NR 667 Vise call focused Possibilities
WITH 66 Complete Solutions
NR 667 Vise call focused Possibilities
WITH 66 Complete Solutions
1. BPH AUA Questions "Over the past month have you..." - ANSWER 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
BPH Labs - ANSWER 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 - ANSWER Prostatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment - ANSWER DRE
, NR 667 Vise call focused Possibilities
WITH 66 Complete Solutions
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education - ANSWER Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education - ANSWER 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
2. Sinusitis (Maxillary) Assessment findings - ANSWER Viral <10 days- treat symptomatically with NSAIDs,
Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis, periorbital edema
Sinusitis differentials - ANSWER Allergic Rhinitis
dental abscess
migraine
Sinusitis labs - ANSWER CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
Sinusitis non-pharm - ANSWER Rest, hydration, warm compress to sinuses
Use humidifier/ saline nose spray
WITH 66 Complete Solutions
NR 667 Vise call focused Possibilities
WITH 66 Complete Solutions
1. BPH AUA Questions "Over the past month have you..." - ANSWER 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
BPH Labs - ANSWER 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 - ANSWER Prostatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment - ANSWER DRE
, NR 667 Vise call focused Possibilities
WITH 66 Complete Solutions
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education - ANSWER Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education - ANSWER 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
2. Sinusitis (Maxillary) Assessment findings - ANSWER Viral <10 days- treat symptomatically with NSAIDs,
Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis, periorbital edema
Sinusitis differentials - ANSWER Allergic Rhinitis
dental abscess
migraine
Sinusitis labs - ANSWER CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
Sinusitis non-pharm - ANSWER Rest, hydration, warm compress to sinuses
Use humidifier/ saline nose spray
