Benign Prostatic Hypertrophy Flashcards
In BHP the man has (increased/decreased) frequency of urination
Increased
In BPH the force of the urinary stream is (increased/decreased)
Decreased
The man with BPH has a______ stream of urine
Forked
The man with BPH has hesitancy. What does this mean?
Difficulty starting to void
Will the man with BPH have enuresis, nocturia or hematuria?
Enuresis-No, Nocturia-yes, and hematuria-maybe
Wha is the best way to screen a man for BPH?
Digital rectal exam
Should fluids be forced or restricted in BPH?
Forced
What does TURP stand for?
Transurethral resection of the prostate
The most radical prostate surgery is the _______ prostatectomy.
Perineal
What type of diet is used in BPH?
Acid Ash
What is the primary purpose of a 3-way continuous bladder irrigation (CBI) after TURP?
To keep he catheter clear of clots and to drain urine
What is the solution is used for CBI?
Normal saline (0.9NaCI)
How fast do you run the CBI?
At whatever rate it takes to keep the urine flowing and free of clots
What drug is used to treat bladder spasm?
B&O suppositories
Should you take a rectal temp after prostatectomy? Give stool softeners?
No rectal temp, yes stool softeners
You should call the MD after TURP when you see____thick_____,_______ clots, and ______ urine drainage on the dressing.
Bright thick blood, persistent clots, persistent urine on dressing (don’t call MD for transitory clots and urine on dressing)
If you see an increase in the blood content of urine coming out of the catheter, you would first_____
Pull carefully on the catheter to apply local pressure on the prostate with the foley balloon
If you see clots in the tubing you would first_____
Increase the flow rate
What exercises should be post-prospecting patient do upon discharge? why?
Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post-op
Will the post_prostatectomy patient be impotent?
If TURP, no impotence; if perineal prostatectomy, yes impotence
As the prostate enlarges it compresses the_____ and causes urinary_____.
Urethra,retention
In BHP the man has (increased/decreased) frequency of urination
Increased
In BPH the force of the urinary stream is (increased/decreased)
Decreased
The man with BPH has a______ stream of urine
Forked
