Benign Prostatic Hyperplasia - Postoperative Care Plan

Nursing Diagnosis and Nursing Intervention for BPH

1. Risk for infection related to invasive procedures: a tool for surgery, the catheter.

Goal : not show signs of infection.

Outcome :

• Clients do not have an infection.
• Able to achieve healing time.
• Vital signs within normal limits and no signs of shock.

Interventions :
Maintain a sterile catheter system, provide treatment with a sterile catheter.
R / Prevent the entry of bacteria and infection
Encourage adequate fluid intake (2500 - 3000) so as to reduce the potential infection.
R / Increase urine output so that the reduced risk of UTI and preserve renal function.
Maintain a urinal bag under.
R / Avoidance reflexes behind the urine which can enter the bacteria to the bladder.
Observation of vital signs, report signs of shock and fever.
R / Prevent before the shock.
Observation of urine: color, amount, odor.
R / Identify an infection.
Collaboration with physicians to prescribe antibiotics.
R / To prevent infection and help the healing process.


2. Risk for bleeding related to surgery

Goal : no bleeding.

Outcome :

• Clients do not show signs of bleeding.
• Vital signs within normal limits.
• Urine smoothly through the catheter.

Interventions :
Explain to the client about the cause of bleeding after surgery and signs of bleeding.
R / Reduce client anxiety and find signs of bleeding
Irrigation flow catheter if the catheter tract detected blob preformance
R / Clots can block the catheter, causing stretching and bleeding bladder
Provide a diet high in fiber and gave medicine to facilitate defecation.
R / With increased pressure on prostatik fossa which will precipitate bleeding.
Preventing the use of rectal thermometers, rectal examination, for at least one week.
R / It can cause bleeding prostate.
Monitor the catheter traction: traction time record in pairs and when traction is removed.
R / Traction cause the development of balloon catheter into the fossa prostatik, reduce bleeding. Generally removed 3-6 hours after surgery.
Observation: Vital signs every 4 hours, input and output and urine color
R / early detection of complications, with appropriate intervention to prevent permanent tissue damage.