Nursing of Urinary System: Answer Case Study
Nursing of Urinary System: Answer Case Study
about :
Lecturer :
By :
UNDERGRADUATED STUDENT
NURSING FACULTY
UNIVERSITAS ANDALAS
PADANG
2017/2018
1. Discuss about the important thing of TUR (Transurethral Resection)
Trans Urethral Resection (TUR) of the bladder is a surgical procedure that is used
both to diagnose bladder cancer and to remove cancerous tissue from the bladder.
This procedure is also called a TURBT (transurethral resection for bladder
tumour). General anesthesia or spinal anesthesia is often used. During TUR surgery,
acystoscope is passed into the bladder through the urethra. A tool called a
resectoscope is used to remove the cancer for biopsy and to burn away any remaining
cancer cells.
In man, TUR can be called Trans Urethral Resection of Prostate (TURP).
Transurethral resection of the prostate is the operation carried out primarily to relieve
obstruction of urine passing from the bladder through the urethra. This operation is
also known as a "Rebore". The operation is performed by passing a telescopic
instrument in through the penis along the urethra and into the area where the prostate
gland is obstructing. A special electrode is used to cut away the prostate tissue. At the
end of the procedure, a catheter is placed and usually kept in place from between one
to three days after surgery. While the catheter is in place irrigating fluid flows in and
out of the bladder through the catheter. The purpose of this fluid is to keep the
operated area and the bladder clean and free of clots.
2. As a nurse, What should we do in Pre-Operation and Post-Operation ?
Pre-Operation
Collect data
General Assessment :
Assest Client Identity, such as Client’s Name, Age, and Client’s Parent
Name to make sure we give the right procedure with the right client.
Give Informed Consent to client and Client’s Family. This information
include : What Surgery the client would get, the procedure of surgery,
Advantage and Risk of the surgery, What condition that our client will
get if the surgery success.
Medical History / Information :
Assest client medical History, such as :
1. Past medical History / Chronic Illness.
2. Did the client get any surgery before this / TUR ?
3. Previous medicine therapy.
Assest client Allergy, with food or fluid or maybe with some medicine.
Assest client lifestyle behaviour, such as Smoke, Alcoholism, etc.
Client Psychosocial and spiritual
Assest client Anxiety Level
Physical Examination
Check client vital sign.
Assest client Consciousness with GCS (Glasgow Coma Scale).
Assest client fluid balance and electrolyte.
Develop Plan of Care
3. https://www.healthlinkbc.ca/health-topics/uh1456
4. Vera , Matt. 2012. Pre-operation phase. Nurselabs