Altering a suprapubic catheter is a comparatively easy process that may be carried out at dwelling. Nevertheless, you will need to observe the directions rigorously to keep away from any problems. On this article, we are going to offer you a step-by-step information on the right way to change a suprapubic catheter.
Earlier than you start, you will have to collect the next provides: a brand new suprapubic catheter, sterile gloves, a sterile drape, a syringe crammed with sterile water, and a pair of scissors. After you have gathered your provides, you’ll be able to start the process by washing your fingers totally with cleaning soap and water. Subsequent, placed on the sterile gloves and drape the sterile drape over the world across the suprapubic catheter.
After you have ready the world, you’ll be able to start to take away the outdated suprapubic catheter. To do that, gently pull on the wings of the catheter to detach it from the pores and skin. As soon as the catheter is indifferent, you need to use the syringe to inject sterile water into the catheter to assist loosen it. As soon as the catheter is free, you’ll be able to gently pull it out of the stoma. As soon as the outdated catheter has been eliminated, you’ll be able to insert the brand new catheter into the stoma. To do that, gently insert the catheter into the stoma till it’s totally seated. As soon as the catheter is seated, you’ll be able to connect the wings of the catheter to the pores and skin. Lastly, you’ll be able to take away the sterile drape and discard the outdated catheter and provides.
Gathering Provides and Getting ready the Affected person
Provides:
**Important supplies:**
– New suprapubic catheter (with balloon and connector)
– Sterile dressing package (containing gauze pads, antiseptic swabs, and adhesive tape)
– Sterile gloves
– Lubricating jelly
– Syringe (for inflation of catheter balloon)
– Irrigation answer (non-obligatory)
– Catheter bag and tubing
**Further beneficial objects:**
– Disposable underpad
– Ache remedy (as prescribed)
– Antibacterial cleaning soap
– Towel
– Privateness curtain
Getting ready the Affected person:
**Pre-operative directions:**
– Inform the affected person concerning the process and procure consent.
– Make sure the affected person has emptied their bladder previous to catheterization.
– Present ache remedy if obligatory.
**Positioning the affected person:**
– Place the affected person supine on a mattress with their knees barely flexed.
– Drape the affected person with a disposable underpad and a towel.
– Make sure the affected person’s privateness by making a barrier with a privateness curtain.
**Cleansing the world:**
– Put on sterile gloves.
– Clear the suprapubic catheter web site totally with antibacterial cleaning soap and water.
– Use an antiseptic swab to disinfect the world across the catheter.
– Pat dry with a sterile gauze pad.
Place the Affected person and Clear the Stoma
Place the Affected person
After gathering the required provides, it is important to place the affected person comfortably. Help the affected person in mendacity on their again with their legs barely aside. Make sure that their privateness is maintained all through the process.
Clear the Stoma
Thorough cleansing of the stoma is essential to forestall an infection. Observe these detailed steps:
Supplies:
| Merchandise | Goal |
|---|---|
| Antiseptic answer (e.g., chlorhexidine gluconate) | To disinfect the world |
| Gauze pads | To scrub and take up fluids |
| Sterile saline answer | Optionally available, to irrigate the stoma |
Process:
1. Put together the antiseptic answer: Dilute the antiseptic answer in keeping with the producer’s directions.
2. Clear the encircling space: Utilizing sterile gauze pads moist with the antiseptic answer, gently wipe the pores and skin across the stoma in a round movement, ranging from the middle and transferring outward. Repeat this course of with clear gauze pads till no seen particles stays.
3. Clear the stoma: Utilizing a sterile gauze pad soaked in antiseptic answer, gently wipe the stoma in a round movement. Keep away from making use of extreme strain or touching the within of the stoma.
4. Optionally available: Irrigate the stoma: If the stoma is producing drainage or particles, irrigate it with sterile saline answer utilizing a 50-mL syringe and a blunt-tipped needle. Gently insert the needle into the stoma and slowly inject the saline answer. Repeat as obligatory till the drainage is evident.
