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Nursingofureteralstenttube目錄IntroductionOverviewofterrestrialstemtubesNursingofureteralstemtubeComplicationsandmanagementTheEnglishexpressionofliteralstemcareSummaryandOutlookCONTENTS01IntroductionCHAPTERUrethralstentingisacommonprocedureinurology,commonlyperformedtorelieveurinaryobstruction,facilitateurinedrainage,andrelievepainUretalstenttubesarehollow,flexibletubesthatareinsertedintotheureatodrainurinefromthekidneystothebladdererUretalsteningisindicatedforvariousconditions,suchasurethralstones,urethralstrictures,andurethraltraumasBackgroundIntroductionThepurposeofstructuralstemnursingistoensurethatthestemfunctionsproperly,minimizediscomfortandcomplications,andpromoteearlyrecoveryPropnursingcareofureteralstemtubesisessentialformaintainingthehealthandwellbeingofpatientswhohaveundergroundureteralstemImprovenursingcarecanleadtoseveremalfunctioning,discomfort,infection,andothercomplications,whichmayrequireadditionalmedicalinterventionanddelayrecoveryPurposeandsignificance02OverviewofterrestrialstemtubesCHAPTERUretalstenttubesareusedtomaintainurineflowfromthekitniestothebladder,preventingurineretentionandpotentialinfectionDrainofurineUrethralstenttubescanalsorelieveflarepaintanddiscomfortcausedbystructuralobstructionRelievepaintBymaintainingurinaryflow,ureteralstemtubescanpreventfurtherdamagetothekidneysanduretersPreventfurtherdamageTheroleofureteralstemtubeTemporaryvs.permanentUretalstenttubescanbetemporaryorpermanentTemporarystemsarecommonlyremovedafteraperiodoftime,whilepermanentstemsareleftinplaceFlexiblevs.rigidUretalstenttubescanbeeitherflexibleorrigidFlexiblestemsarecommonlybettertolledbutmaybemorepronetomigration,whilerigidstemsprovidebettersupportbutmaycausemorediscomfortSizeandmaterialTheselectionofureteralstemtubesshouldbebasedonthesizeandmaterialofthestem,aswellastheconditionandneedsofthepatientTypesandselectionofureteralstemtubesIndicationsUretalstenttubesareindicatedforpatientswithureteralobstruction,ureteralstones,orotherconditionsthataffecturinaryflowContainmentsContainmentsforureteralstemtubesincludeactiveurinarytractinfection,multipleureteralstrictures,orahistoryofureteralcorruptionIndicationsandcontraindicationsofureteralstemtube03NursingofureteralstemtubeCHAPTERAssessmentofpatientcondition01Evaluatethepatient'soverallhealthstatus,includinganyexistingcomorbidities,andassesstheirabilitytotolltheprocedureInformedconsent02Ensurethatthepatientfullyunderstandstheprocedure,itsrisks,andtheexpectedoutcomesPreparationofthepatient03Providenecessarypreoperativetestsandprocedures,suchasbloodtests,urinecultures,andradiologicalimagingPreoperationalcareIntraoperativecareEnsurethatthepatientispositionedcorrectlyfortheprocedure,takingintoaccountanyspecificneedsorconstraintsProposepositioningContinuouslymonitorthepatient'svitalsigns,includingbloodpressure,heartrate,andoxygensaturationduringtheprocedureMonitoringAdministratorAnesthesiainasafeandeffectiveManner,ensuringthatthepatientremainscomfortableandstablethroughouttheprocedureAnesthesiamanagementPostoperativepaymanagementAssessandmanagethepatient'spaylevels,providingappropriateassessmentsorotherpayreliefmeasuresMonitoringforapplicationsWatchforanysignsofpotentialblending,infection,orotherpotentialapplicationsandinterveningpromptlyifnecessaryDietsandactivityrecommendationsProvideguidanceonappropriateDietsandactivitylevelsaftertheprocedure,takingintoaccountanyspecificdietaryrestrictionsoractivitylimitsPostoperativecare04ComplicationsandmanagementCHAPTERSummaryBleedingisacommoncomplicationafterplacingaureteralstent,usuallyoccurringwithin24hoursaftersurgery.DetaileddescriptionThecausesofbleedingmayincludesurgicaltrauma,coagulationdisorders,hypertension,etc.Patientsmayexperiencesymptomssuchashematuriaandlowerbackpain.Duringnursing,thepatient'sconditionshouldbecloselyobserved,andbleedingsymptomsshouldbepromptlydetectedandtreated,suchashemostasisandtransfusion.HemorhageSummaryInfectionisoneofthecommoncomplicationsafterplacingaureteralstent,whichcanoccurwithindaystoweeksaftersurgery.DetaileddescriptionInfectionmaybecausedbysurgicalprocedures,urinereflux,impropercathetercare,andotherreasons.Patientsmayexperiencesymptomssuchasfever,frequenturination,andurgency.Duringnursing,theurethralopeningshouldbekeptcleananddry,theurinarybagandcathetershouldbereplacedregularly,andantibioticsshouldbeusedaccordingtomedicaladvicetopreventinfection.InfectSupporttubeplacementordetachmentSummary:Displacementordetachmentofureteralstenttubeisoneofthecommoncomplicationsafterplacementofureteralstenttube,whichmayleadtotreatmentfailureorrequirereplacementofthetube.Detaileddescription:Thereasonsfordisplacementordetachmentmayincludeexcessiveactivity,urinereflux,bladdercontraction,andotherfactors.Patientsmayexperiencesymptomssuchaslowerbackpainandhematuria.Duringnursing,patientsshouldberestrictedintheiractivities,andthepositionandfixationofthecathetershouldberegularlychecked.Anydisplacementordetachmentshouldbepromptlyaddressed.OtherapplicationsSummary:Inadditiontothecommoncomplicationsmentionedabove,theplacementofureteralstenttubesmayalsocauseothercomplications,suchasurethralstrictureandrenalinsufficiency.Detaileddescription:Urethralstrictureisoneofthemoreseriouscomplicationsafterplacementofureteralstent,whichmayrequireurethraldilationorsurgicaltreatment.Renalinsufficiencymaybecausedbyurinerefluxorurinarytractobstruction,andrequiresclosemonitoringofrenalfunctionandtimelytreatment.Duringnursing,attentionshouldbepaidtothepatient'scondition,andcomplicationsandsymptomsshouldbepromptlydetectedandtreatedaccordingtomedicaladvice.05TheEnglishexpressionofliteralstemcareCHAPTERPreoperationalassessmentPerformathroughassessmentofthepatient'sconditiontoidentifyanypotentialrisksandensurethatthepatientissuitableforsurgeryPreparationofthepatientPreparethepatientforsurgerybyexplainingtheprocedure,providingcomfortmeasures,andensuringthatthepatientisinastablementalandphysicalstateTheEnglishexpressionofpreoperativecareProvidecaretothepatientduringsurgery,includingmonitoringvitalsigns,ensuringthatthepatientiscompatible,andassistingthesurgicalteamasneededIntraoperativecareCarefullyinsertandsecurethestenttubeduringsurgerytoensureitsproperplacementandfunctionManagementofstenttubeTheEnglishexpressionofintraoperativenumberingPostoperativecareProvidecaretothepatientaftersurgery,includingmonitoringforanyapplications,managingpainanddiscomfort,andpromotingrecoveryStenttubecareEnsurethatthestenttubeisproperlymaintainedandcaredfo
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