Méthodes d'utilisation du kit d'irrigation de la vessie et précautions

Ⅰ. Purpose of using the bladder irrigation set

(1) For patients with indwelling catheters, keep their urine drainage smooth.

(2) Remove foreign bodies such as blood clots, mucus, and bacteria in the bladder to prevent infection.

(3) Treatment of certain bladder diseases, such as cystitis and bladder tumors.

Ⅱ. Common methods of a bladder irrigation set

(1) Closed flushing method

That is, flush the infusion bottle. The flushing liquid is in the infusion bottle and hung on the bedside infusion stand. The height of the bottle is about 1 meter away from the patient's pelvis. The three-way connection is connected under the infusion tube, and then connected to the urinary tube and the drainage tube respectively. The height of the three-way connection is slightly lower than the level of the pubic symphysis to facilitate the emptying of the fluid in the bladder. When the bladder irrigation set is flushed, the drainage tube is first clamped, and the flushing solution is infused at a rate of 60 drops/min. After each injection of 100ml, clamp the infusion tube and open the drainage tube, and the flushing fluid flows out. Repeat the flushing 3-4 times each time.

(2) Open flushing method

Use a bladder irrigator set or large syringe. Separate the joints of the indwelling urinary catheter or cystostomy tube for each flushing, wrap the distal drainage tube joint with sterile gauze and put it aside, and hold the end of the urinary catheter or cystostomy tube with sterile gauze after sterilization. Connect the irrigator set with the irrigant to the end of the catheter, slowly inject the irrigator, and then let it flow out naturally or slowly suck it out. Repeat this until the effluent is clear. After flushing, flush the distal drainage tube once, and then connect the urinary catheter or cystostomy to continue drainage.

Ⅲ. Precautions for using bladder irrigator set

Commonly used flushing solutions include 0.02% nitrofurazone, 0.02% revonol, 3% boric acid and isotonic saline. The water temperature is 35°C-37°C and cold irrigation fluid is used for bladder bleeding. Rinse 2-3 times a day, 50-100ml of liquid medicine each time, and the amount of irrigation liquid after bladder surgery should not exceed 50ml. When flushing, observe the patient's reaction, and stop flushing if there is abnormal blood flow or severe pain and the reflux volume is less than the infusion volume. The key points of cysto irrigation set care implementation are as follows:

1. Assess the patient:

(1) Ask and understand the patient's condition. Explain to the patient and get cooperation.

(2) Get to know the characteristics of the patient's urine, whether there is frequent urination, urgency, dysuria, the feeling of holding urine in the bladder, whether the urine is exhausted and the patency of the urinary catheter.

2. Operation points:

(1) Check it out and get ready.

(2) Wash your hands and wear a mask.

(3) Hang the bladder flushing fluid on the infusion stand and connect the flushing tube to the flushing fluid. One end of the Y-shaped tube is connected to the flushing tube, and the other two ends are respectively connected to the catheter and the urine bag. Sterilize each connection before connecting.

(4) Open the flushing tube, clamp the urine bag, and adjust the flushing speed according to the doctor's order.

(5) Clamp the flushing tube, open the urine bag and drain the flushing fluid. Repeat this step for several times.

(6) During the continuous flushing process, observe the patient's reaction and the amount and color of the flushing fluid. Assess the amount of irrigation fluid in and out, and whether there is a feeling of fullness in the bladder.

(7) After the bladder irrigator set is rinsed, remove the irrigating tube, sterilize the catheter port to connect the urine bag, fix it properly, and place it below the bladder to facilitate urine drainage.

(8) Assist the patient in a comfortable lying position.