Advice 1: How to remove a catheter

Catheters are used to facilitate the injection of solutions of medicines, because each time puncturing a vein or muscle is not very convenient, and it hurts. Also, there is another kind of catheter - bladder inserted into the bladder of the patient during operations and some diseases. Removing the catheters necessary, depending on their type. It is better to entrust this work to a physician with experience in this area, but in a pinch, you can remove it yourself.
How to remove a catheter
To remove an intravenous catheter is easy enough, but is slightly painful. Remove patch from the skin, making a sharp jerk. You need to have prepared a cotton swab soaked with alcohol. After release of the catheter from the shackles of the patch, carefully remove the needle. Firmly press the cotton wool to the puncture site, and hold for 10-20 minutes, the longer, the more likely that you will not bruise. After the needle is formed sufficiently large puncture, so control condition, there may be a small blood loss in a strong deformation of the tissues and veins. If necessary, rewind the hand or an ordinary elastic bandage. Some time may hurt the region of catheterization, in that case, use warming ointment.
In the bladder the catheter is prolonged urinary retention, to drain fluid or administration of drugs inside the bladder. It is not fixed, so removed is very easy. Grasp the free end of the tube and lightly pull. After extraction, the patient needs to lie down for 5-10 minutes. In some cases, after removal of the catheter, starts cystitis and abdominal pain. Contact the hospital if you are plagued by discomfort during urination. In principle, the catheterization at home uncommon phenomenon, this is usually performed in a hospital or with incurable diseases, when the tube is introduced daily.
Sometimes another type of catheter – insulin. They are placed in muscle tissue, and through them using a conventional syringe injected insulin. Apply this kind of catheters in people who need several times to enter the drug. In single dose of insulin possible to manage and without it. To withdraw the catheter you need to remove the protective adhesive tape and pulling the plastic base itself. Treat the puncture with alcohol. To introduce a new catheter is needed in another place.

Advice 2: How to insert a catheter

A catheter is a medical tool in the form of a tube which is designed for natural channels, vessels with external environment with the purpose of their evacuation, the introduction of liquid washing and holding through them surgical instruments. The process of inserting a catheter is called catheterization.
How to insert a catheter
Formulation of intravenous catheters (peripheral).
We must start with providing scene lighting manipulation. Hands washed and dried. Applied a tourniquet 10-15 cm above the zone of catheterization, and choose a vein by palpation. Next you need to choose a catheter of the right size, it is necessary to consider the size of vein, speed of injection and the schedule of intravenous injection. After treated with antiseptic hand and put on gloves. Place of catheterization also need to handle any disinfecting means for 30-60 seconds and allow to dry. Palpate the vein again is not necessary. Just fixing it, take the catheter diameter is selected and remove the protective cover. If you have installed additional plug, it is not thrown away, but is held between the fingers of the free hand. The catheter is introduced in the needle at an angle of 15 degrees to the skin, and to observe the indicator of the camera. When you see blood, you need to reduce the angle of the needle-stylet and a few millimeters Veste needle into the vein. Fixing the needle-stylet, slowly to the end move the camera with the needle in the vein and removed the tourniquet. Then we need to squeeze the veins and finally to remove the needle from the catheter. A needle disposed with the help of safety rules. And last, it is necessary to remove the plug from the protective cover and close the catheter to either insert the infusion system. The catheter is fixed on the extremity.
Staging of urinary catheter.
Wash your hands and the area of the urethra. Open the package of the catheter for 2-3 cm. Complete the package with the catheter with plain water to the tip. Be the catheter should be in the water for at least 30 seconds. Attach the catheter adhesive circle to a smooth surface. In cold water the catheter stiffer and softer in warm. For women: remove the catheter from the package. Spread your labia and with the other hand insert the catheter into the urethra. For men: with one hand, lift the penis and straighten the urethra. With the other hand insert the catheter to advance it each time 2 cm. Move it until then, until you begin to leak urine. When the bladder is fully emptied, slowly remove the catheter.
How to insert a catheter
A number of complications can be avoided if you strictly follow the rules of asepsis and antisepsis, and to properly care for the catheter.
How to insert a catheter

Advice 3: 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.
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