Aula Completa Sobre os Tipos de Sondas

Summary

In this detailed video, Fabiano Vitoriano educates viewers about various types of catheters used in medical settings, focusing on their specific functions, applications, and differences. He explains the differences between urinary catheters such as the 'long-term' catheter with a balloon and the 'relief' catheter, demonstrating how to properly use and inflate them. He also covers the importance of sterile techniques, the correct volume of fluid to inflate the balloon, and how to perform catheter insertion for different patient conditions. Fabiano further touches on the use of different types of suction and nasogastric tubes, emphasizing patient care and safety. This instructional guide aims to provide both theoretical knowledge and practical tips for healthcare professionals.

Takeaways

• 😀 The video provides an overview of different types of urinary catheters, including indwelling, intermittent, and nasogastric catheters.
• 😀 The **Indwelling Catheter** (Sonda Vesical de Demora) is used for long-term urinary drainage, often post-surgery or for patients with urinary retention.
• 😀 The **Intermittent Catheter** (Sonda de Alívio) is for short-term use, allowing patients to drain their bladder intermittently and urinate independently afterward.
• 😀 The **Nasogastric Catheter** is typically used for aspiration, particularly in cases of poisoning or overdose, and requires proper insertion technique.
• 😀 The **Indwelling Catheter** features a balloon that secures it in place within the bladder, which must be inflated with water (not saline) for proper placement.
• 😀 The **Intermittent Catheter** does not have a balloon and is used for patients who experience temporary urinary retention but can void independently after insertion.
• 😀 Proper **sterile technique** is crucial for catheter insertion, including the use of gloves, xylocaine gel, and auscultation to confirm correct placement.
• 😀 Catheters should be used in accordance with the patient's needs, such as for surgeries, urological issues, or patients with chronic conditions like spinal cord injuries.
• 😀 When using an **Indwelling Catheter**, the catheter’s specification (such as size and balloon volume) should be checked to avoid complications like rupture or improper placement.
• 😀 The video emphasizes safety protocols such as avoiding the use of saline for inflating the balloon of the **Indwelling Catheter** and maintaining sterile procedures to prevent infections.
• 😀 Fabiano promotes his course on medication calculation and invites viewers to follow him on Instagram for more educational content and updates.

Q & A

What are the two types of urinary catheters mentioned in the video?

The two types of urinary catheters mentioned are the 'sonda vesical de demora' (long-term catheter) and the 'sonda vesical de alívio' (short-term relief catheter).

What is the main difference between the 'sonda vesical de demora' and 'sonda vesical de alívio'?

The main difference is that the 'sonda vesical de demora' includes a balloon (balonete) that can be inflated, while the 'sonda vesical de alívio' does not have a balloon.

When is the 'sonda vesical de demora' typically used?

The 'sonda vesical de demora' is used in patients who are undergoing surgeries, have long-term urinary retention, or have urological conditions such as prostate hyperplasia.

When would the 'sonda vesical de alívio' be used?

The 'sonda vesical de alívio' is used for patients with temporary urinary retention, allowing them to empty the bladder before they can urinate independently.

What is the proper procedure for inflating the balloon of a 'sonda vesical de demora'?

The balloon of the 'sonda vesical de demora' should be inflated with distilled water, not saline, and the recommended volume is between 30 and 50 mL depending on the catheter size.

What should never be used to inflate the balloon of a urinary catheter?

Saline (soro fisiológico) should never be used to inflate the balloon, as it may cause difficulty in catheter removal.

How do you know how much water to inflate in a 'sonda vesical de demora' balloon?

The amount of water to inflate in the balloon is indicated on the catheter packaging. For example, a 24 French catheter may require 30 to 50 mL of distilled water.

What is the correct technique for performing suction with a suction catheter?

To perform suction with a suction catheter, you should use a circular motion and intermittently press the suction handle to draw out fluids. The catheter should not be blocked while suctioning.

How should a nasogastric tube (sonda nasogástrica) be measured for insertion?

A nasogastric tube should be measured from the tip of the nose to the earlobe and down to two fingers below the xiphoid process. This ensures correct placement.

What is the purpose of auscultating the stomach after inserting a nasogastric tube?

After inserting a nasogastric tube, auscultating the stomach with a syringe filled with air ensures that the tube is properly placed in the stomach, as you should hear the air passing through.