Only if prostate weighs < 2 oz (because that's a lot of jabbin'!)
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.
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
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:
