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GRCC PN132 test1
GRCC PN132 BPH
| Question | Answer |
|---|---|
| Benign Prostatic Hyperplasia | NON-MALIGNANT ENLARGEMENT OF THE PROSTATE. TENDS TO BE AGE RELATED. EXACT CAUSE UNKNOWN |
| Men at risk for developing BPH? | AGE. FAMILY HX, RACE |
| What is a cause of urinary infrequency? | Prostate surrounds neck of bladder, as they swell, pt will get these symptoms. |
| DIFFICULTY INITIATING URINE STREAM | Manifestations of BPH- kinda dribbles and then once the stream starts it can't stop |
| URGENCY WITH DRIBBLING | Manifestations of BPH |
| NOCTURIA | Manifestations of BPH |
| URINARY FREQUENCY | Manifestations of BPH |
| URINARY RETENTION | Manifestations of BPH - can't get through stricture |
| Hematuria | Manifestations of BPH |
| PROSCAR | An effective drug for men with extremely large prostates. Medication used to treat BPH- It inhibits the conversion of testosterone to DHT in the prostate, causing the gland to shrink. |
| HYTRIN | Alpha1 blocker that relaxes the smooth muscle in the prostate, the urethra and the bladder neck. |
| FLOMAX | Alpha1 blocker that relaxes the smooth muscle in the prostate, the urethra and the bladder neck. |
| How does flomax and hytrin work? | They relax the smooth muscle, which reduces urethral obstruction and improves urinary flow and symptoms of BPH |
| TURP | Transurethral incision of the prostate |
| If medication doesn't work, then may perform a TURP. | Inorder to relieve urinary obstructions, only the portion of the prostate gland surrounding the urethra is removed in BPH. |
| TUIP | Transurethral incision of the prostate and involves small incisions are made in the prostate and the bladder neck to widen the urethra. No tissue is removed and can be done on an outpatient basis. |
| What happens in the TURP procedure? | Obstructed prostate tissue is removed using the wire loop of a resectoscope inserted through the urethra. Irrigating fluid carries resected tissue into the bladder to be flushed out on completion of the procedure. |
| What happens after TURP surgery? | Retrograde ejaculation- discharge of the seminal fluid into the bladder instead of through the urethra and is common following TURP surgery. |
| What is a potential complication of TURP? | Transurethral syndrome- fluid volume excess with hyponatremia. |
| What are the side effects of transurethral syndrome? | large amounts of irrigating fluid used during and after surgery, can affect cardiovascular or pulmonary status, and lead to altered mental status. |
| Nursing care following TURP | MONITOR FOR SIGNS OF INFECTION |
| ASSESS FOR POST-OP BLDG | Nursing care following TURP |
| MONITOR INCONTINENCE | Nursing care following TURP |
| MONITOR URINE OUTPUT | Nursing care following TURP |
| TEACH KEGELS EXERCISES | Nursing care following TURP |
| Nursing priorities in treating for BPH? | Educating the client and monitoring for adverse effects of the disorder and its treatment are priority nursing responsibilities. |
| Pt is to promptly report to the physician if such symptoms happen as this may indicate manifestation of an infection. | Changes in urine color, consistency, or odor, hematuria, evidence of frank bleeding or large blood clots decrease amounts of urine output. |
| How long does it take to heal from BPH surgery? | Healing requires 4 to 8 weeks. |
| What type of activities should client avoid and what can they do? | Avoid strenuous activity and heavy lifting. Do not drive for 2 weeks. Take long walks, but take stairs slowly and carefully. |
| After prostate surgery, what do you do if you notice blood in the urine? | Have pt increase fluids and rest until urine is clear. If clots are present, then notify doctor ASAP! Avoid aspirin and NSAIDS for at least 2 weeks |
| Other things to do following prostate surgery? | Keep BM's soft (if needed drink fruit juices or take stool softners); drink ten 8oz water/day; avoid alcohol; avoid sex for 6 wks post surgery. |
| A catheter may be in place, what would pt experience once it is removed? | burning, stinging, or leakage for several weeks. There may be small blood clots occasionally but these symptoms will disappear as the area heals. |
| Who gets BPH | Only develops in men who have testes |
| What obstructs the urethra | Narrowing of the urethra partially or completely impairs urine flow and bladder emptying. |
| What causes the symptoms of BPH? | Obstructions |
| What are symptoms of BPH? | Weak urinary system, difficulty initiating urine flow, dribbling, and urinary retention. |
| What is an early symptom of BPH? | Nocturia- voiding more than once at night. |
| What happens if BPH is not treated? | Increased pressure in the bladder causes urine reflux (backflow) into the ureters. |
| What can urine reflux lead to? | It could lead to hydronephrosis, which can affect kidney function. |
| How common is urine reflux? | It is rare, because men tend to seek treatment before significant urinary retention and bladder develops. |
| Closed Bottle Irrigation (CBI) | Post-Op order after TURP 36 # catheter (size of garden hose) |
| Urinary retention and potential for hemorrhage | Nursing dgx of BPH. |
Created by:
Wends1984
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