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19 Cards in this Set
- Front
- Back
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What causes BPH? |
The cause is unknown but it's an enlargement of the prostate gland |
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Because the prostate blocks the urethra opening, clients will feel and see what when they urinate? |
Staining to urinate Decreased urine stream Feeling like they have to go all the time Dribbling urine flow |
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Who usualyy gets BPH |
Men usually >50 |
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Best way to assess BPH |
Rectal exam, physician will feel a pea-sized nodule |
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Common surgical treatment for BPH |
Transurethral resection of the prostate (TURP) |
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How is TURP performed |
A scope goes through the penis and removes parts of the prostate |
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Surgery use to treat urinary problem due to enlarge prostate |
TURP |
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After the procedure (TURP), what is the client at risk for? |
Bleeding; monitor for hemorrhage |
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What should you give or apply to client before TURP |
Three-way (lumen) foley catheter |
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What are the three lumens of the foley catheter for? |
Inflating the balloon, inflow of solution and outflow of urine |
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What will the doctor order to be done after a TURP |
Continuous Bladder Irrigation (CBI) - continuous infusion of sterile solution into the bladder |
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What is the goal of the bladder irrigation |
Reduce / prevent blood clot formation |
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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 usedto irrigate the bladder? |
Isotonic sterile saline |
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What color do you want the urine to be? |
Light pink |
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During CBI, what must the client be monitored for? |
Bladder distention Fluid overload Hyponatremia Blood loss |
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What will you guve if bladder spasms occur? |
Belladonna / opium Suppositories or ditropan |
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The best position for this client post op is |
Lying flat because aitting up puts pressure on the bladder |
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Discharge instructions |
Srink 2-3 L of fluids daily No lifting or straining If bright red clots are present, call MDs Do kegel exercises to strengthen pelvic muscles |
