春暉居家護理所

膀胱造口之護理

                 How to take care of cystostomy

※              每日要更換Y紗,以保持造口乾淨,減少感染。

   /Everyday to change Y-gauge, it’s can keep cystostomy clean and prevent infection.

※              更換敷料步驟 :

   Change dressing step:

1. 移除膀胱造口上之敷料。

/Take a dressing of cystostomy away.

2 、洗手

/wash hands

3 、以無菌棉棒沾取生理食鹽水清潔造口周圍皮膚。

   /Apply normal saline to clean cystostomy surrounding skin.

4 、以無菌棉棒沾取優碘溶液,由內往外以環狀消毒法消毒皮膚,約直徑5公分範圈。

/ Apply better-iodine cotton swab to clean peripheral skin of cystostomy, about diameter 5cm.

5 、以無菌Y紗與無菌紗布覆蓋膀胱造口,並以紙膠固定。

   Apply disinfect Y-gauge ＆ gauge cover cystostomy, and fixed with 3-M tape.

6. 、每天更換膠布固定的位置 , 以減少皮膚刺激.

   / Every day change tape fixed position , it’s can prevent stimulate skin.

7 、每天喝水 2000cc 以上,建議可給予蔓越莓

          /Every day drink water over 2000㏄ , suggest give

     him cranberry juice.

8、注意患者是否尿液引流順暢、尿液的清澈度、顏色，有異樣要通知居家護理師。

/ Notice the patient whether urine flow smooth, pure degree of urine, notify home care nurse if abnormal.

9 、尿袋位置要低於膀胱,避免逆流。

/Urine bag position wants to be low in the bladder, avoiding against the current.