Ms Warral stabilises following intervention of the Medical Emergency Team. Her surgeon orders her 1gm cephalexin IV QID.
Review Ms Warrals’ history & discuss your actions in response to this drug order.
The medical staff order the removal of the Bellovac drain & her IDC. What infection control precautions are required for these procedures?
Ms Warral fails her Trial of Void a requires re-catheterisation with an indwelling catheter.
Discuss how you will perform a female urinary catheterisation on Ms Warral, including any infection control precautions you would take. (procedure may be written in list form.
After 5 days in hospital Ms Warral is discharged home into community care with an indwelling urinary catheter.
Discuss two (2) resources that Ms Warral may be able to access to assist in the supply of urinary equipment.
Describe the results you would expect for a successful Trial of Void (ToV) and for an unsuccessful ToV. Please include a brief explanantion of management options for a patient who has an unsuccessful ToV.
Refer to the ACI TOV Clinical Guideline (Community): https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0006/191067/ACI_TOV_Comunity_Jan13.pdf
Ms Warral may require a bladder washout at some stage in the near future if she is to go home with a urinary catheter.
Under what conditions would a bladder washout be required
Identify 2 nursing interventions you may do in regards to a bladder washout .
Prior to Ms Warrals discharge you refer to her nursing history of osteoarthritis (OA) in her knee, What questions might you ask her to help determine the severity of her OA and how may OA impact her activities of daily living?
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