一位經尿道前列腺切除術(TURP)術後進行連續膀胱沖洗(CBI)的病人,哪項發現需回報醫師?
A nurse is caring for a client with a continuous bladder irrigation (CBI) post-TURP. Which finding should the nurse report to the surgeon?
- ABright red, viscous output with multiple clots✓ 正解鮮紅色、黏稠且帶有大量血塊的排出物
- BLight pink drainage in the catheter bag導尿袋中有淡粉紅色的引流液
- CThe outflow is equal to the amount of irrigation inflow流出量等於沖洗液的流入量
- DBladder spasms and urge to void膀胱痙攣與排尿急迫感
TURP術後進行CBI的目的是防止血塊阻塞導致膀胱填塞(bladder tamponade)。術後初期引流液應為淡粉紅色。鮮紅色且含有多個黏稠血塊的引流液,通常暗示動脈性出血,若未即時處理,血塊會阻塞尿管導致膀胱過度膨脹,引發劇烈疼痛並增加破裂風險。護理師應評估生命徵象並立即通知醫師,可能需要調整沖洗速度或進行手動沖洗以排除血塊。
The purpose of CBI after TURP is to prevent clot obstruction leading to bladder tamponade. In the early postoperative period, drainage should be light pink. Bright red, viscous drainage with multiple clots generally suggests arterial bleeding; if not addressed promptly, clots may obstruct the catheter, causing bladder over-distension, severe pain, and increased risk of rupture. The nurse should assess vital signs and immediately notify the physician; the irrigation rate may need adjustment or manual irrigation may be required to remove clots.