BENIGN PROSTATIC HYPERPLASIA

FAHD SALEM AL HARETH 09221103

INTRODUCTION DEMOGRAPHIC PROFILE Patients Name Age Gender Religion MEDICAL HISTORY Chief Complaint Present Complaint Present Medical Diagnosis Present Surgical Diagnosis Past Medical Diagnosis Past Surgical Diagnosis Allergies

Abdullah Al Sebee 80 years old Male Islam

Urine retention, hypertension Hematuria, urinary incontinence Benign Prostatic Hyperplasia Transurethral Resection of the Prostate Diabetes Mellitus, hypertension None NKDA

PROBLEM Benign prostatic hyperplasia (BPH) is noncancerous cell growth of the prostate gland. As BPH progresses, it can squeeze the urinary tube (urethra), causing urinary symptoms. The cause is unknown, but it is believed that male hormone (androgen) as part of the aging process affect prostate growth. Age is a risk factor among men more than 40 years old. Family history of BPH is also a risk factor, as well as history of cardiovascular diseases.

PHYSICAL ASSESSMENT After surgery, the patient has hematuria and urinary incontinence With history of benign prostatic hyperplasia, DM, urine retention, and hypertension Vital signs: Pulse 60, BP 118/96, RR 20 SaO2 = 99% HGT = 102

PATHOPHYSIOLOGY Risk Factors: Gender (male) Age (above 40 years old) Heredity (genetic) History of Cardiovascular disease (hypertension)

Increased male hormone

Enlargement of prostate gland

Urinary obstruction

Urine retention Hematuria Urinary incontinence

NURSING CARE PLAN

Present complaints (Problems/Needs) (1mark) After surgery, the patient has hematuria and urinary incontinence -

Nursing Diagnoses (2 marks)

Expected Goals (1mark) 1.

Nursing Interventions (3marks)

Rationales (1mark)

Evaluation (Goals met or not) (2marks) Goal met; the patient maintained adequate hydration as evidenced by stable vital signs: Pulse 60, BP 118/96, RR 20, SaO2 99, and HGT 102.

Risk for fluid Maintain volume adequate

Monitor fluid output per hour and record of urine. Encourage oral intake based on individual needs.

1.

Rapid diuresis can result in the total volume of fluid deficiency due to insufficient amount of sodium absorption in the kidney tubules.

deficit related hydration as to loss of evidenced by 2.

body fluids as stable vital

With history of evidenced by signs. benign prostatic urinary hyperplasia, DM, urine retention, and hypertension 4. incontinence. 3.

Monitor blood pressure and pulse observation of the capillary and oral mucous membranes. Collaboration in the delivery of IV fluids (hypertonic saline physiology), as needed. 4. 3. 2.

Hemostatic and increased risk of hypovolemic dehydration. Early detection of hypovolemic system. Giving IV fluids that replace lost fluids and sodium to prevent / fix hipopolemik.

CURRENT MEDICATIONS

Drug Perfalgan

Dose

Route

Frequency

Action Pain reliever

Side Effect