPH AUA Questions "Over the past month have you..."
Ans: 1. Sensation of incomplete emptying
2. Urinate less than 2 hours after you finished (Frequency)
3. How often have you found that you start and stop several times when
urinating
4. found it difficult to postpose urination
5. Weak urinary stream
6. push or strain when urinating
7. how many times do you typically get up to urinate
Mild= 0-7
moderate= 8-19
Severe 20-35
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BPH Labs
Ans: U/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free PSA)
Renal panel
post void residual
BPH Differentials
Ans: Prostatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment
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Ans: DRE
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education
Ans: Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education
Ans: Alpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5