Med surg Benign prostatic hyperplasia (BPH) – Flashcards

Enlargement or hypertrophy of the prostate ( sometimes called hypertrophy of the prostate)

Men over 40

Transurethral resection of the prostate gland (TURP) Prostate removal by endoscopy.

Increased frequency of voiding, with a decrease in amount of each voiding Nocturia Hesitancy Terminal dribbling Decrease in size and force of stream Acute urinary retention Bladder distention

Pains that occur post-operatively from bladder spasms Maintain patent urinary drainage system (large 3 way indwelling catheter with a 30-ml balloon) to decrease the spasms Provided pain relief as prescribed: Narcotics, analgesics, and antispasmodics

Minimize catheter manipulation taping catheter to abdomen or leg Maintain gentle traction on urinary catheter Check the urinary drainage system for clots Irrigate bladder as prescribed Observe the color and content of urinary output Monitor vital signs for indication of circulatory collapse Monitor H & H for pattern of decreasing values that indictes bleeding

A shift in cellular fluid

Sterile saline because the irrigation must be isotonic to prevent fluid and electrolyte imbalance

Normal drainage--reddish pink, clearing to a light pink within 24 hours after surgery. Some small to medium blood clots may be present Monitor for bright-red bleeding with large clots and increased viscosity

Monitor amount and number of times client voids Encourage fluids Have the client use urine cups to provide a specimen with each voiding Observe for hematuria after each voiding (Urine should progress to clear yellow color by the fourth day) Inform client that burning on urination and urinary frequency are usually experienced during the first postoperative week

Larges amount of blood or frank bright bleeding It is normal for the patient to pass small amounts of blood as well as small clots during the healing process

Continue to drink 12-14 glasses of water a day Avoid constipation and straining Avoid strenuous activity, lifting, intercourse and sports for first 3-4 weeks after surgery Keep all follow up appointments