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Clau
Mei
Jin
DOMESTIC
CARE OF
PERMANENT
CYSTOSTOMY
PATIENTS
Cystostomy
is
the
diversion
of
urine from
the
bladder to the
outside
at
the
lower
tummy
-
re-
quired for intractable urinary out-
flow
obstruction, e.9., stubborn
prostate enlargement, urine pas-
sage
stricture, etc.
Change
beddings
and
clothings
frequently. Ensure patency
of
the
drainage tube; bags
placed
at
a
lower
levelthan the
bladder pre-
vents backflow;
change
urine
bags
at
least weekly; the
cys-
tostomy tube, at least every
6-8
weeks. Drink at least
1.5
liter of
water; ensure
at least
1.5
liter of
urine. "Clip & release"
urine ev-
ery
3-4
hours.
Check
body
temperature, blood
pressure,
pulse and respiration
rates
regularly.
Have
an
emergency
call bell or phone. For
high
fever,
wound infection, pus in urine
or
low urine output, return
to
the
hospital. The author
recom-
mends daily
wiping
using cotton
wool with iodine;
for
more
discharge, cotton wool
balls
soaked
in 1:5,000 nitrofuran. Dur-
ing
the
1st month of
cystostomy
and
if
required, change
cys-
tostomy dressing daily. Zinc
ox-
ide
ointment
prevents
skin
irrita-
tion
around
the cystostomy.
Pa-
tients
with
permanent cystosto-
mies may become depressed or
irritable;
much empathy
is
needed!
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