護理師照護一位經尿道前列腺切除術後，並進行持續膀胱沖洗（CBI）的病人，應採取哪些措施？（選所有適合的）
Which of the following actions should the nurse include when caring for a client with a continuous bladder irrigation (CBI) following a TURP? (Select all that apply.)
- ATitrate the flow rate to keep the urine light pink✓ 正解調整流速以保持尿液呈淡粉紅色
- BMonitor for bladder spasms and pain✓ 正解監測膀胱痙攣和疼痛
- CMaintain strict intake and output records✓ 正解維持嚴格的出入量紀錄
- DEmpty the drainage bag only once per shift每班僅排空引流袋一次
- EIncrease irrigation if the output is bright red with clots✓ 正解若排出物為鮮紅色並伴有血塊，則增加沖洗量
CBI 的目的是防止血塊阻塞尿管。沖洗速度需隨尿液顏色調整，原則上維持淡粉紅色。若出現鮮紅色血尿或血塊，需增加沖洗速度。膀胱痙攣是常見併發症，需密切評估。尿量記錄需扣除沖洗液總量。D 選項錯誤，應隨時排空以防尿液逆流。
The purpose of continuous bladder irrigation (CBI) is to prevent clots from obstructing the urinary catheter. The irrigation rate must be titrated according to urine color, generally maintained at a light pink appearance. If bright red hematuria or clots appear, the irrigation rate should be increased. Bladder spasms are a common complication and require close assessment. Intake and output records must subtract the total volume of irrigation fluid. Option D is incorrect because the drainage bag should be emptied promptly and frequently to prevent reflux of urine.
美台在 TURP 後護理技術雷同，但在評估膀胱痙攣時，台灣病患較常要求使用止痛針劑。