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CCM 4

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5 views

CCM 4

Uploaded by

nakash.0921
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Path physiology: When the prostate

gland enlarges it compresses and


elongates urethra causing obstruction
for the passage of urine. This can result Etiology:
Definition: A common non- in a compensatory hypertrophy of the
cancerous enlargement of the bands of bladder muscle. This in turn
Increases the trabeculation of the The change in the size and shape of the
prostate gland. bladder. These trabeculated areas show prostate are associated with increased
up on ultrasound. Because of the Androgen levels. Although the cause is not
The enlarge prostate may muscular thickening, the bladder has Completely understood, It is thought that the
compress the urethra, which less capacity. Muscle tone can primary cause is an increased number of cells
diminish over time. Consequently, resulting from Hormonal Imbalance
passes through the center of the associated with aging process.
Bladder cannot empty completely at
prostate, impeding the flow of each voiding; the urine become
urine from the bladder through alkaline from stasis and is a fertile
medium for bacterial growth.

urethra to the outside.


Treatment:
1: By Lifestyle change:-
Sign/Symptoms:
Avoid Alcohol and caffeine, Avoid
Urinary tract obstruction.
antihistamine drug, Get regular Exercise.
Hesitancy. (Delay, difficulty in initiating voiding) Benign Prostate 2: By Using Drugs: Alpha blocker to treat
Nocturia. (Excessive urination at night) Hypertrophy high B.P can help relax muscle in the
Urgency. (Strong desire to void)
bladder and prostate, allowing Urine to
(BPH) flow more freely. Example: - Alfuzosin,
Bladder irritation. Terazosin
Frequency. (Frequent voiding more than q3 hours) 3: By Surgery:-Transurethral resection of
Dysuria. (Painful or having difficulty in voiding)
the prostate (TURP) is the most common
surgical procedure for relief of BPH
(1) Laser treatment (2) Stenting of urethra

Nursing Interventions:
Diagnosis: Nursing Diagnosis: Encourage the client to urinate every 2
Impaired urinary elimination: urinary to 4 hour.
Ultrasound examination retention related to mechanical
Biopsy of the prostate gland obstruction of prostate enlargement. Maintain bed rest.

Urine flow studies Acute pain related to mucosal Assess the level of pain.
irritation, urinary infection. Encourage oral intake based on
Cystoscopy
individual need.
Risk for fluid volume deficit related
A rectal examination to assess the
to loss of body fluid is not normal. Encourage the patient by clarifying
size and shape of the prostate
gland misconception
Anxiety related to change in health
status. Provide information about procedure

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