BPH causes urinary problems such as:
- Trouble getting a urine stream started and completely stopped (dribbling).
- Often feeling like you need to urinate. This feeling may even wake you up at night.
- A weak urine stream.
- A sense that your bladder is not completely empty after you urinate.
Nursing Diagnosis and Nursing Intervention for BPH - Postoperative
- Risk for infection related to invasive procedures: a tool for surgery, the catheter.
Goal :
do not show signs of infection.
Criteria for outcome :- Clients do not have an infection.
- Able to achieve healing time.
- Vital signs within normal limits and no signs of shock.
Plan of action :- Maintain a sterile catheter system, provide treatment with a sterile catheter.
R / Prevent the entry of bacteria and infection - Encourage adequate fluid intake (2500 - 3000) so as to reduce the potential infection.
R / Increase urine output so that the reduced risk of UTI and preserve renal function. - Maintain a urinal bag under.
R / Avoidance reflexes behind the urine which can enter the bacteria to the bladder. - Observation of vital signs, report signs of shock and fever.
R / Prevent before the shock. - Observation of urine: color, amount, odor.
R / Identify an infection. - Collaboration with physicians to prescribe antibiotics.
R / To prevent infection and help the healing process.
- Risk for bleeding related to surgery
Goal :
There was no bleeding.
Criteria for outcome :- Clients do not show signs of bleeding.
- Vital signs within normal limits.
- Urine smoothly through the catheter.
Plan of action :- Explain to the client about the cause of bleeding after surgery and signs of bleeding.
R / Reduce client anxiety and find signs of bleeding - Irrigation flow catheter if the catheter tract detected blob preformance
R / Clots can block the catheter, causing stretching and bleeding bladder - Provide a diet high in fiber and gave medicine to facilitate defecation.
R / With increased pressure on prostatik fossa which will precipitate bleeding. - Preventing the use of rectal thermometers, rectal examination, for at least one week.
R / It can cause bleeding prostate. - Monitor the catheter traction: traction time record in pairs and when traction is removed.
R / Traction cause the development of balloon catheter into the fossa prostatik, reduce bleeding. Generally removed 3-6 hours after surgery. - Observation: Vital signs every 4 hours, input and output and urine color
R / early detection of complications, with appropriate intervention to prevent permanent tissue damage.
