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CARE OF PATIENT WITH

SUPRA
PUBIC CATHETER

Why suprapubic catheterization ?


(indications)

May be used temporarily or longterm to drain the bladder.


When urethral diversion is needed
Urethral stricture or trauma.
Gynecologic or urethral surgery.
Urinary incontinence.

SUPRAPUBIC Vs
URETHRAL
Preventing urethral complications
Increased comfort
Separating urinary and genital
functions

WHAT TO DO

Provide privacy and explain the procedure to patient


Perform hand hygiene and put on sterile gloves
Tell the patient to lie down position.
Remove the dressing and assess the catheter insertion
site for signs and symptoms of infection such as redness
and skin excoriation.
Make sure the catheter is looped and taped securely to
the patient abdomen to prevent kinking or dislodgment
inspect the catheter for patency. Catheter may become
occluded with clots.
If the catheter becomes dislodged. Cover the site with a
sterile dressing and notify the health care provider
immediately.

Continuous.
Keep the drainage collection container below the level
of the patients bladder.
Assess the urines characteristics such as clarity,color
and odor if look for cloudy urine or other signs of urinary
tract infection.
Measure urine output at least every 8 hours.
Notify the health care provider immediately if the
patient develops abdominal
pain,hematuria,fever,puslike drainage if urine leaked on
the dressing or if the catheter stops draining.
Document your nursing care the appearance of catheter
site, skin integrity, urine amount and characteristics.

Whats happening in there?

A SPC is a urinary drainage catheter inserted into the bladder


via an incision through the anterior abdominal wall, approx.
2cm above the pubic bone.

COMPLICATIONS

Bowel injury.
Bleeding.
displacement.
Infection.

INFECTION catheter insertion site

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