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    Pathophysiology BPH Case Study

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    zerpthederp
    The document outlines the pathophysiology of benign prostatic hyperplasia (BPH), including its etiology, predisposing factors, organ involved, and late activation of cell growth leading to hyperplasia and enlargement of the prostate. This causes lower urinary tract symptoms like incomplete emptying and nocturia by narrowing the urethra and reducing bladder emptying. Nursing management includes monitoring for retention while medical management utilizes medications and cystoclysis.

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    Pathophysiology BPH Case Study

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    zerpthederp
    24 views4 pages
    The document outlines the pathophysiology of benign prostatic hyperplasia (BPH), including its etiology, predisposing factors, organ involved, and late activation of cell growth leading to hyperplasia and enlargement of the prostate. This causes lower urinary tract symptoms like incomplete emptying and nocturia by narrowing the urethra and reducing bladder emptying. Nursing management includes monitoring for retention while medical management utilizes medications and cystoclysis.

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    The document outlines the pathophysiology of benign prostatic hyperplasia (BPH), including its etiology, predisposing factors, organ involved, and late activation of cell growth leading to hyperplasia and enlargement of the prostate. This causes lower urinary tract symptoms like incomplete emptying and nocturia by narrowing the urethra and reducing bladder emptying. Nursing management includes monitoring for retention while medical management utilizes medications and cystoclysis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    24 views4 pages

    Pathophysiology BPH Case Study

    Uploaded by

    zerpthederp
    The document outlines the pathophysiology of benign prostatic hyperplasia (BPH), including its etiology, predisposing factors, organ involved, and late activation of cell growth leading to hyperplasia and enlargement of the prostate. This causes lower urinary tract symptoms like incomplete emptying and nocturia by narrowing the urethra and reducing bladder emptying. Nursing management includes monitoring for retention while medical management utilizes medications and cystoclysis.

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    PATHOPHYSIOLOGY TREE

    Etiology: UNKNOWN

    Benign Prostatic Hyperplasia (BPH) -noncancerous enlargement


    or hypertrophy of the prostate

    Predisposing Factors Men-40 y/o & above Diet Obesity DM Smoking Ethnicity Hormonal fx Race Family Hx Alcohol use

    Organ Involved -Prostate

    Late activation of cell growth

    Signals prostate cell to replicate

    Become sensitive to growthstimulating hormone

    Apoptosis

    Hyperplasia

    Hyperplasia
    Symmetrically enlarged gland

    Narrows the lumen of the segment of the prostate

    Encroaches upon the bladder neck reducing the ability to funnel in response to micturation

    Growth of the socalled median lobe of the prostate extends into the proximal urethra

    Prostate capsule influence hyperplasia to expand outward

    Accompanied by hypertrophy of the smooth muscle gland (Benign Prostatic Hypertrophy)

    Size of prostate

    Muscular tone at the bladder neck & proximal urethra

    Mechanically adds to the tse. constricting the urethral lumen

    UTI Hematuria

    OBSTRUCTION Overwhelms the detrusor muscles ability to ensure effective bladder evacuation by micturation

    Amplify the strength of the detrusor contraction

    Urethral resistance

    LUTS

    Decline in the force of the urinary stream

    Feelings of incomplete bladder emptying

    Daytime voiding frequency

    Urgency

    Nocturia

    Lower Urinary Tract Symptoms

    Associated w/ overactive detrusor contractions

    Urge urinary incontinence

    Detrusor decompensate

    Acute Urinary Retention

    Urinary residual volumes

    Weakened muscle contraction

    Uremia

    Peritonitis

    Increase risk of postoperative complications

    Nursing Management 1) Assess for signs of urinary retention 2) Monitor cystoclysis 3) Monitor input and output 4) Encourage bed rest 5) Relieve anxiety 6) Prepare for surgery, if necessary

    Medical Management 1) Cystoclysis 2) Anti-adrenergics 3) IV therapy 4) FBC 5) Anti-cholinergics Complications 1) Chronic urinary retention 2) Kidney failure 3) Sepsis due to azotemia 4) Death

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