INSTRUMENT

INSTRUMENT

1. Urethral Catheteization

   • Majot cause of UTIs
   • Most common site of Hospital-associated infections
   • Stric aseptic technique

2. Ureteral Catheters

3. Nephrostomy tube

   • Inserted directly into the pelvis of the kidney. used for complete ureteric obstruction
   • Dressing changes
   • Strict Asepsis
   • Tape catheter
   • Same as indwelling
   • Temporary basis to preserve Renal fuction
   • Ensure patency

4. Intermittent catheterization

5. Lieal Conduit

   • Most common
     • Perfomed incontinent urinary diversion
   • Segment of ileum is converted into a conduit for urinary drainage
   • Urinary stoma
   • External appliance
   • Constant flow of urine
   • CARE
     • Aseptic meticulous cleansing/ skin care
       • Mucous common (lines the DI tract)
         • Keep urine acidic
           • Proper fitting appliance
             • Health teaching
               • S&S of obstruction/ infection, care of ostomy, cleaning appliance, discuss concerns
               • Psychological care

6. Suprapubic catheters

   • Small incision through abdominal wall into bladder
   • Care same as indwelling
   • Prone to poor drainage
   • Temporary Situation/ Long & short term
   • Wound care around site