The catheterization procedure is performed for patients who are not able to cope with the process of removing the accumulated urine in the bladder. In the formation of the inflammatory process, a person is forced to conduct regular washing of the urethra. This disease, which causes inflammatory processes, is cystitis, which is formed against the background of the presence of infection and favorable factors for its development. Such factors can be such diseases as:
- E. coli
- Other diseases caused by infection.
Also, the need for flushing the bladder may occur in the case of a long medication, which provoked various changes in the mucous membranes of the urethra and bladder.
It is required to flush the bladder, necessarily adhering to certain rules, since disregard of the rules can lead to burns of the mucous membrane of the urethra. In the event of such a trouble, doctors prescribe a re-washing using various herbs that contribute to the rapid restoration of soft tissues. Also, trauma to the membranes of the urinary tract occurs when stones come out during treatment.
There are a number of contraindications that make flushing impossible even in a clinical setting. These contraindications include gonorrhea, trauma of the urinary sphincter, acute inflammation of the urethra. In these cases, the treatment of the disease occurs in a medical way, while the treatment process takes much longer, since the possibility of a direct impact on the inflammatory focus is absent.
Useful action Furatsilina
Furacilin is a disinfectant that effectively helps to cope with the infection. The use of the drug occurs both for washing the genitals outside and for internal processing. The solution, which is based on Furatsilin, contributes not only to getting rid of infections, but also helps the rapid healing of tissues.
The solution kills microorganisms, relieves inflammation and purulent processes of the bladder.
Substances that are in the composition of the drug, prevent the division of cells of harmful bacteria. The course of using furatsilina as a solution for washing the urethra lasts depending on the disease. Often, the unpleasant symptoms of inflammation disappear within 2 weeks.
Breeding Furatsilina for washing the bladder
For the implementation of the flushing of the bladder, the concentration of Furacilin is 1 to 500. This requires 2 tablets of the drug to be diluted in a glass of warm boiled water. Conduct the washing procedure 3 times a day. The use of the solution is allowed only for treatment, in order to prevent the use of the drug is prohibited. Prescribe or cancel treatment can only the attending physician. Using a solution in the wrong proportions or a previously unprepared catheter can aggravate the situation.
Bladder washing technique
Before performing a rinse with a catheter, you need to prepare a syringe. The first step is to flush the urethra of the patient, then the catheter, initially washed with Furacilin, is introduced smoothly forward until the exit of the urine occurs. The release of urine from the catheter indicates the correct introduction of the catheter. It is necessary to let go all the urine out.
The next step is to attach the catheter to the syringe and pour the Furacilin solution into the bladder through it. The amount of drug administration depends on the individual characteristics of each patient. It is necessary to stop pouring the solution when the patient feels a steady desire to empty the bladder with a bladder. After disconnecting the syringe, the solution through the catheter comes out.
During the procedure, the catheter may be blocked by mucous masses. In this case, additional rinsing of the catheter with a special solution is required. The washing procedure is carried out until the liquid is clear. On average, spend 10 repetitions, while using for each procedure about 2 liters of solution.
Proper care of the catheter
The installed catheter Falea can wash both the patient and his relatives. Furatsilina solution for washing the Faley catheter can be purchased at the pharmacy, and you can prepare yourself. To prepare the solution, 2 tablets of the drug should be diluted in 400 ml of warm boiled water. The resulting solution must be filtered through a triple layer of gauze. Washing is done with a 5 ml syringe. Before the procedure, the syringe should be put into boiling water for several minutes.
Next, you need to disconnect the tube from the urinal and wipe its end with Furacilin solution. Then you need to type in the syringe solution and insert it into the tube, after which it is rather slow to inject the liquid. After the solution is injected, the syringe must be removed and the liquid will flow freely out. It is necessary to wash the catheter once a day.
Using this method to remove infections from the bladder is widely used. This is due to the effect of the drug, directly, on the focus of infections. In this case, the drug Furacilin for solution is a universal remedy that can cope with different types of bacteria, and its positive feature is the healing effect on the mucous membrane of the urethra. Independently appoint and conduct the procedure of flushing the urethra and the bladder is prohibited. This type of treatment can be prescribed only by the attending physician.
