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18 Cards in this Set
- Front
- Back
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BPH is caused by ___? |
The cause is unknown, but it’s an enlargement of the prostate gland |
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Who usually gets BPH? |
Men usually >50 |
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What is the best way to assess BPH? |
Rectal exam, physician will feels pea-sized nodule |
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Because the prostate blocks the urethra opening, what will clients feel and see when they urinate? |
Straining to urinate, decreased urine stream, feeling like they have to go all the time, dribbling urine flow |
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What is the common surgical treatment for BPH? |
Transurethral resection of the prostate (TURP) |
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How is a TURP performed? |
A scope goes through the penis and removes parts of the prostate |
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After the procedure, what is the client at risk for? |
Bleeding; monitor for hemorrhage |
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All clients will get a __ __ __ __ before a TURP. |
Three-way (lumen) Foley catheter |
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What are the three lumens for? |
Inflating the balloon, inflow of solution, and outflow of urine |
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What will the doctor order to be done after TURP? |
Continuous Bladder irrigation (CBI) |
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What is the goal of the bladder irritation? |
Reduce/ prevent blood clot |
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Will an incision be made during the irrigation? |
No, irrigation will be done using the indwelling catheter |
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What type of fluid is used to irrigate the bladder? |
Isotonic sterile saline |
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What color should the urine be? |
Light pink |
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During CBI what must the client be monitored for? |
Bladder distention, fluid overload, Hyponatremia, and Blood loss |
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If bladder spasms occur, give ___ or ___. |
Belladonna/opium suppositories or oxybutynin |
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The best position for this client post-op is? |
Lying flat because sitting up puts pressure on the bladder |
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List some discharge instructions |
Drink 2 to 3 liters of fluids daily. No lifting or straining. If bright re clots are present, call MD. Do Kegel exercises to strengthen pelvis muscles. |
