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Hemorrhagic Cystitis Treatment and Management

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Hemorrhagic Cystitis Treatment and Management

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Questions and Answers

What is the reason for requiring general anesthesia, especially with formalin?

To address the pain associated with its use (correct)

To manage bladder spasms

To prevent aluminum toxicity

To reduce the risk of systemic side effects

Which systemic agent is particularly useful for radiation- and cyclophosphamide-induced cystitis?

Hyperbaric oxygen (HBO) (correct)

Estrogens

Vasopressin

Aminocaproic acid

What should be monitored daily to assess renal dysfunction during treatment?

Hemoglobin and platelet count

Bladder symptoms

Blood urea nitrogen (BUN) and serum creatinine

Urinary output and serum chemistries (correct)

For which condition is hyperbaric oxygen (HBO) particularly useful?

Radiation- and cyclophosphamide-induced cystitis Signup and view all the answers

What is the goal of treatment for patients with bladder symptoms?

Resolution of bladder symptoms (pain and hemorrhage) Signup and view all the answers

What is the ultimate goal following acute treatment of hemorrhagic cystitis?

Restoration of normal bladder function Signup and view all the answers

What is the first step in the treatment of hemorrhagic cystitis?

Discontinuation of the offending agent Signup and view all the answers

What nonpharmacologic therapy may be necessary in the treatment of hemorrhagic cystitis?

Insertion of a large-diameter urethral catheter Signup and view all the answers

When might surgical removal of blood clots under anesthesia be required in the treatment of hemorrhagic cystitis?

If saline lavage is ineffective Signup and view all the answers

In severe cases unresponsive to local or systemic pharmacologic intervention, what may be required for the treatment of hemorrhagic cystitis?

Surgical removal of blood clots under anesthesia Signup and view all the answers