Benign Prostatic hyperplasia (BPH) Flashcards Preview

Remar Review > Benign Prostatic hyperplasia (BPH) > Flashcards

Flashcards in Benign Prostatic hyperplasia (BPH) Deck (18)
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1
Q

BPH is caused by ?

A

The cause is unknown but it’s an enlargement of the prostate gland

2
Q

Who usually gets BPH?

A

Men older than 50

3
Q

What is the Best way to assess BPH

A

Rectal exam ,physician will feel a pea sized nodule

5
Q

Because the prostate blocks the urethra opening clients will feel and see what when they urinate (4 signs)?

A

Straining to urine
Decreased urine stream
Feeling like they have to go all the time
Dribbling urine flow

6
Q

What is the common surgical treatment for BPH

A

Transurethral resection of the prostate (TURP)

7
Q

How is TURP performed

A

A scope goes through the penis and remove part of the prostate

8
Q

After the procedure what is the client at risk for

A

Bleeding monitor for hemorrhage

9
Q

All clients will get a before a turp

A

3 way (lumen) Foley catheter

10
Q

What are the 3 lumen for

A

Inflating the balloon
inflow of solution
outflow of urine

11
Q

What will the doctors order to be done after a TURP

A

Continuous bladder irrigation (CBI)

12
Q

What is the goal bladder irrigation

A

Reduce/prevent blood clot formation

13
Q

Will an incision be made during the irrigation

A

No, irrigation will be done using the indwelling catheter

14
Q

What type of fluid if used irrigate the bladder,?

A

Isotonic Sterile saline

15
Q

What color do you want the urine to be

A

Light pink

16
Q

During CBI what must the client be monitored for

A

Bladder distention
fluid overload/*hyponatremia
blood loss

16
Q

It bladder spasms occur give

A

Belladonna/opium

Suppositories or ditropan ( oxybutynin)

17
Q

The best position for this client post-op is?

A

Lying flat because sitting up puts pressure on the bladder

18
Q

List some 4 discharge instructions

A

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

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