一位病人接受經尿道前列腺切除術(TURP)後進行連續膀胱沖洗(CBI)。護理師發現尿管引流出鮮紅色尿液且帶有血塊。護理師應採取哪項優先措施?
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notes the catheter is draining bright red urine with clots. Which action is the priority?
- ANotify the surgeon immediately立即通知外科醫師
- BIncrease the flow rate of the irrigation solution✓ 正解增加沖洗溶液的流速
- CAdminister an analgesic for bladder spasms給予止痛藥以緩解膀胱痙攣
- DDiscontinue the irrigation solution停止沖洗溶液
經尿道前列腺切除術(TURP)術後進行連續膀胱沖洗(CBI)是為了防止血塊阻塞尿管。當引流液變為鮮紅色且帶有血塊時,代表可能發生術後出血。優先措施是增加沖洗速度(Irrigation rate),以物理沖刷方式將血塊沖出,維持引流管通暢,避免血塊造成膀胱膨脹(Bladder distention)與嚴重的膀胱痙攣。
Continuous bladder irrigation (CBI) after transurethral resection of the prostate (TURP) is used to prevent clots from obstructing the catheter. When the drainage becomes bright red with clots, postoperative bleeding may be occurring. The priority intervention is to increase the irrigation rate so that the clots are mechanically flushed out of the catheter, maintaining patency and preventing bladder distention and severe bladder spasms.