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Difficulty Voiding: Symptom Flow Chart

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Jeff Zhou

This symptom flow chart compares benign prostatic hyperplasia (BPH) and acute renal failure, both of which can cause difficulty voiding. For BPH, key symptoms include dribbling at the end of urination, intermittency, and bladder distention. Diagnostics involve history, physical exam, uroflowmetry, transrectal ultrasound, and serum creatinine. Treatments include encouraging urination, Foley catheter, medications, and TURP. Nursing implications are teaching self-care and monitoring for complications like urinary tract infection and acute urinary retention. For acute renal failure, symptoms include edema, weight gain, hematuria, mental status changes, and flank pain. Diagnostics involve history

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Difficulty Voiding: Symptom Flow Chart

Uploaded by

Jeff Zhou
28 views2 pages
This symptom flow chart compares benign prostatic hyperplasia (BPH) and acute renal failure, both of which can cause difficulty voiding. For BPH, key symptoms include dribbling at the end of urination, intermittency, and bladder distention. Diagnostics involve history, physical exam, uroflowmetry, transrectal ultrasound, and serum creatinine. Treatments include encouraging urination, Foley catheter, medications, and TURP. Nursing implications are teaching self-care and monitoring for complications like urinary tract infection and acute urinary retention. For acute renal failure, symptoms include edema, weight gain, hematuria, mental status changes, and flank pain. Diagnostics involve history

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BPH

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This symptom flow chart compares benign prostatic hyperplasia (BPH) and acute renal failure, both of which can cause difficulty voiding. For BPH, key symptoms include dribbling at the end of urination, intermittency, and bladder distention. Diagnostics involve history, physical exam, uroflowmetry, transrectal ultrasound, and serum creatinine. Treatments include encouraging urination, Foley catheter, medications, and TURP. Nursing implications are teaching self-care and monitoring for complications like urinary tract infection and acute urinary retention. For acute renal failure, symptoms include edema, weight gain, hematuria, mental status changes, and flank pain. Diagnostics involve history

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© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
28 views2 pages

Difficulty Voiding: Symptom Flow Chart

Uploaded by

Jeff Zhou
This symptom flow chart compares benign prostatic hyperplasia (BPH) and acute renal failure, both of which can cause difficulty voiding. For BPH, key symptoms include dribbling at the end of urination, intermittency, and bladder distention. Diagnostics involve history, physical exam, uroflowmetry, transrectal ultrasound, and serum creatinine. Treatments include encouraging urination, Foley catheter, medications, and TURP. Nursing implications are teaching self-care and monitoring for complications like urinary tract infection and acute urinary retention. For acute renal failure, symptoms include edema, weight gain, hematuria, mental status changes, and flank pain. Diagnostics involve history

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SYMPTOM FLOW CHART

Difficulty Voiding

Disease associated BPH Acute Renal Failure


with symptom
Symptom Cluster:  dribbling at the end of  fluid retention causing edema
 minimum of 3 urination and weight gain
 intermittency(stopping and  hematuria
other associated
starting stream several times  change in mental status
s/sx while voiding)  flank pain
 bladder distention
 men

Diagnostics:  History and physical  History and physical


 What will examination examination
 Uroflowmetry  Renal ultrasound
differentiate this
 Transrectal ultrasound  Renal scan
disease  Serum creatinine  Urinalysis
 Lab tests  Cystoscopy  Serum creatinine and BUN level
 Serum electrolytes

Treatment:  Encourage pt to urinate  Diuretic therapy: furosemide


 Independent Fx when first having urge  Antibiotic
 Foley catheter  dialysis
 DependentFx
 Meds: 5a-Reductase
Inhibitors(Proscar), a-
Adrenergic Receptor
Blockers
 Herbal therapy: saw
palmetto
 TURP
Nsg Implications:  Teach pt to maintain fluid  Teach pt to have a low-protein,
 Patient/ family intake at a normal level to moderate-fat, high-
avoid dehydration or fluid carbohydrate diet
Education
overload  Teach pt to prevent skin break
 Potential  Acute urinary retention down
complications  UTI  Take entire prescription as
directed
 Hypokalemia
 Dysrhythmias
 Permanent kidney damage

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