Supra pubic catheter research paper

Document Type:Research Paper

Subject Area:Nursing

Document 1

The catheters are left in place for the duration of the patient’s recovery period. Due to the process of insertion, there are various settings under which the catheter can be inserted. A suprapubic catheter can be inserted on a specific scheduled day through an outpatient process. This is commonly referred to as inter-operatively. Another set includes post-op patient care where a patient undergoes the insertion process and is hospitalized for a specified period. Patients in need of long-term catheterization opt for suprapubic catheters over other types of catheters available in the market. Patients who undergo various surgical processes on their urinary tract require suprapubic catheters during their recovery process (Bilehjani & Fakhari, 2017). In addition, people who are unable to self-catheterize prefer suprapubic catheters compared to other types of catheters.

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Patients who experience neurological disease and suffer from spinal cord injury or multiple sclerosis are provided with suprapubic catheters to assist them in managing their conditions. During cardiac surgery, the urinary output should be drained and monitored throughout the surgical process. Pre-procedure care involves the use of supplies such as povidone iodine scrub. In the event the patient is allergic to the iodine, the nurses can prepare and provide 4x4s with chlorhexidine gluconate as an alternative solution for the scrub. Other supplies required for the procedure include the regular operation equipment that is used by the surgeons to make the incision for the catheter (Bullman, 2011). A suture is used by some medical personnel to provide support and security to the catheter.

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A urinary bag is provided to collect the urine through different periods within the day. This assessment is aimed at observing the patient for the development of complications an infections due to the catheter insertion. In other cases, bleeding may occur due to the failure of the suprapubic catheter to drain the bladder. Bleeding may lead to blood clots leading to other complications if the condition is not treated early. The development of urinary extravasation is common in patients who have undergone suprapubic catheter insertion. This ailment can be managed by administering antibiotics at the onset of the ailment. The new catheter is measured against the old catheter to determine the level to be inserted. The new balloon is inflated and the wound is dressed (Bullman, 2011).

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Suprapubic catheters should be changed every 2 to 3 months. The process of changing the catheter is less technical as opposed to the process of insertion. As a result, nurses trained in catheter changes undertake the process. Documentation Mr. Smith is a 57-year-old man who was diagnosed with urethral trauma. After a series of consultations with his physician, it was recommended that Mr. Smith undergo a suprapubic catheter insertion. The patient was scheduled for a post-op inpatient care appointment. The patient was allowed to rest for a few hours before he was reexamined for any abnormal condition to the operation. The physician was on hand to administer pain medicine after the patient was given a clean bill of health. A follow-up assessment was carried out the following day.

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