Ch 48 Outline Nursing Care of Men with Reproductive System and Breast Disorders

20 terms by jbake74 

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Disorders of Sexual Function

Erectile Dysfunction (ED), Age-related Changes

Impotence

total inability to achieve erection

Diagnostic Tests

Blood chemistry, Hormone levels, PSA

Nocturnal penile tumescence and rigidity (NPTR)

to differentiate between psychogenic and organic causes

Cavernosometry and cavernosography

used to evaluate arterial inflow and venous outflow of blood in the penis

Mechanical devices

vacuum constriction device

Retrograde ejaculation

seminal fluid discharged from the bladder

Premature ejaculation

usually pschogenic in origin; may be from diabetes

Delayed ejaculation

aging changes, decreased libido

Hormone Replacement Therapy

Testosterone injections, Topical patches

Injectable Medications

relaxes arteries and smooth muscles causing swelling

Injectable Medications brands

Papaverine, Prostaglandin E injection, Alprostadil

Erectile Dysfunction

Revascularization Procedures, Implantation of Prosthetic Devices

Phimosis

constriction of the foreskin in uncircumcised men so that it cannot be retracted over the glans penis

Paraphimosis

foreskin tight and constricted, and not able to cover the glans penis

Priapism

involuntary, sustained, painful erection not associated with sexual arousal; increases risk of subsequent ED

Primary

from tumors, infection, or trauma

Secondary

blood or neurologic disorders

Conservative treatment

Iced saline enemas, Intravenous ketamin- to induce anesthesia, Spinal anesthesia, Aspiration of blood from corpus with pressure dressings

Interdisciplinary Care Conservative treatments

Iced saline enemas, Intravenous ketamine, Spinal anesthesia, Aspiration of blood from corpus

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