What is the urological assessment scale used to
assess severity of prostate symptoms
american urologic assessment symptom score
Name the 7 questions used to assess prostate
symptoms
frequency
nocturia
weak stream
hesitancy
intermittence incomplete emptying
urgency
0= not present 5= almost always present
total score
mild-0-7
moderate- 8-19
severe 20-35
what should the prostate feel like
firm, smooth, symmetrically enlarged gland
what are the major causes of an elevated psa
bph, prostate cancer, prostate infection
, how long does it take for psa to reduce after
ejaculation
24 hours
what does an alpha blocker do?
cause blood vessels to dilate; lowering blood
pressure--also treats BPH
what is an example of an alpha blocker
flomax (tamusulosin)
alpha blocker action
Stimulates central alpha receptors which decrease
sympathetic outflow from the CNS, causing a
decrease in peripheral vascular resistance and a
slight decrease in cardiac output. Used for mild-to-
moderate HTN
where are alpha receptors prevalent
prostate
base of bladder
prostate capsule
prostatic uretha
alpha adrenergic antagonists ______ bladder outlet
obstruction
decrease
Name the alpa adrenergic antagonists
terazosin (hytrin)
tamsulosin (flomax)
doxazosin (cardura)
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