turp paperwork
TRANSCRIPT
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