Benign Prostatic Hyperplasia (BPH) Flashcards
(18 cards)
BPH is caused by
Unknown - but it’s an enlarged prostate
The prostate blocks the urethra opening, what will clients feel and see when they urinate?
Straining, decreased stream, dribbling, feeling an urge to go
What is the best way to assess BPH
Digital rectal exam - pea sized nodule.
Blood test to detect PSA levels
Urine test
Common surgical treatment for BPH
Transurethral resection of the prostate (TURP)
How isa TURP perfromed
Scope goes through the pens and removes parts of the prostate
After the procedure of TURP what is the client at risk of
Bleeding
All clients must get what before a TURP
Three way lumen indwelling catheter
What are the three lumens for
Inflating the balloon
Inflow of the solution
Outflow of the 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, the irrigation will be done using the indwelling catheter
What is the goal of the bladder irrigation
To reduce and prevent blood clots in post op client
What type of fluid is used to irrigate the blader
Isotonic sterile saline
What color should urine be
Ligh pink that turns to clear
DURING CBI what must the client be monitored for?
Bladder distention
Fluid overload
Hyponatremia
Blood loss
What do we give for bladder spasms
Belladonna/opium supporsitores or oxybutynin
Best position for this client (BPH) post op is
Lying flat - sitting pressures the bladder
BPH Discharge instructions
2 to 3 Liters of fluid daily
No lifting/straining
Bright red blood or clots - Call
Kegels to strengthen pelvis
BPH Nclex Tips
Clients in the initial stage don’t have ED or blood
Finasteride is prescribed because it blocks a hormone that causes enlarged prostate
B in BPH is BENIGN - not cancer
