男病人導(dǎo)尿法

Applying an External Catheter

男病人導(dǎo)尿法

Assessment

評估

1. Determine appropriateness.

1、確定病人適合導(dǎo)尿(圖)

2. Assess mental status of client and knowledge of treatment.

2、評估病人精神狀態(tài)和對治療的認識。

3. Assess condition of penis.

3、評估陰莖狀況。

Implementation

實施

1. Use Standard Protocol.

1、按標準程序開始操作。

2. Assist client to supine position, covering upper torso and lower extremities.

2、協(xié)助病人仰臥，蓋好病人上身和下肢。

3. Prepare urinary drainage system.

3、準備導(dǎo)尿用品。

• Clamp drainage exit port
• Secure bag to bed frame with tubing between bed and side rails

• 夾住導(dǎo)尿管出口
• 將貯尿袋固定于床架，導(dǎo)尿管置于病床和床欄間

4. Wash, rinse, and dry penis thoroughly with warm soapy water.

4、用溫肥皂水徹底洗、沖陰莖并擦干。

5. Clip hair at base of penis if necessary.

5、必要時剪去陰阜毛發(fā)。

6. Apply skin preparation to penis and allow to dry.

6、背皮使干。

7. Apply self-adhesive external catheter:

7、自粘式導(dǎo)尿管:

• Pinch catheter closed and place against glans so that tip protrudes ¼-inch into opening.
• Unroll catheter up shaft of penis.
• Discard plastic collar.
• Gently squeeze catheter to adhere sheath to skin.

• 捏閉導(dǎo)尿管并貼住龜頭，將管頭1/4吋插入尿道口
• 沿陰莖體展開導(dǎo)尿管
• 去掉塑料頸圍
• 輕輕捏擠導(dǎo)尿管粘住皮膚

8. Apply external catheter without adhesive:

8、無粘式導(dǎo)尿管：

• Apply sheath to penis.
• Allow 1 to 2 inches of space between tip of penis and end of catheter. 醫(yī)學(xué) 全在.線提供www.med126.com
• Encircle penis with strip of elastic adhesive kept only in contact with sheath.

• 將管套貼住陰莖
• 在龜頭和管頭間留出1-2吋空隙
• 用彈性膠布圍繞陰莖

9. Connect drainage tubing to end of catheter.

9、將引流管與導(dǎo)尿管連接。

10. Secure tubing so that it is not twisted or looped.

10、固定引流管，勿使扭曲。

• To leg bag when ambulatory.
• To larger bedside drainage bag at night.

• 移動時使用附腿尿袋
• 夜間使用大號引流袋

11. Remove catheter for 30 minutes every 24 hours to cleanse and inspect skin.

11、每24小時除去導(dǎo)管30分鐘，以沖洗和檢查皮膚。

12. Discard gloves and wash hands.

12、脫手套，洗手。

13. Use Completion Protocol.

13、按標準程序結(jié)束操作。

Evaluation

評價

1. Observe urinary output every 4 hours.

1、每4小時觀察排尿量一次。

2. Assess condition of skin and circulation to penis 1 hour after application, then every 4 hours.

2、插管1小時后評估皮膚狀況及陰莖循環(huán)，以后每4小時一次。

3. Identify unexpected outcomes and intervene as necessary

3、確認意外結(jié)果，采取必要措施。

Report and record

報告和記錄

1. Justification and type of product used

1、所用產(chǎn)品證書及型號。

2. Condition of skin and circulation

2、皮膚及循環(huán)情況。

3. Urinary output

3、排尿量。