Adult Med/Surg: BPH NEW Lecture
Mrs. Woodruff・2 minutes read
Woodruff plans to take a break after concluding their semester videos, sharing personal struggles and expressing a preference for in-person teaching. The final video covers benign prostatic hyperplasia (BPH), discussing risk factors, symptoms, assessment, diagnostic tests, and treatment options.
Insights
- Woodruff plans to take a break for personal time after concluding their semester videos but intends to create educational materials during the summer to aid in learning nursing concepts.
- Symptoms, risk factors, assessment, diagnostic tests, and treatment options for benign prostatic hyperplasia (BPH) were discussed, emphasizing the importance of monitoring urine output post-surgery, managing post-op complications like bleeding and bladder spasms, and the significance of kegel exercises for achieving continence.
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Recent questions
What is benign prostatic hyperplasia (BPH)?
BPH is prostate enlargement causing urinary obstruction.
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Summary
00:00
Woodruff's Break: Teaching, BPH, and Treatment
- The speaker, Woodruff, is concluding their semester videos and plans to take a break for personal time.
- Woodruff expresses a preference for teaching in person over making videos but acknowledges the helpfulness of the latter.
- During the summer, Woodruff intends to create educational videos and worksheets to aid in learning nursing concepts.
- Woodruff discusses personal struggles with ADHD, perfectionism, and difficulty relaxing.
- The topic of the final video is benign prostatic hyperplasia (BPH), an enlargement of the prostate leading to urinary flow obstruction.
- BPH risk factors include age, hormonal changes, obesity, sedentary lifestyle, smoking, alcohol consumption, and dietary habits.
- Symptoms of BPH include hesitancy, decreased flow, intermittency, nocturia, urinary frequency, painful urination, dribbling, and incontinence.
- Assessment for BPH involves evaluating urinary symptoms, flow issues, and potential urinary retention.
- Diagnostic tests for BPH include CBC, biopsy, digital rectal exam, PSA measurement, and transrectal ultrasound.
- Treatment options for BPH range from conservative dietary changes to medications like finasteride and tamsulosin, with surgical procedures like transurethral resection of the prostate (TURP) or open prostatectomy for severe cases.
13:07
Post-Op Bladder Care and Complications Management
- Intermittent bladder spasms are generally not alarming, especially if the urine color is light pink with occasional clots.
- Monitoring urine output is crucial post-surgery, considering that the volume includes both urine and irrigation fluid.
- Difficulty waking up post-assessment could indicate hyponatremia or terp syndrome, requiring attention.
- Post-op complications like bleeding and bladder spasms need careful management, including medication administration.
- Achieving continence post-Foley removal may take up to 12 months, emphasizing the importance of kegel exercises.
- Regular monitoring for infection and proper catheter care are essential post-op responsibilities.
- Continuous bladder irrigation aims to clear excess blood and maintain good urinary flow post-terp procedure.
- Assessing catheter patency, monitoring urine color, and output, and addressing spasms promptly are key nursing tasks.
