IRIGASI KATETER, BLADDER TRAINNING, PELEPASAN KATETER

Summary

The video covers three important nursing skills: catheter irrigation, bladder training, and catheter removal. It explains that catheter irrigation is used for post-surgery patients or those with bladder bleeding. Bladder training helps patients regain the ability to sense the urge to urinate after catheter removal. The procedure involves clamping the catheter at timed intervals. Lastly, catheter removal is done once the patient can sense the need to urinate. The video walks through detailed steps for each procedure, emphasizing hygiene, patient comfort, and careful observation during each stage.

Takeaways

• 😀 The training covers three key skills: catheter irrigation, bladder training, and catheter removal.
• 💧 Catheter irrigation is used for post-surgery patients or those experiencing bladder bleeding.
• 🔄 Bladder training is designed to help patients regain the sensation of urination after catheter removal.
• 🛠️ Catheter removal is performed after the patient demonstrates the ability to feel the urge to urinate.
• 🧴 Sterile procedures, such as handwashing and using gloves, are emphasized before starting the catheter irrigation process.
• 💧 For catheter irrigation, NaCl or aquades is used, and the fluid is administered manually to clear any blockages.
• ⏲️ In bladder training, the catheter tube is clamped for 1-2 hours on the first day, gradually increasing the time to promote normal bladder function.
• 🔄 The patient’s urine flow is monitored after each clamp release to check if the bladder is functioning normally.
• 🧼 The catheter removal process includes cleaning the area with NaCl and ensuring no residue remains in the tube.
• 🍶 After catheter removal, patients are advised to consume 1,000-1,500 ml of fluids daily to promote normal urination.

Q & A

What are the three skills being discussed in the script?

The three skills discussed are catheter irrigation, bladder training, and catheter removal.

What is the purpose of catheter irrigation?

Catheter irrigation is used for post-surgical patients or patients experiencing bladder bleeding to ensure that the catheter remains clear and functional.

When is bladder training recommended for patients?

Bladder training is recommended for patients who have been identified as ready to have their catheter removed and need to regain the sensation of needing to urinate.

How is the catheter irrigation process initiated?

The process begins by preparing the irrigation equipment, ensuring no air is present in the fluid, and connecting the irrigation tube to the catheter before beginning fluid flow.

What should be observed during catheter irrigation?

During irrigation, the urine should be observed for its color, checking for blood, and ensuring that there are no blockages in the catheter.

What is the procedure if there is a blockage in the catheter?

If there is a blockage, manual irrigation is performed using a 50cc syringe filled with sterile fluid to remove the blockage, typically caused by blood clots.

How is bladder training conducted over multiple days?

On the first day, the catheter tube is clamped for 1-2 hours, then released. On the second day, the duration is increased to 2-3 hours, and on the third day, to 3-4 hours. The process continues while observing for the patient's ability to feel the need to urinate.

How is the patient's progress evaluated during bladder training?

Progress is evaluated by asking the patient whether they feel the need to urinate. If they regain this sensation, the catheter can be removed even before the full duration of the training process.

What steps are taken during the catheter removal process?

During catheter removal, the patient's position is adjusted, the fluid inside the balloon holding the catheter is aspirated, the catheter is carefully pulled out, and the area is cleaned to prevent infection.

What aftercare is recommended following catheter removal?

After catheter removal, patients are advised to drink around 1000-1500 ml of water daily (about 6-8 glasses) to help restore normal urination.