Altering a suprapubic catheter is a comparatively easy process that may be carried out at residence. Nevertheless, you will need to comply with the directions rigorously to keep away from any issues. On this article, we are going to offer you a step-by-step information on learn how to change a suprapubic catheter.
Earlier than you start, you have to to assemble the next provides: a brand new suprapubic catheter, sterile gloves, a sterile drape, a syringe stuffed with sterile water, and a pair of scissors. After getting gathered your provides, you possibly can start the process by washing your arms completely with cleaning soap and water. Subsequent, placed on the sterile gloves and drape the sterile drape over the world across the suprapubic catheter.
After getting ready the world, you possibly can start to take away the outdated suprapubic catheter.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 should use the syringe to inject sterile water into the catheter to assist loosen it. As soon as the catheter is unfastened, you possibly can gently pull it out of the stoma. As soon as the outdated catheter has been eliminated, you possibly can insert the brand new catheter into the stoma. To do that, gently insert the catheter into the stoma till it’s absolutely seated. As soon as the catheter is seated, you possibly can connect the wings of the catheter to the pores and skin. Lastly, you possibly can take away the sterile drape and discard the outdated catheter and provides.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 advisable objects:**
– Disposable underpad
– Ache treatment (as prescribed)
– Antibacterial cleaning soap
– Towel
– Privateness curtain
Getting ready the Affected person:
**Pre-operative directions:**
– Inform the affected person concerning the process and acquire consent.
– Make sure the affected person has emptied their bladder previous to catheterization.
– Present ache treatment if mandatory.
**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 completely 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. Be certain 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 | Function |
|---|---|
| Antiseptic answer (e.g., chlorhexidine gluconate) | To disinfect the world |
| Gauze pads | To scrub and take in fluids |
| Sterile saline answer | Optionally available, to irrigate the stoma |
Process:
1. Put together the antiseptic answer: Dilute the antiseptic answer in line with the producer’s directions.
2. Clear the encompassing 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 mandatory 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. This is a step-by-step information:
1. Open the New Catheter’s Bundle
Take the brand new suprapubic catheter out of its packaging and verify that every one the parts are current, together with the catheter, the drainage, and the inflation system.
2. Examine the Catheter
Look at the catheter for any harm or defects. If you happen to 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 line 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 a number of other ways to safe a suprapubic catheter, however the most typical 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 selection of various catheter stabilization units accessible, so you will need to select one that’s comfy and suits nicely.
Along with utilizing a catheter stabilization system, it is usually vital to maintain the catheter web site clear and dry. This may assist to forestall an infection and maintain the catheter working correctly.
Listed here are some extra suggestions for securing a brand new suprapubic catheter:
| Tip | Description |
|---|---|
| Use a catheter stabilization system that’s comfy and suits nicely. | This may assist to maintain the catheter in place and stop it from transferring round. |
| Hold the catheter web site clear and dry. | This may assist to forestall an infection and maintain the catheter working correctly. |
| Keep away from pulling or tugging on the catheter. | This will harm the catheter or trigger it to return 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 completely. This documentation ought to embrace the next data:
| Class | Info |
|---|---|
| Date and Time | Document the date and time of the catheter change. |
| Affected person’s Identify | Establish the affected person by their full identify. |
| 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 very important indicators, ache degree, and any pertinent observations. |
| Tools Used | Checklist all of the gear 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 issues or deviations from the usual protocol. |
| Submit-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 Outdated Catheter
As soon as the brand new catheter is in place, you will need to correctly get rid of the outdated one. This may assist to forestall an infection and maintain the world clear.
To get rid of the outdated catheter, comply with 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.
- Get rid of the sharps container in line with your native rules.
- Wash your arms completely.
It is usually vital to maintain the world across the catheter clear. This may assist to forestall an infection.
To maintain the world across the catheter clear, comply with these steps:
- Wash your arms completely 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 for those who 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 could point out a urinary tract an infection (UTI) or different issues.
3. Modifications 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 is usually a signal of a UTI, bladder stones, or different underlying medical situations.
5. Fever or chills: A fever or chills could 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. Unintentional removing of the catheter: The unintended removing of the catheter can result in urine leakage and discomfort, requiring quick medical consideration.
9. Any uncommon or unexplained signs: Any uncommon or unexplained signs associated to the suprapubic catheter, comparable to swelling, redness, or itching, ought to be evaluated by a medical skilled.
10. Observe-up appointments: Recurrently scheduled follow-up appointments along with your healthcare supplier are important for monitoring catheter perform, stopping issues, and guaranteeing correct care.
Symptom Motion Leakage Tighten catheter or search medical help Ache or discomfort Search medical help Modifications in urine output Search medical help Blood within the urine Search medical help Fever or chills Search medical help Unintentional removing 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 usually modified each 4 to six weeks.
Altering a suprapubic catheter is a comparatively easy process that may be carried out at residence. Nevertheless, you will need to comply with 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 arms completely 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 arms.Ideas
* When you have 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
* Injury to the bladder
* Leakage of urineHow typically ought to a suprapubic catheter be modified?
A suprapubic catheter ought to be modified each 4 to six weeks.