Permanent or temporary urinary catheter
The use of catheters, depending on the situation, can be either temporary (as needed) or permanent. Constant use of the urinary catheter is necessary for chronic diseases that cannot be radically cured with medication or by surgery. Often these are neurological patients. If women often have Foley's catheter inserted into the urethra, then this option is unacceptable for men. Why? Yes, for the reason that the male urethra is associated not only with the bladder, but also with the prostate, testicles, seminal vesicles. And a foreign body in the urethra will sooner or later lead to complications, such as acute prostatitis or epididymitis. That is why a permanent urinary catheter is more often used in women, and in men it is also used, but after performing the operation, an epicystostomy with the formation of the suprapubic bladder fistula. It is in this fistula that a permanent urinary catheter is installed in men. In this embodiment, it is practically safe and does not cause complications.
When to combine a catheter with a urinal?
The constant use of a catheter for the discharge of urine makes it necessary to solve the problem of collecting urine. Indeed, with a permanent catheter, the patient is not always bedridden. Many lead a relatively active lifestyle. The most practical option is to use a catheter with a urinal. A urinal is a plastic bag with a tube for receiving urine, which is connected to a catheter and a second tube with a valve to drain accumulated urine. A catheter with a urinal is used as in the variant of urine discharge through the catheter in the urethra and through the suprapubic fistula.
Bladder washing through the urinary catheter
After discharge from the hospital, the relatives of the patient with the catheter are left alone with this problem. And many simply do not know how to properly flush the bladder through the urinary catheter. It is necessary to adhere to the following rules:
- Flush the urinary catheter at least 1 time per day, preferably 2 times (if necessary, you can flush the bladder through the urinary catheter and 5 or even 10 times a day),
- It is imperative to disconnect the urinal and tubes that lengthen the catheter before flushing. Rinse the bladder directly through the catheter,
- Use special solutions for flushing the bladder. It is strictly not recommended to rinse with plain water. this will inevitably lead to the development of inflammation in the bladder and may result in the development of acute ascending pyelonephritis,
What to wash the urinary catheter?
When the patient is discharged from the urological hospital, the doctor will recommend specific solutions for washing. But if you do not know how to flush the urinary catheter, first carefully study the recommendations in the discharge report that the patient received at discharge from the hospital. There, the attending physician is simply obliged to indicate how and with what to flush the bladder through the catheter. For the last 30-40 years, urologists have recommended washing the catheter for removing urine with 1: 5000 furatsillin solution. But the high resistance of urinary infection to this solution over time forced the doctors to abandon furacillin in favor of a solution of potassium permanganate or more modern Betadine and Vokadin.
Do you know how to properly insert a catheter into the bladder?
It must be admitted that relatives of patients with a catheter are not always invited medical specialists to replace the catheter and change it themselves. If the procedure for replacing the Foley catheter, and especially Petzer, is trusted by the urologist, then the woman herself should venture to insert the catheter into the bladder. In such situations it is necessary to adhere to the following rules:
- Before catheterization, the area of the external opening of the urethra should be treated with antiseptic
- Carefully wash your hands twice with soap and treat them with alcohol,
- With the introduction of the catheter to keep it with sterile forceps. Otherwise, you will carry the infection to your bladder,
- It is advisable to use a special syringe for washing Jeanne or a disposable alternative of 60-150 ml.
With all the prostate insertion of the catheter into the bladder at first glance, we urge you to entrust this procedure to qualified medical personnel. Remember that with improper catheterization, you can injure the bladder or urethra, which will end up with an emergency surgery.
My father had a bladder operation and now we have to take care of him at home. The question arose: how and why should I clean the Foley tube? A Foley catheter can be double or triple. One of the moves is used for urine outflow. In the 3-way, the third stroke is used for urine outflow, and the 2nd one is used to deliver, for example, furacillin solution into the bladder after the operation. Houses are usually used for washing one main course. A large syringe injected 50-100 ml of solution for washing into the bladder. Then the syringe is disconnected and the solution flows through the catheter by gravity. The procedure is repeated 5-7 times. Practice has shown that it is better not to use furacillin solution because it leads to rapid clogging of the catheter with salts, and the period from replacement to replacement of drainage is reduced. It is better to use betadine solution or a decoction of herbs: chamomile, calendula, celandine. Why rinse? There are several reasons: to reduce the bacterial colonization of the bladder and the catheter itself, to flush sand and small pebbles from the bladder, which are often formed there with an epicystostomy. But nevertheless, no matter how well you wash the catheter - it needs to be changed regularly.
