How do you dress a nephrostomy tube?

How do you dress a nephrostomy tube?

Apply the skin barrier and bandages.

1. Cut an opening in the center of the skin barrier large enough to fit around the tube.
2. Roll up a bandage to make it thick, and wrap it around the place where the tube enters the skin.
3. An attachment device may be placed over the bandages to help keep the nephrostomy tube in place.

How often should nephrostomy tube dressings be changed?

It will also be important to change the dressing and clean around the tube every two to three days. You may shower with the drain, but you must change the dressing immediately after showering to keep the dressing clean and dry. Any time the dressing becomes wet or soiled, you will need to change it.

What is a nephrostomy dressing?

Dressings need to support the nephrostomy tube to prevent accidental tugging, and secure it to the patient’s skin. Several recommended drain-specific dressings are available, including Drain Guard, Drain-Fix and OPSITE Post-Op Visible.

How do you shower with a nephrostomy tube?

Do not swim or take baths while you have a nephrostomy tube. You can shower after wrapping the end of the nephrostomy tube with plastic wrap. Change the dressing around the nephrostomy tube about every 3 days or when it gets wet or dirty.

What comes out of a nephrostomy tube?

Urine is produced in the kidney and flows down a small tube called the ureter into the bladder. Sometimes the flow of urine is blocked due to stones, infection, congenital abnormalities or trauma.

How do you flush a percutaneous drain?

Flush the catheter as follows:

1. Turn the stopcock off to the drainage bag and on to the drainage catheter (note arrow).
2. Remove cap from stopcock.
3. Use an alcohol prep pad to cleanse the port.
4. Attach a 10 ml syringe of normal saline to the stopcock and flush the drainage tube.
5. Turn the stopcock off to the syringe port.

What holds a nephrostomy tube in place?

The nephrostomy tube may also have a locking system. This coils inside the kidney to keep the tube in place. The doctor connects the tube to a drainage bag outside the body, which collects the urine.

How long can you keep a nephrostomy tube in?

It may be needed for only two to three days, or it may need to stay in for a much longer period to allow a more permanent solution for the blockage to be organized. It creates a passage for the urine to bypass the bladder and pass outside the body into a bag (placed near to your body).

Can I sleep on my nephrostomy side?

Exercise and sleeping Gentle exercise is fine. More strenuous exercise may cause pain and should therefore be avoided. Lying on the side of the tube may be uncomfortable so try the other side. If you have tubes in both kidneys, find a position that suits you.

Can you still pee with nephrostomy tube?

Urine drains through the tube into a bag outside your body. The bag has a tap so you can empty it. You may still pass some urine in a normal way even when you have a nephrostomy.

Is a nephrostomy tube a stent?

A ureteral stent is a thin, flexible tube threaded into the ureter. When it is not possible to insert a ureteral stent, a nephrostomy is performed. During this procedure, a tube is placed through the skin on the patient’s back into the kidney.

How do you flush percutaneous Cholecystostomy tube?

Flushing Your Drain

1. Turn the three-way stopcock off to the drainage bag.
2. Clean the flushing port with alcohol and attach the flush syringe.
3. Gently inject the flush.
4. Turn the stopcock off to the flushing port and open to the bag.

How do you Flush A nephrostomy tube?

You will flush the drain with 5–10cc of sterile saline daily as instructed. Flushing the drain will help keep the tube functioning properly. Turn the three-way stopcock off to the drainage bag. Clean the flushing port with alcohol and attach the flush syringe. Gently inject the flush. Turn the stopcock off to the flushing port and open to the bag.

How do I care for a nephrostomy tube?

The nephrostomy tube comes out of your back, so you will need someone to help care for your nephrostomy tube. Antibiotics may be given to prevent or treat an infection caused by bacteria. You may need to take antibiotics for 5 to 10 days after the tube is placed. Take your medicine as directed.

How often should a nephrostomy tube be flushed?

The nephrostomy tube should drain urine continuously when it is connected to a drainage bag. The tube can become clogged and cause urine not to drain. If this happens, the tube will need to be flushed through with a sterile antibiotic solution, sterile water, or sterile saline.

How to remove nephrostomy tube?

Your doctor will explain how long you are likely to have a nephrostomy tube. It may be removed if treatment for the cancer clears the blockage. Sometimes, a small tube called a stent is put through the blockage in the ureter. If the stent clears the blockage, the nephrostomy tube can be removed.