Urological Flashcards
Signs and symptoms of BPH?
Dysuria Hesitancy Dribbling Hematuria Weak stream Frequency/nocturia Urgency UTIs
Diagnostics for BPH?
Digital rectal exam
PSA test
-protein specific antigen
Non surgical intentions for BPH?
Meds to decrease PSA and slow growth
Prostatic massage
Voiding as soon as urge felt
Criteria for surgical intervention?
Acute urinary retention
Chronic infections due to residual urine in the bladder
Hematuria
Preop teaching for TUPR?
What to expect About procedure Equipment involved Post op considerations Activity Pain Psychological considerations Risk/complications About catheter (3 lumen)
What is BPH?
Enlargement of the prostate gland
R/t hormonal changes
Age related
- >50yrs at risk
TUPR?
Transurethral reaction of the prostate
- fast recovery
- less complications
- removes the prostate though urethra with use of endoscope
Requires spinal anesthetic
What is continual bladder irrigation?
Irrigates 0.9% NS through bladder via triple lumen catheter
Rate runs according to returns
-initially fast but slower when returns lighten in color
Why use CBI?
Remove/prevent clot formation
Ensure patency of urinary system
Provide comfort/pain relief
Post op assessment for TUPR with CBI?
Monitoring returns Bedrest Hydrate pt VS Bags should be staggered and changed every 20-40min Checking for links Assess bladder Pain, spams, distension? Traction applied
What to do if there’s no returns?
Are bags empty? Kink in tubing? Height? >3 feet Drop chamber overflow? Clamps open? Abdomen -bladder scanner Pain assessment VS Notify physician
Post op TUPR teaching?
Increase fluids AAT Assess urine flow and color Avoid heavy lifting and prolonged sitting Might have mild burning when urinating Call physician if: -fever -severe burning -Dysuria -bright red urine -clots in urine Follow up appointment
Post op risks for TUPR?
Risk for DVT, bleeding, fluid overload, obstruction, UTI
