비뇨기계 기구, 검사, 약물, 간호

소개글

비뇨기계 기구, 검사, 약물, 간호

목차

Ⅰ. 기구 및 물품 ··············································· 3
1. 도뇨관(단순, 유치도뇨관) ················································· 3
2. 혈액투석기 ··································································· 6

Ⅱ. 진단검사 ····················································· 9
1. RGP(역행성 신우조영술) ·················································· 9
2. Renal angiography ························································· 9
3. Cyctoscopy ································································ 10

Ⅲ. 약물요법 ···················································· 11
1. 이뇨제 ······································································· 11
2. 항빈혈제 ···································································· 11
3. 혈압하강제 ·································································· 12
4. 항응고제 ···································································· 12

Ⅳ. 간 호 ···················································· 13
1. CIC(Clean intermittent catheterization) ······························· 13
2. 복막투석 ···································································· 13
3. 신장 이식 전·후 간호 ····················································· 14

* 참 고 문 헌 ··································································· 16

본문내용

Ⅰ. 기구 및 물품
1. 도뇨관(단순, 유치도뇨관)
(1) 단순 도뇨관
1) 목적
① 방광의 내용물을 비우기 위함
‧ 요정체, 하복부 종양, 실금 등으로 자연 배뇨가 불가능한 경우
‧ 외음부 창상으로 자연 배뇨 시 소변으로 오염될 우려가 있는 경우
‧ 내진 혹은 하복부 수술 전 준비
‧ 방광 세척 또는 약물을 주입하기 전 준비
② 무균적으로 소변을 받아 검사하기 위함
③ 배뇨 후 방광에 남아있는 잔뇨의 양을 측정하기 위함
2) 준비물품 : 멸균도뇨세트(소공방포, 소독솜 또는 거즈, 섭자, 멸균장갑, 소 독액, 수용성윤활제, 단순도뇨관 #14~16, 곡반), 검사물 용기
3) 방법
① 물품을 준비하고 손을 씻은 뒤 대상자에게 목적과 절차를 설명한다.
→ 미생물 전파를 막고 대상자의 불안과 두려움을 감소시키며 협조를 얻을 수 있다.
② 가리개 또는 커튼으로 대상자를 가리거나 문을 닫는다.
→ 회음부 노출은 대상자를 당황하게 할 수 있으므로 프라이버시를 존중한다.
③ 무릎을 구부리고 다리를 60cm정도 벌린 배횡와위를 취한다. 목욕담요로 회음부만 노출시키고 다른 부분은 가려준다.
→ 요도구가 잘 보이도록 한다.
④ 대상자의 벌린 다리 사이에 도뇨세트를 놓고 멸균술을 사용하여 멸균도뇨 세트를 연다.
→ 세트를 가까이 두면 사용하기 편리하고 멸균술은 미생물 전파를 막을 수 있다.
⑤ 멸균장갑을 끼고 도뇨관 끝에서 약 5cm 윤활제를 충분히 바른다. 이때 윤활제로 도뇨관의 구멍이 막히지 않도록 유의한다.
→ 윤활제는 도뇨관 삽입시 마찰을 줄이고 점막의 손상을 막는다.

참고 자료

성인간호학 Ⅱ/ 전시자 외/ 현문사/ 2005.
성인간호학 Ⅱ/ 김분한 외/ 정담미디어/ 2004.
최신 임상간호 매뉴얼/ 현문사/ 2004.
http://cafe.daum.net/35w (안산중앙병원35병동)
http://www.druginfo.co.kr