Applying an External Catheter

男病人导尿法

Assessment

评估

1. Determine appropriateness.

1、确定病人适合导尿(图)

2. Assess mental status of client and knowledge of treatment.

2、评估病人精神状态和对治疗的认识。

3. Assess condition of penis.

3、评估阴茎状况。

Implementation

实施

1. Use Standard Protocol.

1、按标准程序开始操作。

2. Assist client to supine position, covering upper torso and lower extremities.

2、协助病人仰卧，盖好病人上身和下肢。

3. Prepare urinary drainage system.

3、准备导尿用品。

• Clamp drainage exit port
• Secure bag to bed frame with tubing between bed and side rails

• 夹住导尿管出口
• 将贮尿袋固定于床架，导尿管置于病床和床栏间

4. Wash, rinse, and dry penis thoroughly with warm soapy water.

4、用温肥皂水彻底洗、冲阴茎并擦干。

5. Clip hair at base of penis if necessary.

5、必要时剪去阴阜毛发。

6. Apply skin preparation to penis and allow to dry.

6、背皮使干。

7. Apply self-adhesive external catheter:

7、自粘式导尿管:

• Pinch catheter closed and place against glans so that tip protrudes ¼-inch into opening.
• Unroll catheter up shaft of penis.
• Discard plastic collar.
• Gently squeeze catheter to adhere sheath to skin.

• 捏闭导尿管并贴住龟头，将管头1/4吋插入尿道口
• 沿阴茎体展开导尿管
• 去掉塑料颈围
• 轻轻捏挤导尿管粘住皮肤

8. Apply external catheter without adhesive:

8、无粘式导尿管：

• Apply sheath to penis.
• Allow 1 to 2 inches of space between tip of penis and end of catheter. 医学 全在.线提供www.med126.com
• Encircle penis with strip of elastic adhesive kept only in contact with sheath.

• 将管套贴住阴茎
• 在龟头和管头间留出1-2吋空隙
• 用弹性胶布围绕阴茎

9. Connect drainage tubing to end of catheter.

9、将引流管与导尿管连接。

10. Secure tubing so that it is not twisted or looped.

10、固定引流管，勿使扭曲。

• To leg bag when ambulatory.
• To larger bedside drainage bag at night.

• 移动时使用附腿尿袋
• 夜间使用大号引流袋

11. Remove catheter for 30 minutes every 24 hours to cleanse and inspect skin.

11、每24小时除去导管30分钟，以冲洗和检查皮肤。

12. Discard gloves and wash hands.

12、脱手套，洗手。

13. Use Completion Protocol.

13、按标准程序结束操作。

Evaluation

评价

1. Observe urinary output every 4 hours.

1、每4小时观察排尿量一次。

2. Assess condition of skin and circulation to penis 1 hour after application, then every 4 hours.

2、插管1小时后评估皮肤状况及阴茎循环，以后每4小时一次。

3. Identify unexpected outcomes and intervene as necessary

3、确认意外结果，采取必要措施。

Report and record

报告和记录

1. Justification and type of product used

1、所用产品证书及型号。

2. Condition of skin and circulation

2、皮肤及循环情况。

3. Urinary output

3、排尿量。