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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

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prostatitis
Prostatitis
  • Behavioral Objective:
    • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for prostatitis
  • Brunner and Suddarth’s Medical Surgical Nursing pg 1750
prostatitis1
Prostatitis

Pathophysiology

  • Inflammation of the prostate gland cause by infectious agents
  • E. coliis the most common
  • Microorganisms are usually carried to the prostate from the urethra
prostatitis2
Prostatitis

Clinical manifestations

  • Perineal discomfort
  • Burning, urgency, frequency & pain after ejaculations
  • Prostate pain
  • Dysuria
  • May produce
    • Fever and chills
    • Rectal or low back pain
prostatitis3
Prostatitis

Assessment and diagnostic findings

  • History
  • Culture
  • Histological examination of the tissue
  • D.R.E.
    • Swollen, tender & firm
slide5

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
prostatitis4
Prostatitis

Medical management

  • A broad-stectrum antibiotic
    • Trimethroprim sulfamethoxazole (Bactrim)
    • Cirpfloxacin (Cipro)
  • Bed rest
  • Analgesic agents
  • Antispasmodic medications
prostatitis5
Prostatitis
  • Bladder sedatives
  • Sitz baths
  • Stool softeners
    • Colace
  • Anti-inflammatory
prostatitis6
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
prostatitis7
Prostatitis

Nursing process of Patients with Prostatitis

  • Nursing Interventions
    • Admin. meds
    • Comfort measures:
      • Sitz baths
    • Fluids:
      • Do not force fluids –
prosatitis
Prosatitis
  • AVOID Foods and liquids that have diuretic actions or that increase Prostatic secretion should be avoided
    • Alcohol
    • Coffee
    • Tea
    • Chocolate
    • Cola
    • Spices
  • Avoid intercourse
  • Avoid sitting for long periods
orchitis
Orchitis
  • Behavioral Objective
    • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education Orchitis
  • Brunner and Suddarth’s Medical Surgical Nursing pg 1769
orchitis1
Orchitis
  • Orchitis is an inflammation of the testes.
  • Etiology
    • Mumps
    • Testicular congestion
    • Viral
    • Parasitic
    • Trauma
orchitis2
Orchitis
  • Signs & Symptoms
    • Pain
    • Swollen
orchitis3
Orchitis

Treatment

  • Rest - bed
  • Elevate scrotum
  • Ice pack
  • Antibiotics?
  • Analgesics
  • Anti-inflammatory
benign prostatic hyperplasia
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
Prostatic hypertrophy Benign Prostatic Hyperplasia

Pathophysiology

  • Prostate gland enlargement urinary obstruction
  • Age > 50
prostatic hypertrophy benign prostatic hyperplasia1
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 hyperplasia2
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 hyperplasia3
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 hyperplasia4
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 hyperplasia5
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 hyperplasia6
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