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Care of Patient With Supra Pubic Catheter

A suprapubic catheter is inserted through the abdomen into the bladder to drain urine when urethral diversion is needed due to conditions like urethral stricture or trauma, or after gynecologic or urethral surgery. It has advantages over urethral catheters in preventing urethral complications and increasing comfort by separating urinary and genital functions. Nurses must properly care for and monitor suprapubic catheters by inspecting the site, ensuring proper drainage, and watching for signs of infection or other complications.

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Anusha Verghese
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0% found this document useful (0 votes)
849 views8 pages

Care of Patient With Supra Pubic Catheter

A suprapubic catheter is inserted through the abdomen into the bladder to drain urine when urethral diversion is needed due to conditions like urethral stricture or trauma, or after gynecologic or urethral surgery. It has advantages over urethral catheters in preventing urethral complications and increasing comfort by separating urinary and genital functions. Nurses must properly care for and monitor suprapubic catheters by inspecting the site, ensuring proper drainage, and watching for signs of infection or other complications.

Uploaded by

Anusha Verghese
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Title Slide: Introduces the topic of caring for patients with suprapubic catheters.
  • Indications for Suprapubic Catheterization: Explains reasons and situations where suprapubic catheterization is indicated.
  • Suprapubic vs Urethral Catheterization: Compares the benefits of suprapubic vs. urethral catheterization.
  • Care Procedures: Details the steps necessary to care for a patient with a suprapubic catheter.
  • Ongoing Care and Monitoring: Covers continuous care practices for monitoring the catheter and patient.
  • Anatomy & Placement: Illustrates and explains the anatomy involved in suprapubic catheter placement.
  • Potential Complications: Lists potential complications associated with suprapubic catheters.
  • Infection at Catheter Site: Provides visual information and focus on infections that could occur at the catheter insertion site.

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

CARE OF PATIENT WITH 
SUPRA      PUBIC CATHETER
Why suprapubic catheterization ?
                         (indications)
• May be used temporarily or long-
term to dra
SUPRAPUBIC Vs 
URETHRAL
• Preventing urethral complications
• Increased comfort
• Separating urinary and genital 
functio
WHAT TO DO
• Provide privacy and explain the procedure to patient
• Perform hand hygiene and put on steril
Continuous……. 
• Keep the drainage collection container below the level 
of the patient’s bladder.
• Assess the urine’s chara
What’s happening in there?
A SPC is a urinary drainage catheter inserted into the bladder 
via an incision through the anteri
COMPLICATIONS
• Bowel injury.
• Bleeding.
• displacement.
• Infection.
 INFECTION – catheter insertion site

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