Ligation of surgical patients

August 12, 2017 17:50 | First Aid

For bandaging of urological patients, in addition to the standard set of tools, dressing nurse must have the following:

• straight and curved bougies number 16-28 on Charriere;

• Uterine probes, probes bellied, grooved probe;

• set of catheters - Nelatona, Malecot, Petstsera, a Foley catheter.The greater the range of catheters, the easier it is to pick up their respective circumstances required;

• several vessels with a capacity of 100 150 ml syringes attached to them with a capacity of 20 ml (for washing the pelvis);

• glass tips (at least 20 pcs.) For bladder irrigation.

Every workplace should be rack with a tank capacity of 2000 ml, filled with 3% boric acid solution to wash the bladder.

After dressing are three categories of patients.

1. Dressings after kidney surgery without sensing.

Sister takes the doctor forceps with which the surgeon removes the bandage, then it takes two tweezers of 3% peroxide to remove the crusts, then an antiseptic solution for the treatment of the weld line.If n

o complications are removed on the second day, cellophane gauze strip, with sister mother delivers probe and the rubber strip.With uterine probe rubber strip is introduced into the lumen of stroke.This course keep 2-3 days, after which the rubber strip is removed.Sutures are removed on the 8-9th day.

2. Dressings patients with nephropathy or pielostomoy.

initial stages standard.Treat the wound, the sister takes a glass from the table with 0.1% solution of chlorhexidine or other antiseptic to wash nephrostomy drainage.After washing, the sister takes a 5% solution of iodine, then swipe of medium size with a cut to the seam in the area of ​​drainage and large napkins to cover the rest of the seam.If you change the drainage tube under the opposite side of the patient enclose roller.The nurse is preparing the replacement pipe and the mother probe in case you have to probe the fistula in order to determine its direction.After the drainage tube nurse delivers a solution for washing the pelvis.In the future, all manipulations take place in the manner described above.To fix the drainage pipe (or Nephrostomy tsistostomicheskih) the nurse must be 1.5 m long ribbon. For their preparation takes a narrow bandage, cut it in half and twisted.Sterilize as a regular dressing.

3. Ligation patients with tsistostomicheskoy tube.

After removing the bandage nurse takes two forceps and a cotton swab soaked in antiseptic for joint processing.Thereafter, it delivers the sterile glass tip, which is attached to the end of its pipe connected to a reservoir filled with a disinfectant solution and positioned above the dressing table 100 cm. Physician bladder washes.Then sister takes swipe with a cut to cover the seam around the drainage tube.The drain tube change as well as nephrostomy drainage.Roller under the patient does not enclose as fistula shorter and more direct.

4. Change Petstsera catheter.

Before his removal nurse gives big napkin.This cloth cover area of ​​the external opening of the fistula motion, after which the catheter is removed so on. This measure is necessary in order to prevent splashing of urine at the exit of the head of the catheter.Then the sister gives a new catheter Petstsera and a metal conductor.The hook status it is introduced into the cavity of the bladder.After the introduction of the catheter it is not fastened ribbons, hook it is well kept in the bladder due to the head.When probing the urethra actions sisters limited supply of rooms Buža, which asks the doctor.