Discharged from urology with a tube. Tell me, if there is a catheter in the bladder, is it necessary to wash it? As I understand it, you have a suprapubic bladder fistula and a catheter in it. Yes, it requires care and rinsing. The attending physician should have told you about this at discharge.
Grandma has a urinary catheter and blood clots. What to wash? If there are blood clots, it is necessary to inform your doctor. The persistent presence of clots indicates continued bleeding. Emergency assistance is required.
My husband has a catheter for seven years. A week ago, replaced, - very sore and gives to the prostate. Natalia! You need to clarify the situation. The catheter can stand both in the urethra and in the urinary fistula above the bosom. I no longer mention kidney catheters. I assume that we are still talking about a urethral catheter. Probably when replacing an infection got into the prostate and aggravation developed. In-person consultation with a urologist is required.
My father has a urethral catheter, which has been changing monthly for two years. A few days ago, urine excretion through the catheter decreased and periodic urine excretion started past - through the urethra. What could be wrong and what to do in this situation? Obviously - non-functioning catheter. It needs to be replaced with a new one.
Husband has multiple sclerosis, lies three years. The urine stopped moving. Three days ago, a catheter was inserted. How often is it changed and how often is it washed? Your questions have answers in the article above. The frequency of replacement of the catheter is desirable every 2 weeks.
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When are urinals installed?
Urinary receivers are inserted into the urea through the urethra. They are installed when the patient needs to reduce the pressure in the bladder area, for example, during the postoperative period when the urethra ruptures or when there are other injuries, during operations or when urination is difficult. But there are cases when the installation of a urinal through the urethra is prohibited or irrational. These cases include:
- long term installation
- rupture of the urethra as a result of injuries
- operations on the urethra,
- benign lesions of the prostate gland.
In this situation, doctors resort to the withdrawal of an artificial canal - a cystostomy surgically. It is located above the pubic zone.
Care of the urinal at home
A catheter located in the bladder, like any other medical equipment, requires special care. This is necessary in order to avoid malfunction of the device, as well as to exclude the development of infectious diseases of the urinary tract. For proper care, it is enough to follow the following recommendations:
- After each trip to the toilet you need to wash. For women, it is important that washing away occurs from front to back, thus excluding intestinal infections in the area of the catheter.
- The area around the device should be cleaned, removing dirt. Do it better in the morning and evening.
- The location of the urinal should be below the urinary line.
- Receiving the receiver should be no less than three hours.
- The urinal should be washed daily.
- If a suprapubic catheter is installed, it should be replaced once a month or as recommended by a doctor.
- Prohibited the use of creams, talc, sprays near the output of the device.
- It is important to examine the site of elimination for the presence of inflammation.
- Place around the device must be sealed with a special bandage.
If a patient has a cystostomy, then the bladder should be washed periodically. It is recommended to do this twice a week. The procedure should be carried out by a medical professional in order to prevent bladder damage. And the device should be changed once every four weeks. All manipulations are performed only in medical gloves.
To replace the catheter, follow these steps:
- The area around the exit of the urinal should be treated to avoid dirt.
- Next you need to blow off the balloon from the old catheters. This should be done with a syringe.
- Slowly and gently remove the catheter. You can use special anesthetic gels as prescribed by a doctor.
- After that it is necessary to replace the gloves with clean ones.
- Next, you should introduce a new catheter.
- We are waiting for the next output of urine.
- Fill the balloon again with a syringe. The volume of serial water introduced into the balloon is about five or eight milliliters.
- The last step is to attach the urinal to the catheter.
How to flush a Foley device?
A large volume syringe is used to flush the Foley catheter - fifty or one hundred milligrams. Immediately before flushing the device, the syringe must be scalded with boiling water. Washing is carried out with warm saline.
Если в урине была замечена кровь или некий осадок, то для промывания будет использоваться теплый раствор фурацилина из расчета две таблетки на полтора стакана теплой кипяченой воды. Важно процедить раствор, чтобы избавиться от нерастворенных кусочков таблеток. Полученный раствор набирают в шприц.
Трубка мочеприемника отсоединяется. Ее конец протирается раствором фурацилина. We insert the syringe and we enter solution, it is necessary to do it slowly. After entering the entire contents, the syringe is removed, and the fluid flows out of the catheter itself.
In order to replace the urinal it is necessary:
- Prepare a clean urinal in advance.
- Separate the tube from the catheter.
- Drain the urine from the urinal, if the device is reused, it should be washed and soaked for a while in a solution of chloramine, then rinsed again with water.
