Question

Mr. Franz is experiencing erectile dysfunction and is seeking treatment.

1. What information would you need to gather about him to help determine the best course of action (what sorts of things can cause erectile dysfunction)?

2. He has been prescribed viagra. What important teaching does he need? What are the side effects and interactions? What would he need to report to the prescriber?

Answer 1

Erectile dysfunction is nothing but inability to get or keep a firm erection to have sexual intercourse.

Information that we need to collect:-

* History of blood pressure.

* History of diabetes mellitus.

* History of any heart problems.

* History of used medications.

* History of any injuries or surgeries that affects the spinal cord and pelvis.

* History of alcohol consumption , tobacco use, ,any other substance use.

* History of low testosterone levels.

* Peyronie's disease ( development of scar tissue inside the p-e-n-i-s).

* History of multiple sclerosis , Parkinson's disease.

* Mental illness that my include depression , stress, anxiety.

The physical , neurological history is important because this factors cause erectile dysfunction , due to affect of blood circulation to the p-e-n-i-s area ,And mental illness cause to decrease testosterone levels and cause erectile dysfunction.

Teaching :- Viagra does not cause direct erection , this drug cause increase blood flow to the p-e-n-i-s area and cause erection.

viagra have mild side effects that may include , headache , sickness ,hot flushes,stomack upset , dizziness,etc. This side effects may occur mostly for 5 hours and sometimes occur more than the time also.

When viagra medication is taking by the patient he should not use some other medications that include :- Nitrates this cause dangerous effects that may falling of blood pressure .

Patient should not take other medications without prescribed this should be explain to the patient and attenders , using some other drugs may cause severe effects.

* Patient and attenders should explain if any other problems are facing they need to inform the physician.