Transurethral Resection of the Prostate-TURP

Wayne Community CollegeNUR 103 Practical Nursing IIINAME________________________

Sign and/or Symptoms of Biophysical Alteration

Significant Medical/surgical history

Potential Post-Op ComplicationsPneumoniaPulmonary EmbolismAtelectasisHypovolemiaHemorrhageHypovolemic ShockUrinary retentionUrinary tract infectionNauseaVomitingConstipationTympanitesWound InfectionWound DehiscenceWound EviscerationBladder spasmsTransurethral syndromeBlockage of catheter

Transurethral Resection of the Prostate-TURP

NAME_____________________

Wayne Community CollegeNURSING 103: Practical Nursing IIIData Collection/Clinical Preparation

Allergies________________________________ Code Status _____________________________ Baseline Day 1 Day 2 AP AP APRP RP RPBP BP BPRR RR RRT T T

Developmental Task_________________________________

1. Client’s Primary Biophysical Alteration:____________________________

2. Basic Etiology of Primary Biophysical Alteration (include reference source & paraphrase etiology)

3. Describe basic Pathophysiology of Primary biophysical Alteration (include reference source & paraphrase Pathophysiology)

4. Briefly describe surgery related to the client’s biophysical alteration (if any surgery):Parts of the prostate will be removed by a tool called resectoscope which is inserted into the urethra

Transurethral Resection of the Prostate-TURP

CURRENT COMPUTER KARDEX DOCTOR’S ORDERS

Date Ordered Order

Transurethral Resection of the Prostate-TURP

Lab Test Normal Patient’s Nursing Implications if abnormalPotassium (K)

Sodium (Na)

Chloride (Cl)

Phosphorous (P)

Magnesium (Mg)

Calcium (Ca)

BUN

Creatinine

Serum Osmolality

Albumin

WBC

RBC

Platelets (Plts)

Hemoglobin (Hgb)

Hematocrit (Hct)

Cultures (Wound, urine, sputum, blood, etc.)Therapeutic blood levels:DigoxinAntibiotic Peak/TroughOther:_____________Urinalysis

Bilirubin

Ammonia

Hepatic Enzymes (AST, ALT)

Cardiac Enzymes (Trop, CKMB, CPK)

PT

PTT

INR

Transurethral Resection of the Prostate-TURP

MEDICATIONS

MEDICATION(Brand Name& Generic Name)

CLASSIFICATION: therapeutic & pharmacologic:Reason Why Drug is Prescribed for Client

Safe dose Patient dose

ROUTE Frequency SIDE EFFECTS (most common and life threatening)

Nursing Implications (Top priority)

Transurethral Resection of the Prostate-TURP

MEDICATIONS

MEDICATION(Brand Name& Generic Name)

CLASSIFICATION: therapeutic & pharmacologic:Reason Why Drug is Prescribed for Client

Safe dose Patient dose

ROUTE Frequency SIDE EFFECTS (most common and life threatening)

Nursing Implications (Top priority)

Transurethral Resection of the Prostate-TURP

PRIORITIZE Nursing Interventions Evaluation:Based on recognizing the effectiveness Data collection with RN’s of nursing interventions withAssistance RN’s Assistance Provide education on the surgery to client to reduce fears

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 NPO as Ordered

Keep client on bedrest as ordered

Keep strict I&O measurement

Foley to gravity with continuous bladder irrigation of NS at rate to keep urine clear

Monitor neurovascular status q4hq

Pre-op care

Post-op care

Transurethral Resection of the Prostate-TURP

Educate client on use and purpose of catheter

PRIORITIZE Nursing Interventions Evaluation:Based on recognizing the effectiveness Data collection with RN’s of nursing interventions withAssistance RN’s Assistance Encourage turn, cough and deep breathing exercises

Encourage use of an incentive spirometer q1h

Administer pain meds as needed

Monitor post-op lab values

Get client to ambulate as ordered to prevent DVT

Transurethral Resection of the Prostate-TURP