Impaired Urinary Elimination Related To Prostate Cancer

Nursing Diagnosis: Impaired Urinary Elimination related to mechanical obstruction: enlargement of the prostate, decompensated detrusor muscle, bladder's inability to contract

characterized by:
  • inability to empty the bladder,
  • incontinence,
  • bladder distention,
  • presence of residuum urine.
Goals:
  • Urinate smoothly, without whatever bladder distention.
  • Residues less than l ml of urine without whatever overflow.

Nursing Interventions for Prostate Cancer - Impaired Urinary Elimination:

  • Instruct the patient to urinate every 2-4 hours together with when it is full
  • Inform patients close stress incontinence
  • Observation of the emission of urine, detect the size together with strength
  • Monitor together with tape the fourth dimension together with total of urination.
  • Observe the decrease inwards urine output together with changes inwards emission
  • Percussion / palpation of the suprapubic area
  • Encourage stimulate got upward to 3000 ml per solar daytime when at that spot is no middle intolenransi
  • Monitor vital signs. Observation of hypertension, peripheral / subject edema. Body weight was measured every solar daytime together with conk along intake together with output accurately
  • Give cateter together with perineal care
  • Give the john spot equally indicated
Collaborative
  • Give the medication equally indicated
  • Antispasmodics such equally oxybutynin chloride, rectal suppositories, antibiotics together with antimicrobials, phenoxybenzamine.
  • Urinary catheterization or Foley catheter pairs equally indicated
  • Monitor lab results only equally BUN, creatinine, Elektrolite, urinalysis together with culture.

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