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Changing Out a Supra Pubic Catheter



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Aug 09, 2009 06:49 AM

Changing Out a Supra Pubic Catheter

by diane227 Platinum Member

I had a little learning experience the other day that I though I would share with you guys in case you run into this problem. I had to change out the supra pubic catheter on a guy but we could not get the catheter to track into the bladder. The catheter would track out from the stoma and out through his penis. So I placed a foley into his penis and inflated the balloon. Once I did that I instilled about 200 ml of saline into his bladder until the saline begin to come out of the stoma. I then inserted the new supra pubic catheter into the stoma, inflated the balloon and hooked it to the bag. I then pulled the foley out of the penis. The urologist told me afterward that since his bladder was empty, that may have caused it to track out the penis. Anyway, thought it might be a useful tool for someone in the future.


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2 Comments
No. 1
from AimeeJo RN
Old Aug 14, 2009, 12:33 PM

Default Re: Changing Out a Supra Pubic Catheter
Thanks for the info. I have a suggestion as well. At my last job we had a patient who ended up with peritonitis and sepsis, when his suprapubic catheter was changed 4 times in less than 2 days, the nurses were having trouble with the catheter and each shift decided to replace the catheter. Finally after the fourth change when the nurse noticed the catheter flushes weren't coming out into the drainage bag the MD was notified. Somewhere along the way the catheter was in the wrong place.
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No. 2
from caliotter3
Old Aug 14, 2009, 12:36 PM

Default Re: Changing Out a Supra Pubic Catheter
Thank you for the useful hint. Nice to have these suggestions available for those situations where you run into a problem.
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