Case Study 70 Benign Prostatic Hyperplasia

Case Study 70 Benign Prostatic Hyperplasia Patient Case Question 1. For what condition is the patient probably taking ipratropium bromide? The patient is taking ipratropium bromide to treat COPD. Patient Case Question 2. For what condition is the patient probably taking levothyroxine? The patient is taking levothyroxine to treat hypothyroidism. Patient Case Question 3. Based on the patient's IPSS, is his prostatic enlargement condition considered mild, moderate, or severe? The patient scored is a total of 23 points. A score from 20-25 is considered severe. Patient Case Question 4. Based on the patient's body mass index, is he technically overweight or obese? Ht 6'0 Wt 249 BMI 33.8% the patient is considered obese Patient Case Question 5. Which urinary function test(s) is/are consistent with an enlarged prostate? 1) Uroflowmetry: normal value 66-80 in males (9mL/sec) 2) Residual urine volume: Normal volume: <60 mL The patient's volume 110mL 3) Bladder voiding pressure Voiding pressure < 100 cm The patients voiding pressure is 74 cm Patient Case Question 6. Identify all abnormal results of this patient's urinalysis. The patient's urinalysis showed trace bacteria Patient Case Question 7. Is this patient experiencing an electrolyte imbalance? The patient's electrolyte levels are within range except for chloride, the patient level: 109. Normal chloride levels are 96-106. Patient Case Question 8. Is renal function normal or abnormal? The patient's BUN and creatinine are within the normal range. BUN 15 mg/dL Cr 0.8 mg/dL Patient Case Question 9. Is hepatic function normal or abnormal? The hepatic function is normal range except for protein. The protein level is decreased. The patient's level of 5.9. Normal protein levels range from 6-8. Severely decreased protein levels may be an indicator of liver disease. Patient Case Question 10. What is the significance of the test results for Hb, Hct, MCV, MCH, and MCHC? Hemoglobin—within range Normal 13.5-17.5 Patient 13.9 Hematocrit—decreased Normal 45-52 Patient 41—decreased hematocrits can be a clinical manifestation of BPH and anemia manifestation. MCV—slightly elevated Normal 80-96 Patient 97 MCH—within normal range for adults Normal 27-33 Patient 28.7 MCHC—decreased—commonly caused by anemia which the patient has Normal 33-36 Patient 31.8