BPH

Question 1

BPH is a common condition in?

Answer 1

men

Question 2

Hypertrophy is?

Answer 2

non-cancerous enlargement may extend into the bladder.

Question 3

BPH causes ________ or _______ of the prostatic urethra obstructs urine flow.

Answer 3

• compression

- distortion

Question 4

What leads to urinary retention with BPH?

Answer 4

diverticulum musculature

Question 5

What leads to urinary frequency in BPH?

Answer 5

sensitivity of the detrusor muscle

Question 6

You have an increased risk for _____ with BPH?

Answer 6

UTI

Question 7

What is the lab to test for BPH?

Answer 7

Prostate- specific antigen (PSA)

others: UA, BMP, renal tests

Question 8

What are the risk factors for BPH?

Answer 8

Males > 40 yrs, AA, smoking, ETOH, HTN, CAD, DM

Question 9

Symptoms of BPH:

Answer 9

• urinary retention that leads to frequency, oliguria and anuria
• high voiding pressure which makes urine flow hard to start and difficult to maintain (dribbling)
• decreased urine stream caliber and force
• nocturia and abdominal strain
• recurrent UTI’s

Question 10

symptoms of a UTI:

Answer 10

dysuria, burning, frequency, urgency, nocturia, incontinence and suprapubic/pelvic pain

Question 11

Preoperative nursing care for transurethral prostate surgery?

Answer 11

• anxiety related to surgery
• acute pain related to bladder distention
• deficient knowledge related to treatment

Question 12

Postoperative nursing care for transurethral prostate surgery?

Answer 12

• acute pain lated to incision, catheter placement and bladder spasms
• risk for fluid volume overload related to hypotonic irrigation perioperative and postoperative
• risk for bleeding r/t the vascularity of prostate organ or obstructed catheter.
• risk for DVT, infection and sexual dysfunction

Question 13

patients with BPH are treated with?

Answer 13

5-alpha reductase inhibitors or androgen inhibitors and alpha adrenergic receptor blockers

Question 14

herbal remedies show to improve urinary flow symptoms of BPH?

Answer 14

saw palmetto

Question 15

TURP is the most commonly used surgery but people who are not good candidates may end up getting?

Answer 15

stents

Question 16

symptoms of FVO?

Answer 16

• JVD
• S3
• crackles
• increase BP
• confusion
• respiratory distress

Question 17

Hyponatremia symptoms?

Answer 17

• AMS or confusion
• headache
• N/V
• muscle twitching

Question 18

hemorrhage symptoms:

Answer 18

• decreased bp
• increased HR and RR
• gross hematuria
• restlessness
• pallor
• decreased H/H

Question 19

obstructed catheter due to _____ _________ as a result of the procedure, over distention of bladder can induce _____ ________ by stretching the prostatic capsule.

Answer 19

• clot formation

- secondary hemorrhage

Question 20

Assess for?

Answer 20

• lower abdominal distention
• percussion of suprapubic region
• increased dullness
• DVT/ PE
• Infection

Question 21

TURP infections to assess for?

Answer 21

UTI and epididymis

Question 22

sexual dysfunction may occur due to?

Answer 22

ED, decreased libido and fatigue

Question 23

• triple-lumen catheter
• precise I/O, calculate O
• maintain irrigation rate keeps urine pink, free from clot obstruction
• assess for pain, bladder spasms, abd distention
• no sitting for prolonged periods

this is?

Answer 23

continuous bladder irrigation (CBI)

Question 24

tripe-lumen catheter does?

Answer 24

• irrigation
• tamponade
• drainage
• traction

Question 25

1st lumen is for?

Answer 25

urinary drainage

Question 26

2nd lumen is for?

Answer 26

retention balloon

Question 27

3 lumen is for?

Answer 27

continuous sterile bladder irrigation

Question 28

1st and 3rd lumen return to?

Answer 28

urinary drainage bag

Question 29

how do you calculate u/o?

Answer 29

total irritant instilled subtract total output in drainage bag.

Question 30

CBI output must =

Answer 30

amount infused

Question 31

to prevent clot retention main pink to clear irrigation if clots are present:

Answer 31

increase irrigation rate

Question 32

give antispasmodic for?

Answer 32

pain/ bladder spasms

Question 33

complication with CBI:

Answer 33

resection > 90 risk is higher | TUR syndrome irrigation is absorbed intraoperatively through the prostatic veins.

Question 34

TUR syndrome symptoms:

Answer 34

- bradycardia - confusion - FVO & dilution hyponatremia

Question 35

self care:

Answer 35

perineal or kegel exercises

Question 36

straining or heavy lifting after turn could cause

Answer 36

increase in pressure or bleeding

Question 37

spicy food, etoh, and coffee may?

Answer 37

irritate the bladder

Question 38

keep the fluids coming to prevent?

Answer 38

clots!

Question 39

report signs of _____,_____,______ to HCP.

Answer 39

- decreased urinary stream - distention - UTI