- Connect the urinal to the catheter.
When do I need to see a doctor?
If there are any difficulties in using the urinal, it is necessary to immediately contact the specialist leading your treatment. It is necessary to do this when:
- detecting urine leakage,
- stomach ache,
- urine with blood
- the inability to replace the device
- increasing the amount of urine
- stagnation of urine,
- bleeding from the stoma,
- the appearance of the smell of urine, changing its color.
It is also necessary to see a doctor if the temperature has risen, there was pain and a burning sensation when urinating.
How Petszer's catheter is used
Catheters can have different lengths, they are made of different materials: metal, plastic, rubber. It is important that the instruments are sterile clean and do not cause inflammation in the cavity of the organs into which they are inserted. Most often, catheters are used in urology to ensure the flow of urine from the bladder. For this purpose, a Pezzer catheter is used. This tool is often used before childbirth to release a woman’s bladder. A full bladder can interfere with the normal passage of the child through the birth canal.
The Pezzer's catheter is made of rubber, and at its end there are expansion and 2 holes. The tool is introduced as follows. The area around the urethra is treated with a disinfectant solution. A probe is inserted into the canal so that the catheter is pulled at its end. Then the instrument is inserted into the urethra, after which the probe is removed, and the catheter independently straightens.
The Pezzer catheter should be inserted to a depth of 6 cm so that its end is located at a sufficient distance from the urethra and the walls of the bladder. If the instrument is introduced too deeply, its end will touch the top of the bladder, as a result of the outflow of urine will not. If the catheter is not inserted deep enough, it may cause bladder hyperreflexion. Remove the Pezzzer's catheter by pushing the walls of the urethra.
How to put a subclavian catheter
The subclavian catheter is placed when peripheral veins are unavailable for infusion therapy, if necessary in intensive and many hours of therapy, during long operations with large blood loss. It is also used when necessary parenteral nutrition, in the case of the need for control and diagnostic studies.
In preparation for the catheterization of the subclavian vein of the patient is placed on the operating table, having a lowered head end of 15 grams. It is necessary for the prevention of air embolism. The operative field is treated 2 times with 2% iodine solution, a sterile diaper is applied and once again treated with 70% alcohol.
The patient is given local anesthesia. Then a skin puncture is performed with a needle with a syringe for catheterization, a depression is created by squeezing the piston. At the entrance to the subclavian vein blood appears in the syringe. Next, the needle starts another 2-3 mm. Then the syringe is removed, the entrance to the needle is closed with a finger.
A guide is inserted through the needle, the needle is removed, and a catheter is inserted through the guide to a depth of 6-8 cm. After removing the guide, the doctor controls the location of the catheter in the vein by the flow of blood into the syringe. Then the catheter is washed and the infusion system is connected or closed with a sterile rubber stopper.
Urologist home replacement catheter, cystostomy in Moscow and the Moscow region professionally and efficiently.Services and prices
How to care for a urological catheter or cystostomy (drainage, bladder catheter)?
We will try to explain everything in a simple way!
First, let's define the concepts: a urological catheter is a drainage tube that is installed both through the urethra and through the skin under the navel, and then (when installed through the skin into the bladder) - this catheter or tube will be called a cystostomy!
By the way, about when a catheter or cystostomy is placed by a doctor and what is better read here ...
Further ... an important question is how drainage works. In other words, if by drainage (catheter or cystostomy) clean, clear urine goes, then this one case, and if muddy, with various impurities, then it is quite different situation. Strictly speaking, on the basis of this, the tactics of caring for the tube are built.
In the first case (urine is clean) no urinary bladder wash (catheter) is required, the patient follows the usual drinking ration (drinks water) and releases urine. A permanent catheter that is inserted through the urethra must be replaced with a new catheter every 7 days (ideally), but in practice, replacement usually occurs every 12-14 days. And replace cystostomy every month (every 30 days).
In the second case (urine is not clear, admixture of salts, periodically tendency to clogging the tube) it is necessary 1-2 times a day to wash the bladder with an aqueous solution of furatsilin, pouring Jean into the bubble with a syringe (such a large special syringe, buy at the pharmacy) 30 ml there was 30 ml injected, the syringe was removed - liquid flowed from the bladder, 30 ml were injected again, the syringe was removed - flowed out again, and again also). In some cases, washing is required up to 3-4 times a day with even larger volumes (with more intense tube clogging with mucus or crystals). Replacement of the catheter in cases where urine with impurities is made more often. But in any case, you will need an on-site consultation with a specialist!
