RRP:RALRP.docx - Radical Retropubic Prostatectomies and...

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Radical Retropubic Prostatectomies and Robotic Assisted Laparoscopic Prostatectomies Differences o RRP More blood loss < anesthesia Ability to visualize and palpate organs Larger surgical incision w/ staples o RALRP little blood loss longer time spent under anesthesia can not palpate organs quicker recovery ???? ↑gas pains Post-op Interventions o DPCA o Foley catheter o Davol drain o PIV o NPO, advance AT o BR, ambulate QID POD1 o I+Oq4h o VS q4h o D 5 1⁄2 NSS @ 150 ml/hr o IS 10 x /hr wa o C + DB 5x/hr wa o SCDs o AM labs : BMP, CBC o After PCA: toradol IVP? Oxycodone po o Post-op Complications with RRP / RALRP o Paralytic ileus o Atelectasis o Pneumonia o Leak at anastamosis o Gas pain o Infection o DVT/PE o Education o Foley catheter care o Removal of catheter o Drain care o Exercise o Resume meds at home??? o Blood in catheter bag o Continence o Resume Sex???
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  • Spring '14
  • Brinkley
  • Oxycodone, Foley catheter, Retropubic Prostatectomies, Robotic Assisted Laparoscopic Prostatectomies

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