Please enable JavaScript.
Coggle requires JavaScript to display documents.
URINARY DIVERSION (Post operative care (monotor urine output and…
URINARY DIVERSION
Post operative care
monotor urine output and charecteristcs of it
do hourly record of urine outputfor 4-6 hours
prevent injury by lubricating catheter thoroughly when inserting it
keep the peristmal skin clean and protected
ambulate the patient to prevent urinary stasis
change the bag atleast weekly and empty it as soon as it half full.
increase fluid intake to dilute urine
administer analgesic as prescribed to promote comfort
povide emotional support
educate the patient about the stoma
urinary diversions are done when you have
neurogenic bladder
cancer of prostate, urethra, vagina, uterus, and cervix
chronic infection causing strictures in the urethra
vesical fistulae( vesicocutaneous, ileo vesical fistua, colo-vesical fistula and vesicovaginal fistula)
urinarry bladder cancer
causes of urine blockage
an enlarged prostate
injury for the urethra
birth defects of the urinary tract
kidney, ureter, or bladder stones
description of urinary diversions
cutaneous ureterostomy
ureters are excised from the bladder and bought out through the surface of an abdomen as a stoma
ileal( intestinal) conduit
ileum is resected from the intestines to serve as tube to create passage way for the urin
vesicotomy
incision made into the bladder to move the bladder forward and cutted edges are sutured to the skin forming a stoma
ureterosigmoidostomy
the uretes are implanted into the sigmoid colon.
Definition
is surgical procedures to reroute urine flow from its normal pathway
Pre-operative care
Ensure that
the risks of infection is reduced
the patient is informed about the forthcoming surgery
the patient is educated on how to manage stoma and therefore to reduc anxiety
health education
INSTRUCT THE PATIENT IN
correct bathing procedures
stratergies to promote skin integrity and comfort
how to engage in activities to relieve pain
self catherisation if required
expressing the anxiety freely