Nursing of urinary tract infection after bladder cancer surgery

Patients who have undergone bladder cancer surgery often have multiple tubes left in place, such as ureteral stents, bladder or bladder fistula tubes, and urinary catheters, which are prone to blockage and infection. Patients often experience dry mouth, fever, chills, and urine leakage from the fistula. White blood cells or pus balls can be seen in urine tests. For infected patients, the following care should be provided:

1. Keep each drainage tube well fixed and unobstructed, and the bedside drainage bag or bottle should be lower than the level of the catheter outlet.

2. Ensure that the drainage tube is of sufficient length to assist the patient in turning over and prevent the drainage tube from slipping.

3. When signs of infection appear, add gentamicin or furazolidone to the bladder wash fluid as a preventive measure.

4. The drainage bag or bottle, connecting tube, and flushing supplies should be replaced every day, and aseptic techniques must be strictly followed during operation.

5. Ensure that the ureteral stent and cystostomy tube are draining smoothly. Squeeze the drainage tube once every 2 hours. If there is blood clot or mucus blockage, flush it immediately with normal saline at low pressure.

6. Keep wound dressings clean and dry.

7. Clean the skin around the stoma with chlorhexidine every day. If eczema is found, apply zinc oxide ointment for protection.

8. Encourage patients to eat more high-protein, high-vitamin foods, and give intravenous albumin or whole blood supplements when necessary to enhance the body's resistance and promote wound healing.

9. Monitor body temperature every day. When the temperature exceeds 38.5℃, give physical cooling and advise the patient to drink plenty of water and pay attention to fluid replenishment to avoid water and electrolyte disorders.

10. Use antibacterial drugs as prescribed by your doctor and observe their efficacy.