Benign Prostatic hyperplasia (BPH) Flashcards
BPH is caused by ?
The cause is unknown but it’s an enlargement of the prostate gland
Who usually gets BPH?
Men older than 50
What is the Best way to assess BPH
Rectal exam ,physician will feel a pea sized nodule
Because the prostate blocks the urethra opening clients will feel and see what when they urinate (4 signs)?
Straining to urine
Decreased urine stream
Feeling like they have to go all the time
Dribbling urine flow
What is the common surgical treatment for BPH
Transurethral resection of the prostate (TURP)
How is TURP performed
A scope goes through the penis and remove part of the prostate
After the procedure what is the client at risk for
Bleeding monitor for hemorrhage
All clients will get a before a turp
3 way (lumen) Foley catheter
What are the 3 lumen for
Inflating the balloon
inflow of solution
outflow of urine
What will the doctors order to be done after a TURP
Continuous bladder irrigation (CBI)
What is the goal bladder irrigation
Reduce/prevent blood clot formation
Will an incision be made during the irrigation
No, irrigation will be done using the indwelling catheter
What type of fluid if used irrigate the bladder,?
Isotonic 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
It bladder spasms occur give
Belladonna/opium
Suppositories or ditropan ( oxybutynin)
The best position for this client post-op is?
Lying flat because sitting up puts pressure on the bladder
List some 4 discharge instructions
Drink two to three liters of fluids.
No lifting or straining.
call MD, If bright red clots are present
Do kegel exercise to strengthen pelvis muscle
