Transurethral Resection of the Prostate-TURP

Wayne Community College

NUR 103 Practical Nursing III
NAME______________________
__
Sign and/or Symptoms of Biophysical
Alteration
Significant Medical/surgical history
Potential Post-Op Complications
Pneumonia
Pulmonary Embolism
Atelectasis
Hyo!olemia
Hemorr"age
Hyo!olemic #"oc$
Urinary retention
Urinary tract in%ection
Nausea
&omiting
Constiation
'ymanites
Woun( In%ection
Woun( )e"iscence
Woun( E!isceration
*la((er sasms
'ransuret"ral syn(rome
*loc$age o% cat"eter
Transurethral Resection of the Prostate-TURP
NAME_____________________
Wayne Community College
NUR#IN+ 103, Practical Nursing III
)ata Collection-Clinical Prearation

Allergies________________________________
Co(e #tatus _____________________________
*aseline )ay 1 )ay .
AP AP AP
RP RP RP
*P *P *P
RR RR RR
' ' '
)e!elomental 'as$_________________________________
1/ Client0s Primary *io"ysical Alteration,____________________________
./ *asic Etiology o% Primary *io"ysical Alteration 1inclu(e re%erence source 2
ara"rase etiology3
3/ )escribe basic Pat"o"ysiology o% Primary bio"ysical Alteration 1inclu(e
re%erence source 2 ara"rase Pat"o"ysiology3
4/ *rie%ly (escribe surgery relate( to t"e client0s bio"ysical alteration 1i% any
surgery3,
Parts o% t"e rostate 5ill be remo!e( by a tool calle( resectoscoe 5"ic" is
inserte( into t"e uret"ra
Transurethral Resection of the Prostate-TURP
CURRENT COMPUTER KARDEX DOCTORS ORDERS
Date Ordered Order
Transurethral Resection of the Prostate-TURP
Lab Test ormal Patient!s ursing "mplications if abnormal
Potassium 163
#o(ium 1Na3
C"lori(e 1Cl3
P"os"orous 1P3
Magnesium 1Mg3
Calcium 1Ca3
*UN
Creatinine
#erum 7smolality
Albumin
W*C
R*C
Platelets 1Plts3
Hemoglobin 1Hgb3
Hematocrit 1Hct3
Cultures 1Woun(8 urine8 sutum8
bloo(8 etc/3
'"eraeutic bloo( le!els,
)igo9in
Antibiotic Pea$-'roug"
7t"er,_____________
Urinalysis
*ilirubin
Ammonia
Heatic En:ymes 1A#'8 A;'3
Car(iac En:ymes 1'ro8 C6M*8 CP63
P'
P''
INR
M#$"CAT"OS
Transurethral Resection of the Prostate-TURP
M#$"CAT"O
%Brand ame
& 'eneric ame(
CLASS")"CAT"O*
therapeutic &
pharmacologic*
+eason ,hy $rug is
Prescribed for Client
Safe
dose
Patien
t dose
+O-T
#
)re.uenc
y
S"$# #))#CTS
%most common
and life
threatening(
ursing
"mplications
%Top priority(
M#$"CAT"OS
Transurethral Resection of the Prostate-TURP
M#$"CAT"O
%Brand ame
& 'eneric ame(
CLASS")"CAT"O*
therapeutic &
pharmacologic*
+eason ,hy $rug is
Prescribed for Client
Safe
dose
Patien
t dose
+O-T
#
)re.uenc
y
S"$# #))#CTS
%most common
and life
threatening(
ursing
"mplications
%Top priority(

Transurethral Resection of the Prostate-TURP
P+"O+"T"/# ursing "nter0entions #0aluation*
Based on recogni1ing the
effecti0eness
$ata collection 2ith +!s of nursing inter0entions 2ith
Assistance +!s Assistance
Pro!i(e e(ucation on t"e surgery to
client to re(uce %ears
Check lab values for abnormalities
Provide adequate hydration and nutrition to
promote healing
Collect consent form from client for
surgery and care to be given
Keep client NP as rdered
Keep client on bedrest as ordered
Keep strict !" measurement
#oley to gravity $ith continuous bladder
irrigation of N% at rate to keep urine clear
&onitor neurovascular status q'hq
(ducate client on use and purpose of
catheter
Pre-op
care
Post-op
care
Transurethral Resection of the Prostate-TURP
P+"O+"T"/# ursing "nter0entions #0aluation*
Based on recogni1ing the
effecti0eness
$ata collection 2ith +!s of nursing inter0entions 2ith
Assistance +!s Assistance
(ncourage turn) cough and deep breathing
e*ercises
(ncourage use of an incentive spirometer
q+h
,dminister pain meds as needed
&onitor post-op lab values
-et client to ambulate as ordered to prevent
./T