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NUR 195 > BPH > Flashcards

BPH Flashcards

1
Q

BPH is a common condition in?

A

men

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2
Q

Hypertrophy is?

A

non-cancerous enlargement may extend into the bladder.

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3
Q

BPH causes ________ or _______ of the prostatic urethra obstructs urine flow.

A
  • compression

- distortion

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4
Q

What leads to urinary retention with BPH?

A

diverticulum musculature

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5
Q

What leads to urinary frequency in BPH?

A

sensitivity of the detrusor muscle

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6
Q

You have an increased risk for _____ with BPH?

A

UTI

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7
Q

What is the lab to test for BPH?

A

Prostate- specific antigen (PSA)

others: UA, BMP, renal tests

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8
Q

What are the risk factors for BPH?

A

Males > 40 yrs, AA, smoking, ETOH, HTN, CAD, DM

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9
Q

Symptoms of BPH:

A
  • urinary retention that leads to frequency, oliguria and anuria
  • high voiding pressure which makes urine flow hard to start and difficult to maintain (dribbling)
  • decreased urine stream caliber and force
  • nocturia and abdominal strain
  • recurrent UTI’s
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10
Q

symptoms of a UTI:

A

dysuria, burning, frequency, urgency, nocturia, incontinence and suprapubic/pelvic pain

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11
Q

Preoperative nursing care for transurethral prostate surgery?

A
  • anxiety related to surgery
  • acute pain related to bladder distention
  • deficient knowledge related to treatment
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12
Q

Postoperative nursing care for transurethral prostate surgery?

A
  • acute pain lated to incision, catheter placement and bladder spasms
  • risk for fluid volume overload related to hypotonic irrigation perioperative and postoperative
  • risk for bleeding r/t the vascularity of prostate organ or obstructed catheter.
  • risk for DVT, infection and sexual dysfunction
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13
Q

patients with BPH are treated with?

A

5-alpha reductase inhibitors or androgen inhibitors and alpha adrenergic receptor blockers

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14
Q

herbal remedies show to improve urinary flow symptoms of BPH?

A

saw palmetto

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15
Q

TURP is the most commonly used surgery but people who are not good candidates may end up getting?

A

stents

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16
Q

symptoms of FVO?

A
  • JVD
  • S3
  • crackles
  • increase BP
  • confusion
  • respiratory distress
17
Q

Hyponatremia symptoms?

A
  • AMS or confusion
  • headache
  • N/V
  • muscle twitching
18
Q

hemorrhage symptoms:

A
  • decreased bp
  • increased HR and RR
  • gross hematuria
  • restlessness
  • pallor
  • decreased H/H
19
Q

obstructed catheter due to _____ _________ as a result of the procedure, over distention of bladder can induce _____ ________ by stretching the prostatic capsule.

A
  • clot formation

- secondary hemorrhage

20
Q

Assess for?

A
  • lower abdominal distention
  • percussion of suprapubic region
  • increased dullness
  • DVT/ PE
  • Infection
21
Q

TURP infections to assess for?

A

UTI and epididymis

22
Q

sexual dysfunction may occur due to?

A

ED, decreased libido and fatigue

23
Q
  • triple-lumen catheter
  • precise I/O, calculate O
  • maintain irrigation rate keeps urine pink, free from clot obstruction
  • assess for pain, bladder spasms, abd distention
  • no sitting for prolonged periods

this is?

A

continuous bladder irrigation (CBI)

24
Q

tripe-lumen catheter does?

A
  • irrigation
  • tamponade
  • drainage
  • traction
25
Q

1st lumen is for?

A

urinary drainage

26
Q

2nd lumen is for?

A

retention balloon

27
Q

3 lumen is for?

A

continuous sterile bladder irrigation

28
Q

1st and 3rd lumen return to?

A

urinary drainage bag

29
Q

how do you calculate u/o?

A

total irritant instilled subtract total output in drainage bag.

30
Q

CBI output must =

A

amount infused

31
Q

to prevent clot retention main pink to clear irrigation if clots are present:

A

increase irrigation rate

32
Q

give antispasmodic for?

A

pain/ bladder spasms

33
Q

complication with CBI:

A

resection > 90 risk is higher

TUR syndrome irrigation is absorbed intraoperatively through the prostatic veins.

34
Q

TUR syndrome symptoms:

A
  • bradycardia
  • confusion
  • FVO & dilution hyponatremia
35
Q

self care:

A

perineal or kegel exercises

36
Q

straining or heavy lifting after turn could cause

A

increase in pressure or bleeding

37
Q

spicy food, etoh, and coffee may?

A

irritate the bladder

38
Q

keep the fluids coming to prevent?

A

clots!

39
Q

report signs of _____,_____,______ to HCP.

A
  • decreased urinary stream
  • distention
  • UTI

NUR 195 (13 decks)

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