BPH Med-Surg Nursing
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| An increase in the number of cells of the prostate tissue | BPH
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| In this disorder the prostate actually enlarges so much that it extends into the bladder | BPH
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| What is the most common treatment of BPH? | TURP
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| Which instrument is used in a TURP to remove the prostate? | Endoscope
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| In BPH, frequency of voiding is increased and amount is decreased. T or F? | True
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| Pts have more or less urge to use the bathroom at night? | More urge
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| Patients become incontinent with BPH? T or F? | False. Hesitancy occurs.
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| Force of stream increases or decreases with BPH? | Decreases
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| Does the bladder become distended with BPH? | Yes
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| What risk is involved with the diagnosis of "Risk for Injury?" | Hemorrhage
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| Interventions included with catheter care for BPH | Use cath secure, maintain gentle traction on cath, check for clots, and irrigate bladder (CBI). Keep foley bag empty.
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| What will a pt feel if the balloon cath is oversized? | Continuous feeling of needs to void
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| Produces prostatic fluid, a component of semen and keeps urine/semen flow in right direction. | Prostate
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| ↑ prostate size ↓ testosterone level ↓sperm production ↓ muscle tone: scrotum ↓ size and firmness: testicles. True or false? | True
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| Enlargement of prostate d/t derease of epithelial cells and stromal tissue. True or False? | False
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| Possible causes of BPH due to excessive accumulation of what intra-prostatic androgen? | Dihydrotestosterone (DHT)
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| Known as BPH | Benign Prostatic Hyperplasia
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| Risk Factors for BPH include family history, diet and ___________. | Environment
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| Diet is a risk factor in for BPH due to increased saturated fats and saturated fats (butter, beef) | Obesity
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| Most common neoplastic growth in aging men 50% occurrence for men over 50 | BPH
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| Aging men more sensitive to effects of DHT, Progesterone ↑ sensitivity of prostate to DHT; (aging ↑ estrogen ratio in men) & local Growth Hormone action cause BPH. T or F | False
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| BPH develops in inner or outer aspect of prostate? | Inner aspect
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| Irritative symptoms include: Urgency, Dysuria, Frequency, Incontinence and ____________________. | Nocturia
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| Obstructive symptoms of BPH include: caliber or force of stream, Terminal dribbling, difficulty initiating voiding and _______________________. | Retention
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| Urine Retention can be acute and severe. True or False | True
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| Bladder calculi Acute urinary retention Hydronephrosis leading to renal failure Septicemia secondary to UTI Urinary tract infections Pyelonephritis | BASH UP
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| Diagnoses of BPG includes: Digital Rectal Exam (DRE) symmetrically enlarged, firm, smooth, Urinalysis with culture Residual urine, Creatinine, PSA and _____________________. | Transurethral’/uroflowmetry (TRUS)
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| International Prostate Symptom Score - Provides a score on voiding symptom severity based on answers to select questions Incomplete emptying Urge to urinate < 3 hrs after voiding. T or F? | False
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| International Prostate Symptom Score -Difficulty postponing urination, Weak stream, Straining to urinate & nocturia | True
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| Watchful waiting’ - active surveillance is a treatment option | True
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| Drug therapy: 5-α- reductase inhibitors & α-adrenergic receptor blockers and Invasive therapy are treatment options for BPH. | True
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| finasteride (Proscar) &dutasteride (Avodart | 5-α- reductase inhibitors
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| A side effect of finasteride (Proscar) & dutasteride (Avodart | Iimpotence
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| Herbal Therapy | Saw Palmetto
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| Required with ↓urine flow to the point of discomfort, persistent residual urine, acute urinary retention, hydronephrosis | Invasive Therapy
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| Perineal prostatectomy may increase risk of impotence/erectile dysfunction (ED) and infection risk increase w/proximity to anus T or F? | True
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| Decrease in urine output/no output, bladder spasms; presence of clots are indicators of obstruction? | True
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| Turp Post Op Complications (PUBID) Pain/bladder spasms Urinary retention Bleeding Infections DVTs | PUBID
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| TURP- transurethral resection of prostate TULIP-transurethral LASER incision of prostate TUIP-transurethral incision of prostate Open prostatectomy | Resection or ablation
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| Strict I & O; record hourly *subtract irrigant infused from total output *difference is “true” urine output. T or F? | True
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| Nurrsing care :Pre-Op includes: restoring urinary drainage , treat infection, education of procedure effects on sexual/urinary function, bowel prep for open prostatectomy & post-op expectations. T or F? | True
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| CBI Continuous Bladder Irrigation | CBI
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| Urine (frankly bloody) & numerous clots | Indicators of bleeding with CBI
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| With CBI, if clots, dark red/bloody: decrease rate of infusion. T or F | False
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| N/V, confusion, visual disturbances, bradycardia, hypertension Hyponatremia, ↓ hematocrit | TURP Syndrome
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| Viagra (sildenafil citrate) Levitra (vardenafil hydrochloride) Cialis (tadalafil | ED Medications
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| Headaches, flushing and dizziness | ED Meds side effects
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| 1st - check catheter for patency •medications: -Belladonna and opium (B & O) suppository -other analgesics - relaxation techniques/warm clothing | Pain/bladder spasms
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