Care for urological patients

Care for urological patients has a number of peculiarities related to peculiarities of surgical interventions and a large number of older people in urologic patients. It should follow the rules of General care, as untidiness patients may be the cause of urosepsis.
Of particular importance is the observation of diuresis. Changes in the number and composition of urine are the most common signs of the disease, serious complications.
When the delay urination helps warmer above the fold, cleansing enema, a change of position, overcoming the fear of pain. To restore reflex on urination sometimes helps noise resulting from the tap water.
You should know that the instrumental methods of research conducted by the doctors, especially catheterization ureters, should be carried out with observance of all rules of aseptics. Catheterization of the bladder (see Catheterization), wash and change permanent catheter do in the dressing room after thoroughly cleaning the external opening of the urethra. The distal end of a permanent catheter is lowered (by attaching additional sterile tubes) in sterile vessel to collect the urine. In special cases when the dangers flowing in urine tissue or soaking bandages catheter can be connected with weak water-jet pump. Most of urological patients undergoing surgery, there are temporary drains to drain urine from the pelvis of the kidney, ureter, urinary bladder. In addition, drainages set for discharge of the wound fluid from perirenal and paramedicales fiber (see Drainage). Drains can be blocked by a clot of blood, mucus, salts, which can lead to a delay of urine outflow Drainage tube promptly washed, and at impossibility to restore the patency of the drainage tube replace new (changes drainage tube doctor). To prevent infection, vessels for collection of urine, United with drainage pipes must be sterile. The hair around the drains must be clean-shaven. After surgery on the urinary bladder, prostate gland is necessary as soon as possible to appoint a massage of the extremities.
Special care patients need after transplantation of kidney. Special exposure to these patients septic processes requires strict measures to prevent infection. Staff should work in the sterile clothes; bedclothes and underwear patients should be washed every day and to sterilize.