| Applying an External Catheter | 男病人導(dǎo)尿法 |
| Assessment | 評估 |
| 1. Determine appropriateness. | 確定病人適合導(dǎo)尿 |
| 2. Assess mental status of client and knowledge of treatment. | 評估病人精神狀態(tài)和對治療認(rèn)識?！?/td> |
| 3. Assess condition of penis. | 評估陰莖狀況?！?/td> |
| Implementation | 實(shí)施 |
| 1. Use Standard Protocol. | 使用標(biāo)準(zhǔn)護(hù)理方案 |
| 2. Assist client to supine position, covering upper torso and lower extremities. | 協(xié)助病人取仰臥位，蓋好病人上身和下肢?！?/td> |
3. Prepare urinary drainage system.
A. Clamp drainage exit port
B. Secure bag to bed frame with tubing between bed and side rails | 準(zhǔn)備導(dǎo)尿用品
l 夾住導(dǎo)尿管出口
l 將貯尿袋固定于床架，導(dǎo)尿管置于病床和床檔間 |
4. Wash, rinse, and dry penis thoroughly with warm soapy water.
5. Clip hair at base of penis if necessary.
6. Apply skin preparation to penis and allow to dry. | 用溫?zé)岱试硭畯氐紫础_陰莖并擦于。
必要時(shí)剪去陰阜毛發(fā)。
做陰莖皮膚準(zhǔn)備，使干?！?/td> |
| 7. Apply self-adhesive external catheter: | 自粘導(dǎo)尿管 |
A. Pinch catheter closed and place against glans so that tip protrudes ¼-inch into opening.
B. Unroll catheter up shaft of penis.
C. Discard plastic collar.
D. Gently squeeze catheter to adhere sheath to skin. | l 捏閉導(dǎo)尿管并貼住龜頭，將管頭1/4吋插入尿道口
l 沿陰莖體展開導(dǎo)尿管
l 去掉塑料頸圍
l 輕輕捏擠導(dǎo)尿管粘住皮膚 |
| 8. Apply external catheter without adhesive: | 無粘導(dǎo)尿管 |
A. Apply sheath to penis.
B. Allow 1 to 2 inches of space between tip of penis and end of catheter.
C. 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.
10. Secure tubing so that it is not twisted or looped. | 將引流管與導(dǎo)尿管連接
固定引流管，勿使扭曲 |
A. To leg bag when ambulatory.
B. To larger bedside drainage bag at night. | 移動時(shí)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. | 每24小時(shí)除去導(dǎo)管30分鐘，以沖洗和檢查皮膚 |
12. Discard gloves and wash hands.
13. Use Completion Protocol. | 脫去手套，洗手
按操作規(guī)則結(jié)束程序 |
| Evaluation | 評價(jià) |
| 1. Observe urinary output every 4 hours. | 每4小時(shí)觀察排尿量一次 |
| 2. Assess condition of skin and circulation to penis 1 hour after application, then every 4 hours. | 插管1小時(shí)后評估皮膚狀況及陰莖循環(huán)，以后每4小時(shí)一次 |
| Identify unexpected outcomes and intervene as necessary | 確認(rèn)意外結(jié)果，采取必要措施 |
| Report and record | 報(bào)告和記錄 |
1. Justification and type of product used
2. Condition of skin and circulation
3. Urinary output | 所用產(chǎn)品證書及型號
皮膚及循環(huán)情況
排尿量 |
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