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Olive View-UCLA Medical Center
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Treatment for prostate gland enlargement include medications, lifestyle changes and surgery.
Transurethral Resection
of the Prostate
Prevention...
always better than cure
Operating Room Nursing Education
Keep your eyes on the fluids
Prostate gland enlargement
is a common condition as men get older. Also called benign prostatic hyperplasia (BPH) and prostatic hypertrophy. Prostate gland enlargement can cause bothersome urinary symptoms. Untreated prostate gland enlargement can block the flow of urine out of the bladder and can cause bladder, urinary tract or kidney problems.
U
P
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B. Rattler, November 2016
Transurethral resection of the prostate consists of removal of prostatic tissue by means of electro-cautery. The electro-cautery wire loop is positioned in the patient’s urethra through a special sheath. The surgical field is visualized through a scope. Irrigation solution is used to distend the bladder, clear the surgical site, and remove blood and resected tissue.
Limit height position
of irrigation
Measure it !
Keep track of fluid
Limit the height of the irrigation to a
maximum of 60 cm above
the surgical field in order to minimize hydrostatic pressure of the fluid
Treatments:
Nurse's Responsibility
Where did it all go?
During a TURP-procedure 20 ml/min of irrigation solution is normally absorbed. This is a total of 1-1.5 liters for the average case.
Fluid Overload
Keep your eyes on the flow
Absorption of 3 to 4 liters of bladder irrigation leading to:
Irrigation Solution:
Electrolytes Imbalance
Water Intoxication due to excessive absorption of irrigant fluid.
Keep in mind:
Intake & Output
And example of this is a Glycine 1.5% in Water
(239 mOsm/L)