10 Questions
What is the reason for requiring general anesthesia, especially with formalin?
To address the pain associated with its use
Which systemic agent is particularly useful for radiation- and cyclophosphamide-induced cystitis?
Hyperbaric oxygen (HBO)
What should be monitored daily to assess renal dysfunction during treatment?
Urinary output and serum chemistries
For which condition is hyperbaric oxygen (HBO) particularly useful?
Radiation- and cyclophosphamide-induced cystitis
What is the goal of treatment for patients with bladder symptoms?
Resolution of bladder symptoms (pain and hemorrhage)
What is the ultimate goal following acute treatment of hemorrhagic cystitis?
Restoration of normal bladder function
What is the first step in the treatment of hemorrhagic cystitis?
Discontinuation of the offending agent
What nonpharmacologic therapy may be necessary in the treatment of hemorrhagic cystitis?
Insertion of a large-diameter urethral catheter
When might surgical removal of blood clots under anesthesia be required in the treatment of hemorrhagic cystitis?
If saline lavage is ineffective
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
Learn about the general approach to treatment and desired outcomes for hemorrhagic cystitis, including decreasing exposure to the offending agent, establishing urine outflow, and restoring normal bladder function. Understand the discontinuation of specific agents like anticoagulants and platelet function inhibitors.
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