Question

Please help to answer these questions

1. TURP

a. Pathophysiology/etiology/risk factors

b. s/s

c. nursing and physician directed interventions

2. Mastectomy

a. Pathophysiology/etiology/risk factors

b. s/s

c. nursing and physician directed interventions

Answer 1

Ans) 1) TURP

Pathophysiology:

- TURP syndrome comprises the effects produced by rapid changes in osmolality and circulating volume, together with the effects of glycine, caused by the absorption of glycine 1.5%. In TURP syndrome, hypoosmolality is more important than hyponatraemia in causing central nervous system disturbances.

Etiology:

- TURP is most often done to relieve symptoms caused by an enlarged prostate. This is often due to benign prostate hyperplasia (BPH). BPH is not cancer.When the prostate gland is enlarged, it can press against the urethra and interfere with or block the passage of urine out of the body.

Risk Factors:

- Temporary difficulty urinating. You might have trouble urinating for a few days after the procedure.

Urinary tract infection.
Dry orgasm.
Erectile dysfunction.
Heavy bleeding.
Difficulty holding urine.
Low sodium in the blood.
Need for re-treatment.

b. s/s:

- feeling or being sick.
- disorientation.
- dizziness.
- headache.
- swelling of your tummy.
- slow heartbeat (bradycardia)

c. Nursing and physician directed interventions:

- Transurethral resection of the prostate (TURP) for benign prostatic hypertrophy is a common surgical procedure in the United States. The perianesthesia nurse is instrumental in managing and preventing complications associated with transurethral resection of the prostate.During the first 1-2 weeks after the operation it is important to drink plenty of fluid to flush any new bleeding from the bladder. The amount of fluid drunk usually depends on the amount of blood in your urine. If your urine is quite bloodstained you may need to drink up to 3 litres of water per day.