Benign Prostatic hyperplasia (BPH) Flashcards Preview

Remar Review > Benign Prostatic hyperplasia (BPH) > Flashcards

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

BPH is caused by ?

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

2

Who usually gets BPH?

Men older than 50

3

What is the Best way to assess BPH

Rectal exam ,physician will feel a pea sized nodule

5

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

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

6

What is the common surgical treatment for BPH

Transurethral resection of the prostate (TURP)

7

How is TURP performed

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

8

After the procedure what is the client at risk for

Bleeding monitor for hemorrhage

9

All clients will get a before a turp

3 way (lumen) Foley catheter

10

What are the 3 lumen for

Inflating the balloon
inflow of solution
outflow of urine

11

What will the doctors order to be done after a TURP

Continuous bladder irrigation (CBI)

12

What is the goal bladder irrigation

Reduce/prevent blood clot formation

13

We an incision be made during the irrigation

No, irrigation will be done using the indwelling catheter

14

What type of fluid if used irrigate the bladder,?

Isotonic Sterile saline

15

What color do you want the urine to be

Light pink

16

During CBI what must the client be monitored for

Bladder distention
fluid overload/*hyponatremia
blood loss

16

It bladder spasms occur give

Belladonna/opium
Suppositories or ditropan ( oxybutynin)

17

The best position for this client post-op is?

Lying flat because sitting up puts pressure on the bladder

18

List some 4 discharge instructions

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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