Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Genital-Urinary System
Document related concepts
Transcript
Prostatitis • Behavioral Objective: – • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for prostatitis Brunner and Suddarth’s Medical Surgical Nursing pg 1750 Prostatitis Pathophysiology • Inflammation of the prostate gland cause by infectious agents • E. coli is the most common • Microorganisms are usually carried to the prostate from the urethra Prostatitis Clinical manifestations • Perineal discomfort • Burning, urgency, frequency & pain after ejaculations • Prostate pain • Dysuria • May produce – – Fever and chills Rectal or low back pain Prostatitis Assessment and diagnostic findings • History • Culture • Histological examination of the tissue • D.R.E. – Swollen, tender & firm • Divided urinary specimen – Clean glans of penis – Void 10-15ml – 1st container • Urethral Urine – Without interrupting the urinary stream, collect 50-75 ml of urine -2nd container • Bladder Urine – Results: • UA is often + WBC & bacteria present • Prostatic massage – Prostatic fluid – 3rd container Prostatitis Medical management • A broad-stectrum antibiotic – Trimethroprim sulfamethoxazole (Bactrim) – Cirpfloxacin (Cipro) • Bed rest • Analgesic agents • Antispasmodic medications Prostatitis • • • Bladder sedatives Sitz baths Stool softeners – Colace • Anti-inflammatory Prostatitis Nursing process of Patients with Prostatitis • Assessment • Diagnosis – – – – • Pain related to inflammation, bladder spasms, Urinary retention, related to obstruction Sexual dysfunction r/t discomfort Anxiety r/t uncertain outcome Planning and Goals Prostatitis Nursing process of Patients with Prostatitis • Nursing Interventions 1.Admin. meds 2.Comfort measures: 1. Sitz baths 3.Fluids: 1. Do not force fluids – Prosatitis 1.AVOID Foods and liquids that have diuretic actions or that increase Prostatic secretion should be avoided 1. Alcohol 2. Coffee 3. Tea 4. Chocolate 5. Cola 6. Spices 2.Avoid intercourse 3.Avoid sitting for long periods Orchitis • Behavioral Objective – • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education Orchitis Brunner and Suddarth’s Medical Surgical Nursing pg 1769 Orchitis • Orchitis is an inflammation of the testes. Etiology • – – – – – Mumps Testicular congestion Viral Parasitic Trauma Orchitis • Signs & Symptoms – Pain – Swollen Orchitis Treatment • Rest - bed • Elevate scrotum • Ice pack • Antibiotics? • Analgesics • Anti-inflammatory Benign Prostatic hyperplasia • Behavioral Objective: – • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for Prostatic hypertrophy / Benign Prostatic Hyperplasia / enlarged prostate Brunner and Suddarth’s Medical Surgical Nursing pg 1751-52 Prostatic hypertrophy Benign Prostatic Hyperplasia Pathophysiology – – Prostate gland enlargement urinary obstruction Age > 50 Prostatic hypertrophy Benign Prostatic Hyperplasia Clinical Manifestations – prostate gland • • • – – – large rubbery non tender Urinary retention Dilation of the ureters and kidneys Results in UTI Prostatic hypertrophy Benign Prostatic Hyperplasia Assessment and diagnosis • Digital Rectal exam – – • • • BPH develops in the inner prostate Cancer develops on the outside of prostate Urinalysis (U/A) Renal function test Complete blood studies (CBC) Prostatic hypertrophy Benign Prostatic Hyperplasia Medical Management • • Catheterization Prostatectomy – • TURP - Transurerthral Resection of the Prostate Laser resection of the prostate. – – Ultrasound & Lasers Tissue vaporizes or necrotic sloughs. Prostatic hypertrophy Benign Prostatic Hyperplasia Nursing process • • Assessment Diagnosis / Nursing Interventions – Acute pain related to bladder distention secondary to enlarged prostate as manifested by complaints of discomfort • • • • • Catheter I&O Percuss bladder for distention Maintain patency of catheter Asses pain Prostatic hypertrophy Benign Prostatic Hyperplasia • Risk for infection (urinary tract) related to indwelling catheter, environmental pathogens, and urinary stasis – Assess for elevated temperature; urine cloudy or foul-smelling – U/A – Enc fluids – Strict aseptic technique Prostatic hypertrophy Benign Prostatic Hyperplasia • Fear, related to actual or potential sexual dysfunction, possible diagnosis of cancer, and lack of knowledge regarding surgical procedure and postoperative care as manifested by verbalization of fear about impact of surgery on sexuality, questioning or inaccurate comments about surgical care. – Teach – Assess – Provide opportunity to talk
