Nursing diagnosis for turp. 5 Deep Vein Thrombosis Nursing Care Plans 2022-10-06

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A nursing diagnosis is a clinical judgment about an individual, family, or community's response to actual or potential health problems and life processes. It is a crucial aspect of the nursing process, which involves assessment, planning, implementation, and evaluation of the patient's care.

Turp, or transurethral resection of the prostate, is a surgical procedure that involves removing a portion of the prostate gland through the urethra. It is typically performed to alleviate symptoms of urinary tract obstruction caused by an enlarged prostate, also known as benign prostatic hyperplasia (BPH).

Nursing diagnoses for turp patients may include:

  1. Risk for infection: Turp is an invasive procedure that can increase the risk of infection. Nurses can assist in the prevention of infection by closely monitoring the patient's wound site and promoting proper wound care, hand hygiene, and infection control measures.

  2. Risk for bleeding: Turp can also cause bleeding, which may require the patient to undergo additional procedures or treatments to control the bleeding. Nurses can assess the patient's bleeding risk and take appropriate precautions to prevent or manage bleeding complications.

  3. Risk for impaired urinary elimination: Turp may result in temporary or permanent changes to the patient's urinary function, including difficulty urinating or incontinence. Nurses can assist the patient in developing strategies to manage their urinary symptoms and provide education on ways to maintain urinary health.

  4. Pain: Turp can cause pain and discomfort during the recovery process. Nurses can assess the patient's pain levels and provide appropriate pain management strategies to help the patient manage their pain and improve their comfort.

  5. Risk for impaired skin integrity: Turp patients may be at risk for skin breakdown due to immobility or incontinence. Nurses can assist in the prevention of skin breakdown by providing frequent skin assessments and implementing appropriate skin care measures.

In summary, nursing diagnoses for turp patients may include risk for infection, risk for bleeding, risk for impaired urinary elimination, pain, and risk for impaired skin integrity. It is essential for nurses to closely monitor and assess the patient's condition, implement appropriate interventions, and provide education and support to promote a successful recovery.

Transurethral Resection of the Prostate (TURP) Syndrome: A R... : Anesthesia & Analgesia

nursing diagnosis for turp

The needed amount of exogenous protein is lower than normal unless the patient is on dialysis. With the click of a button, educational resources can be customized and printed out for patients. Medications You are usually able to continue taking your prescribed medications during the course of your surgical procedure however it may however be necessary to cease some medications. It is very important that you cease any blood thinning medications 7-10 days prior to some surgical procedures. Observe for Loss of kidney function results in decreased fluid elimination and accumulation of toxic wastes; may progress to complete renal shutdown.

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Post Op Nursing Diagnosis and Nursing Care Plan

nursing diagnosis for turp

Information helps patient deal with the problem. Inspect for breaks or irritation on the skin that are indicators of infection. Intravenous fluid for inadequate blood volume can be given to an ARF patient as needed. Limit fluids in the evening, once catheter is removed. A patient with acute renal failure may need to restrict or increase his or her fluid intake depending on the case and stage of acute renal function.

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Impaired Urinary Elimination Nursing Diagnosis and Nursing Care Plan

nursing diagnosis for turp

If necessary, apply skin sealants or barriers before applying the tape, and use hypoallergenic tape for dressings that must be changed frequently. Bleeding is not unusual during first 24 hr for all but the perineal approach. Nursing Interventions Rationale Review implications of procedure and future expectations. Administer the prescribed medication for BPH. The patient may complain of a headache, dizziness, or shortness of breath Watson, 2017. Be cautious not to overwork the patient.

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Acute Renal Failure Nursing Diagnosis and Nursing Care Plan

nursing diagnosis for turp

Promotes healing and prevents constipation, reducing risk of postoperative bleeding. Record time, amount of voiding, and size of stream after catheter is removed. Encourage and support range-of-motion ROM exercises of the patient, such as active ankle and leg movements. Abnormalities can indicate hypovolemia which can lead to shock or fluid overload which can lead to TURP syndrome see below Vera, 2014. I can say I've been in both sides now, but still I see writing as a means of venting things out and touching lives, helping each struggling individual decipher the ever growing body of health care education. Reduced risk of complications or untoward outcomes, such as injury to the peroneal and tibial nerves with postoperative pain in the calves and feet.

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Transurethral resection of the prostate (TURP)

nursing diagnosis for turp

Skin disruptions at or near the surgical site are potential sources of wound infection. To allow enough oxygenation in the room. Several nursing considerations for post-operative elderly patients are listed below. Tachypnea and dyspnea indicative of pulmonary obstruction. .

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Readiness for Enhanced Knowledge Nursing Diagnosis and Nursing Care Plans

nursing diagnosis for turp

He has established the Queensland Prostate Clinic in Brisbane, which functions to provide comprehensive information on the detection and treatment of prostate cancer. Catheterize for residual urine and leave indwelling catheter as indicated. Rationale— To avoid the introduction of bacteria to the bladder caused by backward reflux of urine. Document period of application and release of traction, if used. Post Op Nursing Interventions Rationale Evaluate and assist the patient or significant other perform proper wound dressing and tube care.


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Postoperative Nursing Considerations: Transurethral Resection of the Prostate.

nursing diagnosis for turp

May indicate blood dyscrasias or systemic clotting problems. Have patient document time and amount of each voiding. Limiting voids to every 4 hr if tolerated increases bladder tone and aids in bladder retraining. Before surgery you'll be given either general anesthesia — which means you'll be unconscious during the procedure — or spinal anesthesia, which means you'll remain conscious. Over 150+ nursing care plans for different diseases and conditions.

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5 Deep Vein Thrombosis Nursing Care Plans

nursing diagnosis for turp

Respiratory alkalosis and metabolic acidosis may also be present. Persistent incontinence will require additional evaluation or treatment. Dark clots may be seen initially, but they should dissipate and the outflow color should become lighter Smart, 2016. Transurethral procedures for treating benign prostatic hyperplasia. Monitor electrolytes, particularly potassium levels. It can be treated by managing the underlying causes and signs and symptoms, such as hyperkalemia and fluid retention.

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6 Prostatectomy Nursing Care Plans

nursing diagnosis for turp

Minor effects of immobilization and positioning should resolve in 24 hr. Regularly check the dressing, incision and drainage for excessive bleeding. TURP Syndrome: Intravascular Volume Shifts Intravascular Volume Expansion Both hypertension and hypotension Intravascular Volume Loss Perioperative hypotension during TURP is sometimes preceded by hypertension Sympathetic blockade induced by regional anesthesia may compound TURP syndrome. The procedure can be called a success if the fluid can turn into sanguineous into clear urine output. Rationale— To reduce the risk of bleeding as activities stress the bladder and prostate, increasing abdominal pressure.

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Transurethral Resection Of The Prostate

nursing diagnosis for turp

To establish baseline data. An electrical loop cuts away excess prostate tissue to improve urine flow. To aid in the recovery of the patient. Encourage the patient to avoid or reduce the intake of urinary irritants such as colas, alcohol, tea, and coffee. Note: Lack of close monitoring can cause water intoxication or fluid overload. This is to help prevent bleeding.

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