Advice 1: How to flush the catheter

There are diseases when the patients to ensure the evacuation of urine from the bladder requires a permanent catheter, the ization. Sometimes the catheter needs to stay in the bladder for several days (e.g., before or after surgery). In the absence of proper care, prolonged catheterization may lead to bladder infection or kidney, and even the development of sepsis. Therefore, the relatives of these patients, it is important to be able to properly care for the catheter and to wash out the cavity of the bladder.
How to flush the catheter
Wash your hands thoroughly with soap and water and treat them with a cotton swab moistened with alcohol. Prepare a solution of furatsilina yourself or purchase a ready solution.
With clean hands take a disposable syringe. For a start, close tightly with sterile cotton ball or gauze pad on the hole of the cannula and the vial with furatsilina pour some of the solution into the cylinder up to the level of last label on the scale of the syringe. Take the plunger and partially type it into the cylinder, and then, holding the left hand of the syringe cylinder and the right piston, turn the filled syringe with the plunger down and carefully, forcing the air to enter the piston to the liquid level.
Pre-treat the catheter, furatsilina, take it between thumb and forefinger of the left hand. In the right hand, hold the syringe filled with a solution furatsilina. The cannula of the syringe and carefully insert inside the catheter (if it is thinner cannula), or press firmly to the orifice of the catheter (if the catheter diameter is thicker than the diameter of the cannula). Slowly inject the solution furatsilina into the cavity of the bladder.
Disconnect the syringe from the catheter, give to flow the introduced furacillin. Repeat the procedure again. If when flushing the catheter, the patient experiences discomfort, pain, or pain in the abdomen, then a long stay catheter has led to inflammation of the urethra. In this case, before washing with a disinfectant solution to enter the bladder 5-10 ml of 0.25-0.5 % novocaine solution (it is sold in the pharmacy as a ready solution in ampoules). After the introduction of novocaine catheter pinch off for 2-3 minutes to work novocaine and only then continue rinsing.

Advice 2: How to use the catheter Pezzer and subclavian catheter

Catheters are medical instruments, is a hollow tube. They are used with the aim of removing the contents of the body for washing the cavities for the introduction of medicinal substances.
How to use the catheter Pezzer and subclavian catheter

How to use a catheter Pezzer

Catheters may vary in length, they are made of different materials: metal, plastic, rubber. It is important that the instruments were sterile and did not cause inflammation in the cavity of the organs, which are introduced. Most often catheters are used in urology to ensure the outflow of urine from the bladder. For this purpose, use a catheter Pezzer. This tool is often used in childbirth to release the bladder of a woman. A full bladder can interfere with the normal passage of the child through the birth canal.

The catheter Pezzer made of rubber, and his end has extension and 2 holes. The tool is introduced in the following way. The area around the urethra is treated with a disinfectant solution. In channel insert the probe so that the catheter stretched at the end. Then the tool is introduced into the urethra, then the probe is removed and the catheter is straightened by yourself.

It is necessary to introduce the catheter Pezzer to a depth of 6 cm, so its end was located at a sufficient distance from the urethra and bladder. If the tool is inserted too deep, its end will touch the top of the bladder, as a result of the outflow of urine is not. If the catheter is to be introduced deep enough, it can cause the hyperreflexia of the bladder. Pizzera remove the catheter by pushing on the walls of the urethra.

How to put a subclavian catheter

Subclavian catheter put in inaccessibility of peripheral veins for infusion therapy, if necessary in multiple and intensive therapy during long operations with large blood loss. Also it is used in need of parenteral nutrition, if necessary in the control and diagnostic studies.

In preparation for catheterization of the subclavian vein of the patient laid on the operating table with the head end lowered to 15 grams. This is necessary to prevent air embolism. The operative field is treated with 2 times 2% solution of iodine, to impose a sterile napkin and again treated with 70% ethyl alcohol.

The patient receives local anesthesia. Then a needle with a syringe catheterization is performed puncture of the skin, pulling on the piston creates vacuum. At the entrance to the subclavian vein in the syringe blood appears. Next, the needle is got another 2-3 mm. Then the syringe is removed, the entrance to the needle closed with a finger.

Is put through the needle guide, the needle is removed, and a catheter to a depth of 6-8 cm After removing the conductor, the doctor monitors the presence of the catheter in Vienna on the flow of blood in the syringe. Catheter is then washed and connect the infusion system or close it with a sterile rubber stopper.

Advice 3: How to place a Foley catheter

A Foley catheter is intended for bladder catheterization for up to 7 days. Such a procedure should only be performed by medical professionals trained in the technique of its execution.
How to place a Foley catheter

Catheterization of the bladder in women

Formulation of the Folia catheter should be performed under sterile conditions to avoid infection in the urinary tract. The doctor or nurse should use sterile gloves, and sterile instruments. The patient laid on the couch, on his back, his feet must be divorced and bent at the hips or straight.

Before the procedure in women treated with external genitals with water solution of antiseptic. The health care provider of his left hand spreads labia, and the right hand enters into the opening of the urethra, the catheter, lubricated with paraffinic oil or sterile glycerin. Movements are made effortlessly. Instrument introduced into the bladder fully. The appearance of the urine is a sign that the catheter is in the bladder. With correct setting, the patient should not experience discomfort and pain.

Catheterization of the bladder in men

The catheter male the head of his penis treated with water disinfectant. To avoid burns of the mucous can not use alcoholic preparations. The health worker, using a special cloth wraps around the patient's penis with the left hand. It is necessary to fix the member between the 3rd and 4th fingers, 1st and 2nd fingers should fix the head and gently pull towards the navel, the penis, to smooth out the angle in the urethra.

In the opening of the urethra is injected with a special moisturizing gel (or vaseline oil, sterile glycerin) or process it sintomitsinovoy emulsion. The end of the "beak" of the catheter direct the tweezers into the outer opening of the urethra, and then gradually move towards the bladder. It is necessary that the instrument passed freely. If you are unable to get the catheter in, you should replace it with a smaller diameter.

When the catheter reaches the bladder, a small balloon at the tip filled with water. The balloon holds the instrument in place and not allow it to fall out. Then a catheter connected to a bag that will collect your urine. It is attached to the thigh, clothes or beds.

To remove the catheter and remove air from a container via a special valve with a syringe. The tool is removed from the urethra, the external opening of which is then treated with aqueous solutions of antiseptic. Further, the catheter, lubricated with paraffinic oil or glycerol, in the same manner as described above.
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