NSE 22A/B Lecture Notes - Lecture 9: Asepsis, Dysuria, Urethra
10 Sep 2019
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Indications: maintain patency of in-dwelling urinary catheters, treat local infection. Male patient: supine with thighs abducted 3 types: closed continuous irrigation. Indications: post-genitourinary surgery (risk of blood clots and mucous fragments) Transurethral resection of prostate (turp): surgical procedure in which prostate tissue is removed to treat bph. Used for frequent intermittent irrigations or continuous irrigation (calculate drip rate) Uses triple-lumen catheter: closed intermittent irrigation. Uses double-lumen catheter: open intermittent irrigation. Female patient: dorsal recumbent or sim"s position. Using syringe, remove sterile water to deflate balloon. Patient may experience dysuria, urinary frequency and retention. Suprapubic catheterization/vesicostomy: surgical placement of catheter through abdominal wall (above symphysis pubis) and into bladder in order to drain urine into urinary drainage bag. Condom catheter: condom that drains urine into plastic drainage tubing that is attached to side of bed or strapped to patient"s leg. Indications: incontinent or comatose men who still have complete and spontaneous bladder emptying.
