Question

CHAPTER 5 GENITOURINARY DISORDERS CASE STUDY 55 Copyright © 2013 by Mosby, an affiliate of Elsevier Inc. Copyright © 2009, 2005, 2001, 1996, by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved.

S.M. is a 68-year-old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs (VS) at this visit are 148/88, 82, 16, 96.9° F (36.1° C). He had a CBC and complete metabolic panel (CMP) completed 1 week before his visit, and the results are listed below
.1. What can you tell S.M. about his lab work?

Laboratory Test Results
Sodium       140 mEq/L
Potassium   4.2 mEq/L
Chloride100   mEq/L
Bicarbonate   26 mEq/L
BUN       19 mg/dL
Creatinine   0.8 mg/dL
Glucose       94 mg/dL
RBC5.2       million/mm3
WBC       7400/mm3
Hgb       15.2 g/dL
Hct       46%
Platelets       348,000/mm3
Prostate-specific antigen (PSA)   0.23ng/mL
Urinalysis               WNL

8. The PCP ordered tamsulosin (Flomax) 0.4 mg/day PO. You enter S.M.'s room to teach him about this medication.
What side effects will you tell S.M. about? (Select all that apply.)
a. Dizziness
b. Diarrhea
c. Dry mouth
d. Insomnia
e. Heartburn
f. Orthostatic hypotension

Answer 1

1. I would tell S.M that his vitals are normal,S.M.'s sodium,pottasium,chloride bicarbonate,BUN,creatinine,glucose,RBC,WBC, Hgb-Hct,platelets,and urinalysis all came back within normal ranges for his age and demographic.however,the prostate specific antigen (PSA) is low ,which indicates testerone levels may be low.

8. Tell them to flomax take the first dose at bedtime to minimize the chance of getting dizzy or fainting.after the first dose take your regularly scheduled dose minutes after the sane meal each day.

Common side effects

* Dizziness

* Diarrhea

* Insomnia

Rare side effects

* Dry mouth

* heart burn

* orthostatic hypotension.