Okay...so I'm a Peds ICU RN. My husband will be having a TURP in the next 2 weeks. What I remember from school is a bet sketchy. Could y'all refresh my memory about what to expect. As I tell my family, I do kids, not adults, if it isn't a kiddie problem, I don't do it!!! I can't find my notes from school or my med-surg book.
And may I say I'm not looking forward to this - whiny adult males drive me batty! And he is a bit wimpy about pain.
I appreciate any and all responses to fill in this "gap".
Specializes in private duty/home health, med/surg.
I love TURPs--they are usually very easy patients to take care of as long as you keep the CBI running pretty near wide-open that first night. The only ones that have serious discomfort are the ones that keep developing clots - sometimes due to someone turning the CBI rate down prematurely and others just clot off no matter what you do. I always feel bad about having to irrigate because it is very painful for the patient.
Some men have bladder spasms due to the clots or the catheter (it is a 30cc balloon up there). We usually give B&O suppositories, but there is apparently a shortage of them now so the urologists have been ordering Ditropan instead. I haven't had to give the Ditropan so I don't know if the effectiveness is the same. The B&Os usually work great, unless it is a clot that can't be passed and then the only thing you can do is irrigate to get the clots out of there.
Ditropan! Thats the drug I was trying to think of...for bladder spasms. Most patients I give that to LOVE it. It really holds down those nasty spasms. Good luck to your husband. Isnt it funny how each hospital do things so differently...some give narcs and some dont, etc.
My husband has had THREE TURPs in the past 9 months. The first was a laser. He had CBI but didn't really need it; hardly any blood. With that one he was back in complete action in 24 hours. Unfortunately it didn't work. So he had the traditional kind. Then a third one because that didn't solve the problem either. None of the surgeries were bad and he wasn't in that much pain.
rnmi2004
534 Posts
I love TURPs--they are usually very easy patients to take care of as long as you keep the CBI running pretty near wide-open that first night. The only ones that have serious discomfort are the ones that keep developing clots - sometimes due to someone turning the CBI rate down prematurely and others just clot off no matter what you do. I always feel bad about having to irrigate because it is very painful for the patient.
Some men have bladder spasms due to the clots or the catheter (it is a 30cc balloon up there). We usually give B&O suppositories, but there is apparently a shortage of them now so the urologists have been ordering Ditropan instead. I haven't had to give the Ditropan so I don't know if the effectiveness is the same. The B&Os usually work great, unless it is a clot that can't be passed and then the only thing you can do is irrigate to get the clots out of there.