Low BP or with nitrates
When would you not take sildenafil?
Sildenafil (Viagra)
With what drug should you check the BP before administering?
penile implant
What surgical implantation of a penile prosthesis to correct erectile dysfunction?
Vascular:AtherosclerosisHT, PVDDrugs:AlcoholAntiandrogensAntilipidemic agentsAntihypertensivesDiuretics
What can cause ED?
Side effects include headache, dyspepsia, flushing and nasal congestion. Rare side effects include blurred vision, sudden hearing loss or an erection lasting for 4 hours or more (priapism).
What are some side effects of sildenafil?
Avoid Smoking, alcohol and drug abuse
What are some teaching points for the patient with ED?
Blood test - testosterone levels, blood glucose, lipid, thyroid and prolactin levelsNocturnal penile tumescence and rigidity testingVascular studies - penile arteriography - to assess penile blood flow
What are some ways to diagnose ED?
Vacuum constriction devices
What device is used on the flaccid penis to produce an erection by pooling blood to the penis and applying a ring at the base of the penis?