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23 Cards in this Set
- Front
- Back
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As the prostate enlarges it compresses the _____ and causes urinary _____. |
Urethra, retention |
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At what age does BPH occur? |
Men over 50 years of age |
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What does BPH stand for? |
Benign prostatic hypertrophy |
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In BPH the man has (increased/decreased) frequency of urination? |
Increased |
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In BPH the force of the urinary stream is (increased/decreased)? |
Decreased |
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The man with BPH has a _____-stream of urine |
Forked |
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The man with BPH has hesitancy. What does this mean? |
Difficulty starting to void |
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Will the man with BPH have enuresis, nocturia, or hematuria? |
Enuresis = No Nocturia = Yes Hematuria = Maybe |
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What is the best way to screen men for BPH? |
Digital rectal exam |
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Should fluids be forced or restricted in BPH |
Forced |
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What does TURP stand for? |
Transurethral resection of the prostate |
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The most radical prostate surgery is the _____ prostatectomy |
Perineal |
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What type of diet is used in BPH? |
Acid Ash |
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What is the primary purpose of a 3-way continuous bladder irrigation (CBI) after TURP? |
To keep the catheter clear of clots and to drain urine |
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What solution is used for CBI? |
Normal saline (0.9%)
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How fast do you run the CBI? |
At whatever rate it takes to keep the urine flowing and free of clots |
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What drug is used to treat bladder spasms? |
B&O suppositories |
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Should you take a rectal temp after prostatectomy? Give stool softeners? |
-No rectal suppositories -Give stool softeners |
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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/or urine on dressing |
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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 |
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If you see clots in the tubing you would first _____. |
Increase the flow rate |
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What exercises should the post-prostectomy patient do upon d/c? Why? |
-Perineal exercises: start and stop the stream of urine -Dribbling is a common but temp problem post-op |
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Will the post-prostatectomy patient be impotent? |
-TURP = no impotence -Perineal prostatectomy = impotence |
