Nephrostomy

Nephrostomy Teaching 2382

Patient was explained that having a nephrostomy tube in for a long time increases the risk of getting an infection. Nephrostomy tube care focuses on preventing infection. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.. understanding was verbalized

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Nephrostomy tube Instructed patient observe for 
continuous urine flow and signs of infection.

Nephrostomy Teaching 2288

Nephrostomy tube Instructed patient observe for
 leakage at connection joints and seek advice if leakage evident.

Nephrostomy Teaching 2287

Nephrostomy tube Instructed patient do not flush
 greater than 10 mls of sterile normal saline.

Nephrostomy Teaching 2286

Nephrostomy tube Instructed patient drink at least 
1500mls - 2000mls (6 to 8 glasses of 250mls size) fluid everyday or as advised by the doctor.

Nephrostomy Teaching 2283

Instructed patient ensure that tube is kept straight and not bent to allow proper flow of urine. Also patient waterproof the dressing before shower and to change the urine drainage bag every 7 days.

Nephrostomy Teaching 2282

Instructed patient always wash your hands before and after changing the bag from the nephrostomy tube. If another person is assisting with changing your bag they must wear disposable gloves and protective eyewear. Ensure that tube is kept straight and not bent to allow proper flow of urine

Nephrostomy Teaching 1786

Instructed patient you may need to detach the drainage bag from the nephrostomy tube to clean it. If so, attach a new drainage bag tightly to the nephrostomy tube. Instructed patient change bandages, skin barriers, and attachment devices as directed. This helps to prevent infection. Throw away or clean your drainage bag as directed by your caregiver.

Nephrostomy Teaching 1788

Instructed patient drink 2 to 3 liters of liquid each day unless you were told to limit liquids because of another condition. Instructed patient when should I seek immediate care or call 911? The nephrostomy tube comes out completely. There is blood, pus, or a bad smell coming from the place where the tube enters your skin. Urine is leaking around the tube 10 days after the tube was placed.

Nephrostomy Teaching 1789

Instructed patient when should you contact your caregiver?, The skin around the nephrostomy tube is red, swollen, itches, or has a rash, you have a fever, you have lower back or hip pain, There are changes in how your urine looks or smells, a large amount of urine is draining into the drainage bag over a short period of time.