39 articles Miscellaneous

Benign Prostatic Hyperplasia (BPH)

Diagnose BPH: Medical history: Irritative Sx: urinary urgency, frequency, and nocturia Obstructive Sx: decreased urinary stream, intermittency, incomplete emptying of bladder, straining to urinate Digital rectal examination Manage BPH: Goals of treating BPH: Reduce symptoms and improve quality of life. Mild symptoms: Conservative measures and observation. Ex: Reduce fluid intake, timed voiding (q3hrs while awake),…

Anaphylaxis

Anaphylaxis: Order Epinephrine IM stat May require multiple epinephrine injections. Patient may require intubation if unable to protect his airway. Remember: Patient may have a second anaphylactic episode (delayed/secondary reaction) 24 hours later! Keep for observation. Some people get intubated -> extubated -> re-intubated (24 hours later). Also order: IV fluid – Order NS @ 100cc/hr…

Generalized Weakness

Generalized Weakness: Differential diagnosis: Anemia: Ordered CBC. Assess for recent blood loss. Hypothyroidism: Order TSH. Hypoglycemia: Order bedside Accu-Check BG. Dehydration: Order IV fluids. Deconditioning: Assess ability to ambulate. Place on fall precautions. Order PT/OT. Depression. Infection: UTI (order UA) or PNA (chest x-ray to assess for consolidation). Medications: Sedatives (Xanax, Ativan), narcotics (Lortab, morphine…