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The flashcards below were created by user
alyn217
on FreezingBlue Flashcards.
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What is BPH?
- In BPH, the prostate gland enlarges sufficiently to compress or distort the urethra and cause some overt urinary obstruction
- – Begins with changes in periurethral glandular tissue
- – May extend into the bladder (and obstruct urinary outflow) or cause a pouch to form (that retains urine, which may lead to calculus
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What are some causes of BPH?
- • Link between BPH and hormonal activity and aging.
- – Imbalance in androgen and estrogen levels
- – High levels of dihydrotestosterone (main prostatic intracellular androgen)
- • Others
- – Neoplasm, arteriosclerosis, inflammation, and metabolic or nutritional disturbances
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What are some obstructive signs of BPH?
- – Frequent urination
- – Nocturia
- – Incontinence
- – Possible hematuria
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Late signs of obstructive BPH?
- – Complete obstruction may follow infection or ingestion (decongestants, tranquilizers, ETOH, antidepressants, or anticholinergics)
- – Possible complications include infection, renal insufficiency, hemorrhage, and shock
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How is BPH diagnosed?
Digital rectal exam. (Yay.)
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T/F: you can go into renal failure due to BPH.
- True.
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What Rx are used to treat BPH?
Alpha blockers (adrenergic blockers improve urine flow rates.
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What surgical method is used to correct BPH?
- Trans urethra resection of the prostate, ie TURP.
- Only if prostate weighs < 2 oz (because that's a lot of jabbin'!)
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What are some nursing interventions for BPH?
- Monitor and record VS, I&O, and daily wt
- – Monitor for post-obstructive diuresis (increased UO and hypotension)
- Administer antibiotics as ordered
- Do not force a transurethral catheter:
- assist with suprapubic cystostomy under local anesthetic
- According to your textbook, how much urine can be drained at one time? 1-1.5L. Do not drain more or you can change intraabdominal pressure and BP will drop.
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Nursing care for pt during BPH surgery?
- Maintain patient comfort
- Observe for shock and hemorrhage from
- prostatic bleeding
- – Check catheter q 15 min for first 2-3 hours for patency and urine color
- – Check dressings for bleeding
- CBI (continuous bladder irrigation): Keep catheter open at a rate sufficient to maintain returns that are clear and light pink
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Post-op pt teaching (BPH)
- Reassure patient that he will gradually regain urinary control
- After catheter removal, patient may have frequency, dribbling, and occasional hematuria
- • Reinforce limits on activity
- – Warn patient against lifting, strenuous exercise, and long car rides
- – Restrict sexual activity for several weeks
- Instruct patient to follow prescribed oral antibiotic regimen and tell indications for using gentle laxatives
- Tell patient to seek medical care immediately if he:
- – cannot void
- – passes bloody urine
- – develops a fever
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