Benign Prostatic Hyperplasia - Impaired Urinary Elimination: Urinary Retention

Nursing Diagnosis and Interventions :

Impaired Urinary Elimination: Urinary Retention related to mechanical obstruction of prostate enlargement, muscle decompensation destrusor, inability to empty the bladder, bladder distension.
Urination by a considerable amount.
Shows post-voiding residual of less than 50 ml in the absence of droplets / excess flow.
1. Encourage clients to urinate every 2 to 4 hours.
Rational : minimizing excessive retention of urine in the bladder.
2. Observation of the flow of urine. Note the size of the force.
Rational : useful for evaluating obstruction and intervention options.
3. Supervise and record time, the number of each micturition. Note the decrease in spending and changes in urine specific gravity.
Rational: urinary retention increases the pressure in the upper urinary tract that can affect the kidneys.
4. Encourage drinking water to 3000 ml / day
Rational : the increased flow of fluid to maintain renal perfusion and kidney cleanse, bladder from bacterial growth.
5. Perform catheterization and perianal care.
Rational : reduce the risk of ascending infection.
6. Collaboration of anti-spasmodic drugs, rectal suppositories, antibiotics
Rational: eliminating bladder spasm, while antibiotics to fight infection.

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