Nursing of drainage tube after bladder cancer surgery

My grandfather is 72 years old this year. He is a bladder cancer patient. He underwent cystectomy and ileal cystectomy a few days ago. Three days after the operation, the average daily drainage fluid was only 50ml, and the color was light red. On the 6th day, he got out of bed and walked around. The drainage fluid increased to 380ml on the same day, and the color was light yellow. Is this normal? When can the tube be removed after ileal cystectomy? Tell me some nursing methods!

Bladder cancer patients often have drainage tubes left in place after surgery, including pelvic drainage tubes, three-chamber balloon catheters, bladder irrigation drainage tubes, urinary catheters, gastrointestinal decompression tubes, etc., and proper care should be provided.

1. Various drainage tubes should be labeled to record the color, nature, and quantity of the drainage fluid, and keep records to ensure smooth drainage.

2. Ileal bladder or controllable bladder is caused by excessive mucus secretion and mucosal shedding of the ileal mucosa, which can easily block the drainage tube and cause urine leakage. Pay attention to squeezing out the mucus in time, which can be done every 30 minutes.

3. Those with amniotic fluid can flush it with saline once every 4 hours.

4. 10 to 12 days after ileal cystoscopic surgery, the ureteral drainage tube and ileal bladder drainage tube should be removed and replaced with a skin ostomy bag.

5. For controlled bladder surgery, the ureteropelvic drainage tube should be removed 8 to 10 days after surgery, the allantois drainage tube should be removed 12 to 14 days after surgery, and the output tract drainage tube should be removed 2 to 3 weeks after surgery, and the patient should be trained to urinate independently.

6. The drainage tube can be removed only when the urine is light yellow and there are no symptoms such as abdominal distension or discomfort.