"nurse, how come i'm so slow in washing? Why is mine so slow in the next bed? Am i in bad shape?"
In the urology ward, this is one of the most frequently asked questions. Many patients who have undergone bladder and prostate surgery experience “continuous bladder wash” — followed by three catheter catheters, with flushing fluids on their heads and fluids flowing in and out. It is described as a process “like a roller coaster”: speed is slow, colour is light and heart is eight or seven。
As a nurse in the urology surgery room, i want to talk to you: who's in control of how fast the bladder washes the roller coaster
First, what's a bladder wash
Vesal wash is the method by which sterile rinse is injected into the bladder with a triple catheter. You can understand it as "bathing" for the bladder -- not just washing, but having a clear medical purpose。
In several cases:
Post-operative escort: after a prostate or bladder operation, there will be a small amount of oscillation in the face, which will dilute the blood, flush the blood blocks and prevent the blocking of the urine tube。
Clearing the aliens: flushing out blood clots, slime, bacteria, etc。
Keep it smooth: prevent blood clots from blocking the urine tube and avoid subsequent bleeding, infection and bladder spasm。
So the bladder is washed not to be “cleaned”, but to keep it clear, to block and to heal。
The speed of the roller coaster, who controls it
Many patients feel the speed of washing is too slow and their hearts are not strong. In fact, it's not the nurses who do what they want, but it's the color of the liquid you're bringing out。
The principle is only eight words: the depth is fast and the light is slow. Inducing fluid depths (redish, haemogenic) indicate higher haemorrhages on the surface, faster rinsing, faster dilution of the blood, faster flushing, and preventing the formation of blood clots. The light color of the fluid (light pink, bright) indicates a decrease in haemorrhage, slowing down the wash and avoiding over-washing。
In the first 24 hours after the operation, in order to prevent clot condensation, the velocity may be as fast as 80-100 drops/min. As the colour becomes lightened, the speed slows down until blood urine disappears. So, the slow pace is a reflection of the recovery of your body — the quickness, the need for a “greater horse” to flush out the clot; the slowness, the positive news is that the situation is improving。
Iii. How do you know the color of the fluid
This is the basic merit of every patient and family member. Light red urine is normal in the early post-operative period — after all, there is oscillation in the surgical surface, and the flow of fluids like “diluted blood”。
However, the nurse must be called immediately if:
Red: it's like fresh blood, which means there's activity bleeding in the bladder
The color suddenly deepens: it suddenly changes from light red to deep red, suggesting that hemorrhaging could increase
Large quantities of blood clots or clots: probably already formed
Many hospitals are now using beige cards — nurses match the colour of the fluid with colour cards, allowing for an objective determination of the extent of haemorrhage and a precise adjustment of the wash speed. This is not "by feeling" but by scientific standards。
Iv. How does the body react when travelling in a “crawlery”
In the course of washing, some people have bladder spasms — feeling cystal swelling, urethroa rushing to pee, anal swollen, and even episodic pain。
This is not a bad surgery, but a normal resistance by your bladder after being offended. In this case, deep breaths and abdominal muscles can alleviate pain; nurses may slow down washing speed and use medication on medical advice in serious cases。
Prevention of bladder convulsions, three key points: wash fluid temperatures should be kept at 35-37°c - too cold to stimulate bladders; speed should not be too fast - adjusted for colour accuracy; urine pipes should not be too tight - to avoid bad irritation。
In addition, the rinsing fluid is at an altitude of at least 60 cm from the bedside to generate sufficient pressure to allow the fluid to flow smoothly. This high-level nurse will fix you up. Don't move yourself。
V. The four pits that patients can most easily step on
Miss one: "i think it's okay. Can you slow it down?"
Absolutely not! Speed is determined by the color of the fluid, not by your feeling. You think it's okay. Maybe it's just because it's not blocked -- when it's blocked, it's bigger。
Erection two: "the more you flush, the better."
Over-washing undermines the normal stock balance within the bladder and increases the risk of infection. This must be done strictly on medical notice。
There's no point: "i can run at home."
Absolutely not. Screech cleaning requires strict sterile operations, which do not guarantee hygiene in the home environment and can lead to serious reverse infections。
Wrong area four: "the flow bag is higher and the flow is smoother?"
Wrong. Fluid bags must always be below bladder levels to prevent infection from the backstream of urine。
The bladder washes the roller coaster, and the speed is not random, and every drop is slow, and the nurse is fine-tuned according to the color of your fluid. Quick, to wash the clot off; slow, it means you're getting better. So, when you're lying on your bed watching the rinse drop down on the top of your head, you don't have to be nervous, you don't have to be blind. Trust your nurses, they're more nervous than you. Your pipes don't work。
The only thing you have to do is learn to read color, learn to relax, and scream in an abnormally timely manner. After all, the finish line of the roller coaster is rehabilitation。
Brief description:
The long sea hospital urology is the country's first specialist in urology, established in 1951. Over the past 10 years, the subject has developed across the board and has become a leading international, domestic, leading and integrated medical, teaching and research discipline. It is the main subject of study in the state and shanghai city, the national clinical focus, the military focus on construction, the ministry of education's innovation team “973”, the ministry of science and technology's technical platform for specialized clinical evaluation, “main new medicines”, the international society for micro-urinary science and the first ministry of health training bases for model endoscopy treatment techniques, the centre for clinical medicine of diseases of the urinary system of shanghai city, the centre for micro-creatility and precision of the tumours of the urinary system of shanghai city, the all-military prostate disease research institute, the all-army laboratory for research on diseases of the utreary system, and the all-military institute for technical research on probative probity of family planning. For nine consecutive years, chinese hospitals ranked second in their best specialization, and for the third consecutive year, they ranked first in their technical expertise. Since then, the main thrust of the campaign has been “urinary tumours, urinary quarries and micro-creative techniques”, which feature prominently in the fields of urology tumours (renal cancer, prostate cancer, bladder cancer) and quarries, prostate diseases, male, reproductive and female urology diseases, post-peritoneal tumours, micro-creative urology techniques。
I'm calling from the first u. S. A. Medical university