5. Dry the world: Utilizing dry sterile gauze pads, pat the world across the stoma and stoma itself dry.
Insert the New Catheter
As soon as the outdated catheter has been eliminated, it is time to insert the brand new one. Here is a step-by-step information:
1. Open the New Catheter’s Package deal
Take the brand new suprapubic catheter out of its packaging and examine that every one the elements are current, together with the catheter, the drainage, and the inflation system.
2. Examine the Catheter
Study the catheter for any injury or defects. For those who discover any points, discard the catheter and use a brand new one.
3. Lubricate the Catheter
Apply a water-based lubricant to the tip of the catheter. This may assist it slide in additional simply.
4. Insert the Catheter
Gently insert the catheter into the suprapubic stoma. Advance the catheter slowly, whereas holding the drainage bag in place to forestall urine from spilling. As soon as the catheter is about 10 cm contained in the stoma, inflate the balloon with sterile water or saline in keeping with the producer’s directions.
| Steps | Actions |
|---|---|
| 1 | Insert the catheter into the stoma. |
| 2 | Advance the catheter whereas holding the drainage bag. |
| 3 | Inflate the balloon as soon as the catheter is 10 cm inside. |
5. Safe the Catheter
As soon as the catheter is in place, safe it with a catheter holder or tape to maintain it from transferring.
Safe the New Catheter
As soon as the outdated catheter has been eliminated and the brand new catheter has been inserted, you will need to safe the brand new catheter in place to forestall it from transferring or falling out. There are just a few alternative ways to safe a suprapubic catheter, however the commonest methodology is to make use of a catheter stabilization system.
A catheter stabilization system is a small, adjustable strap that wraps across the catheter and attaches to the pores and skin. This helps to maintain the catheter in place and prevents it from transferring round. There are a number of various catheter stabilization gadgets out there, so you will need to select one that’s snug and suits properly.
Along with utilizing a catheter stabilization system, it’s also vital to maintain the catheter web site clear and dry. This may assist to forestall an infection and hold the catheter working correctly.
Listed here are some further suggestions for securing a brand new suprapubic catheter:
| Tip | Description |
|---|---|
| Use a catheter stabilization system that’s snug and suits properly. | This may assist to maintain the catheter in place and forestall it from transferring round. |
| Preserve the catheter web site clear and dry. | This may assist to forestall an infection and hold the catheter working correctly. |
| Keep away from pulling or tugging on the catheter. | This will injury the catheter or trigger it to come back out. |
| If the catheter does come out, don’t attempt to reinsert it your self. | Name your physician or nurse for help. |
Doc the Process
It’s essential to doc the process totally. This documentation ought to embrace the next data:
| Class | Data |
|---|---|
| Date and Time | Document the date and time of the catheter change. |
| Affected person’s Identify | Determine the affected person by their full title. |
| Process Carried out | Point out {that a} suprapubic catheter change was carried out. |
| Evaluation Findings | Doc the affected person’s situation earlier than the process, together with important indicators, ache stage, and any pertinent observations. |
| Gear Used | Listing all of the tools and provides used throughout the catheter change, together with the dimensions and sort of catheter. |
| Process Steps | Describe every step of the process intimately, noting any problems or deviations from the usual protocol. |
| Put up-Process Care | Present directions for post-procedure care, together with any medicines or follow-up appointments. |
| Nurse’s Signature | The nurse performing the process ought to signal and date the documentation. |
Correct Disposal of the Previous Catheter
As soon as the brand new catheter is in place, you will need to correctly eliminate the outdated one. This may assist to forestall an infection and hold the world clear.
To eliminate the outdated catheter, observe these steps:
- Collect your provides.Put in your gloves.
- Place the outdated catheter within the plastic bag.
- Seal the plastic bag.
- Place the plastic bag within the sharps container.
- Eliminate the sharps container in keeping with your native rules.
- Wash your fingers totally.
Additionally it is vital to maintain the world across the catheter clear. This may assist to forestall an infection.
