Benign Prostatic Hyperplasia Flashcards
BPH is caused by ____?
The cause is unknown, but its an enlargement of the prostate gland.
Because the prostate blocks the urethra opening, clients will feel and see what when they urinate?
Straining to urinate, decreased urine stream,
feeling like they have to go all the time, dribbling urine flow
Who usually gets BPH?
What is the best way to assess for BPH?
Men usually > 50
Rectal exam, physician will feel a pea-sized nodule
What is the common surgical treatment for BPH
Transurethral resection of the prostate (TURP)
How is a TURP performed?
A scope goes through the penis and removes part of the prostate
After the procedure, what is the client is at risk for?
Bleeding; monitor for hemorrhage
All clients will get a ___ ___ ___ ___ before a TURP
Three-way (lumen) Foley catheter
What are the three lumens for?
Inflating the balloon, inflow of solution, and outflow of urine
What will the doctor order to be done after a TURP?
Continuous Bladder Irrigation (CBI)
Will an incision be made during the irrigation?
No, irrigation will be done using the in-dwelling catheter.
What type of fluid is used to irrigate the bladder?
Isontonic sterile saline
What color do you want the urine to be?
Light pink
During CBI what must the client be monitored for?
Bladder distention
Fluid overload/ * Hyponatremia
Blood loss
If bladder spasms occur, give ___ or___
Belladonna/ opium
suppositories or Ditropan
The best position for this client post-op is?
Lying flat because sitting up puts pressure on the bladder