Furacilin is sold in a pharmacy as a ready-made solution, or you can prepare it yourself by dissolving furatsilin tablets in water. An aqueous solution of furatsilina prepared in distilled water or isotonic sodium chloride solution. In 5000 parts of water or saline dissolve 1 part of furatsilin, thus obtaining a 0.02% solution. In order for furatsilin to dissolve faster, water can be brought to a boil, and the finished solution cooled to room temperature.
Simply put, to prepare a 100 ml solution, you need to use 1 tablet of furatsilina 0.1 gr.
Another important point is the treatment of the tube in the skin area outside (if it is a cystostomy) and in the area of the external opening of the urethra (if a urethral catheter is installed) with an aqueous solution of chlorhexidine digluconate 0.05% once a day.
And no less important point: the main thing is that the patient does not have allergies to all these drugs!
If you have life questions to care for such patients, you can contact by correspondence. online consultation, we will be happy to help you! There is also a service. Call the urologist at the house for consultation and replacement of the catheter(cystostomy)in Moscow and MO.
Installation of a urinal
Receivers for urine put in the bladder through the opening of the urethra. This procedure is necessary in the case when the patient needs to lower the pressure in the bladder, for example, after surgery, organ rupture or other injuries, during surgery or problems with urination.
It is not uncommon when the installation of a urinal through the urethral canal is irrational or prohibited. Such contraindications include ruptures of the urethral canal due to injury, installation of the system for a long time, surgery in the urethra, as well as benign tumors in the prostate gland. In this case, the surgeons put a cystostomy located above the pubic area.
Care of the urinal at home
A catheter installed in the bladder requires special care, like any other medical equipment. This is necessary to avoid malfunction of the catheter, as well as to prevent infection of the urinary tract.
Proper care of the urinary catheter should be carried out according to the following recommendations of doctors:
- after each visit to the toilet, the patient should be washed with clean water. For women, care must be taken that the direction of flushing is front to back, which will prevent the entry of intestinal infections into the catheter,
- in the place of installation of the device and its exit to the surface it is necessary to wipe the skin and remove contamination. Procedures should be carried out in the morning and every evening,
- urinal should be below the bladder,
- emptying the tank with urine filled should be done every 3 hours,
- the urine tank must be rinsed every day, in case the tank is disposable, it must be replaced,
- when installing the catheter in the suprapubic part, it is changed once a month or as recommended by the attending physician,
- use of sprays, talc or gel, as well as a cream in the place where the catheter comes to the surface should be avoided,
- it is necessary to regularly inspect the installation sites of the urine extraction system for the occurrence of inflammatory processes,
- mounting system should be a special bandage.
When installing a cystostomy patient should regularly flush the bladder. According to the recommendation of experts, this procedure is necessary at least twice a week. Washing is carried out by a medical professional, the patient should not do it on their own, so as not to damage the organs. Replacing the device is recommended every four weeks, all manipulations are done in sterile gloves.
In the place where the urinal comes out, it is necessary to regularly treat the skin with antiseptics to prevent the penetration of dirt or infection. Caring for the care of a permanent urinary catheter, namely its timely replacement, you should follow a simple algorithm of actions:
- the need to blow the balloon from the old catheter using a syringe,
- gently remove the catheter without sudden movements. In the event of pain syndromes, you can use a gel with an anesthetic effect,
- gloves change to clean
- a new catheter is introduced,
- it is important to wait for a new urine to appear,
- the installed cylinder is filled with a syringe. The volume of injected fluid in the cylinder is from 5 to 8 ml,
- the urinal is attached to the catheter.
Flushing Foley Device
The Foley catheter is flushed with 50 or 100 ml syringes. Before washing, the syringe must be disinfected in boiling water for a few seconds. The rinsing itself is carried out with saline, slightly heated, so as not to cause discomfort.
In the case of blood or sediment in the urine, it is necessary to use warm furatsilinovy solution for washing. It is made from 2 tablets of furatsilina and one and a half glasses of warm pure water. The solution must be filtered, so that it does not have pieces of pills that are not dissolved. Fluid is drawn into the syringe. Disconnect the tube from the urinal and wipe its end with a solution of furatsilina. A solution is introduced through the catheter without haste and sudden movements. As soon as all the contents have been entered, the syringe needs to be removed, and the liquid will flow out through the catheter itself.