To maintain the world across the catheter clear, observe these steps:
- Wash your fingers totally earlier than and after touching the world across the catheter.
- Clear the world across the catheter with cleaning soap and water.
- Apply a small quantity of antibiotic ointment to the world across the catheter.
- Cowl the world across the catheter with a bandage.
When to Search Medical Help
It’s essential to hunt medical help instantly should you expertise any of the next signs whereas utilizing a suprapubic catheter:
1. Leakage across the catheter: Persistent leakage across the insertion web site can point out a poorly becoming catheter or a blockage.
2. Ache or discomfort: Extreme ache or discomfort throughout catheter use might point out a urinary tract an infection (UTI) or different problems.
3. Adjustments in urine output: A major enhance or lower in urine output, particularly if accompanied by ache or problem urinating, warrants medical consideration.
4. Blood within the urine: The presence of blood within the urine could be a signal of a UTI, bladder stones, or different underlying medical situations.
5. Fever or chills: A fever or chills might point out a UTI or different an infection and require antibiotic therapy.
6. Cloudy or foul-smelling urine: These signs can point out a UTI or different an infection.
7. Issue inserting or eradicating the catheter: In case you are unable to insert or take away the catheter efficiently, you will need to search medical help.
8. Unintended elimination of the catheter: The unintentional elimination of the catheter can result in urine leakage and discomfort, requiring fast medical consideration.
9. Any uncommon or unexplained signs: Any uncommon or unexplained signs associated to the suprapubic catheter, reminiscent of swelling, redness, or itching, ought to be evaluated by a medical skilled.
10. Observe-up appointments: Repeatedly scheduled follow-up appointments together with your healthcare supplier are important for monitoring catheter perform, stopping problems, and making certain correct care.
Symptom Motion Leakage Tighten catheter or search medical help Ache or discomfort Search medical help Adjustments in urine output Search medical help Blood within the urine Search medical help Fever or chills Search medical help Unintended elimination Search medical help The way to Change a Suprapubic Catheter
A suprapubic catheter is a tube that’s inserted by means of the stomach wall and into the bladder. It’s used to empty urine from the bladder when an individual is unable to urinate on their very own. Suprapubic catheters are sometimes modified each 4 to six weeks.
Altering a suprapubic catheter is a comparatively easy process that may be carried out at dwelling. Nevertheless, you will need to observe the directions of your physician or nurse rigorously.
Supplies wanted
* New suprapubic catheter
* Sterile gloves
* Sterile gauze pads
* Antiseptic answer
* Lubricating jelly
* Catheter insertion package
* Drainage bag
* ScissorsSteps
1. Wash your fingers totally with cleaning soap and water.
2. Placed on sterile gloves.
3. Clear the world across the suprapubic catheter with an antiseptic answer.
4. Apply a small quantity of lubricating jelly to the tip of the brand new catheter.
5. Insert the brand new catheter into the bladder.
6. Inflate the balloon on the catheter with sterile water.
7. Join the catheter to the drainage bag.
8. Safe the catheter to the stomach with a catheter insertion package.
9. Take away your gloves and wash your fingers.Suggestions
* When you’ve got any problem altering the suprapubic catheter, contact your physician or nurse.
* Don’t reuse a suprapubic catheter.
* If the suprapubic catheter turns into dislodged, contact your physician or nurse instantly.Folks Additionally Ask About The way to Change a Suprapubic Catheter
What are the indicators and signs of a suprapubic catheter an infection?
The indicators and signs of a suprapubic catheter an infection embrace:
* Ache or burning throughout urination
* Frequent urination
* Cloudy or foul-smelling urine
* Fever
* Chills
* Nausea
* VomitingWhat are the dangers of adjusting a suprapubic catheter?
The dangers of adjusting a suprapubic catheter embrace:
* An infection
* Bleeding
* Harm to the bladder
* Leakage of urineHow usually ought to a suprapubic catheter be modified?
A suprapubic catheter ought to be modified each 4 to six weeks.
