NR 667 Vise call focused Possibilities
Study online at https://quizlet.com/_eu32pi
1. 1. BPH AUA Ques- 1. Sensation of incomplete emptying
tions "Over the 2. Urinate less than 2 hours after you finished (Frequency)
past month have 3. How often have you found that you start and stop several times when urinating
you..." 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
2. BPH Labs U/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free PSA)
Renal panel
post void residual
3. BPH Differentials Prostatitis
Prostate cancer
UTI
Bladder cancer
4. BPH Assessment DRE
Firm, smooth symmetrically enlarged prostate
5. BPH Non-pharm Limit bedtime fluids
education Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
6. BPH Pharm edu- Alpha 1 Blocker
cation Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
, NR 667 Vise call focused Possibilities
Study online at https://quizlet.com/_eu32pi
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
7. 2. Sinusitis (Maxil- Viral <10 days- treat symptomatically with NSAIDs, Acetaminophen
lary) Assessment Bacterial >10 days- <4 weeks
findings HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis,
periorbital edema
8. Sinusitis differen- Allergic Rhinitis
tials dental abscess
migraine
9. Sinusitis labs CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
10. Sinusitis Rest, hydration, warm compress to sinuses
non-pharm Use humidifier/ saline nose spray
11. Sinusitis pharm Watchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or severe illness such
as fever, moderate-severe pain, unilateral tenderness, worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or 200 mg q12h
for 10 days (>12 yrs)
12. Sinusitis fol- f/u 1 week for effectiveness or if symptoms worsen 3-5 days
low-up ENT if recurrent infections
ER if meningitiis
Immediate referral for periorbital edema
13.
Study online at https://quizlet.com/_eu32pi
1. 1. BPH AUA Ques- 1. Sensation of incomplete emptying
tions "Over the 2. Urinate less than 2 hours after you finished (Frequency)
past month have 3. How often have you found that you start and stop several times when urinating
you..." 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
2. BPH Labs U/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free PSA)
Renal panel
post void residual
3. BPH Differentials Prostatitis
Prostate cancer
UTI
Bladder cancer
4. BPH Assessment DRE
Firm, smooth symmetrically enlarged prostate
5. BPH Non-pharm Limit bedtime fluids
education Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
6. BPH Pharm edu- Alpha 1 Blocker
cation Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
, NR 667 Vise call focused Possibilities
Study online at https://quizlet.com/_eu32pi
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
7. 2. Sinusitis (Maxil- Viral <10 days- treat symptomatically with NSAIDs, Acetaminophen
lary) Assessment Bacterial >10 days- <4 weeks
findings HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis,
periorbital edema
8. Sinusitis differen- Allergic Rhinitis
tials dental abscess
migraine
9. Sinusitis labs CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
10. Sinusitis Rest, hydration, warm compress to sinuses
non-pharm Use humidifier/ saline nose spray
11. Sinusitis pharm Watchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or severe illness such
as fever, moderate-severe pain, unilateral tenderness, worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or 200 mg q12h
for 10 days (>12 yrs)
12. Sinusitis fol- f/u 1 week for effectiveness or if symptoms worsen 3-5 days
low-up ENT if recurrent infections
ER if meningitiis
Immediate referral for periorbital edema
13.
