{"id":139,"date":"2007-11-13T23:14:08","date_gmt":"2007-11-13T22:14:08","guid":{"rendered":"http:\/\/www.zdravstvena.info\/vsznj\/urinski-in-crevesni-trakt\/"},"modified":"2010-06-16T07:23:04","modified_gmt":"2010-06-16T06:23:04","slug":"urinski-in-crevesni-trakt","status":"publish","type":"post","link":"https:\/\/www.zdravstvena.info\/vsznj\/urinski-in-crevesni-trakt\/","title":{"rendered":"Urinski in \u010drevesni trakt"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/urin.thumbnail.jpg\" alt=\"urin.jpg\" align=\"left\" height=\"200\" width=\"149\" \/><strong>FAKTORJI, KI VPLIVAJO NA IZLO\u010cANJE:<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 izlo\u010danje je intimno dogajanje<br \/>\n&#8211;\u00a0\u00a0\u00a0 biofiziolo\u0161ki faktorji (premalo teko\u010dine, premalo urina, koncentriran temen urin)<br \/>\n&#8211;\u00a0\u00a0\u00a0 psihi\u010dni faktorji (strah, stres)<br \/>\n&#8211;\u00a0\u00a0\u00a0 socialno-kulturni faktorji (vzgoja &#8211;\u00a0 skrivanje izlo\u010dkov )<br \/>\n&#8211;\u00a0\u00a0\u00a0 faktorji okolja<\/p>\n<p><strong>OPAZOVANJE URINA<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 MIKCIJA je hoteno izlo\u010danje se\u010da brez bole\u010din v normalnem curku<br \/>\n&#8211;\u00a0\u00a0\u00a0 koli\u010dina \u2013 1000 \u2013 2000 ml, 4-6 izlo\u010danj na dan( odvisna od sprejete teko\u010dine, oddane teko\u010dine skozi ko\u017eo, plu\u010da, \u010drevesje, RR, delovaje ledvic srca in o\u017eilja)<br \/>\n&#8211;\u00a0\u00a0\u00a0 specifi\u010dna te\u017ea \u2013 1001 \u2013 1030 (odvisna od popite teko\u010dine koncentracijo)<br \/>\n&#8211;\u00a0\u00a0\u00a0 primesi \u2013 gnoj, kri, cilindri, epitelne celice<br \/>\n&#8211;\u00a0\u00a0\u00a0 videz, barva \u2013 bister, bledo rumene barve<br \/>\n&#8211;\u00a0\u00a0\u00a0 pH reakcija \u2013 rahlo kisel, pH6, pri vegeterjancih bazi\u010den<br \/>\n&#8211;\u00a0\u00a0\u00a0 vonj<!--more--><br \/>\n<strong><br \/>\nMOTNJE IZLO\u010cANJA (so razli\u010dne, velikokrat tudi psihi\u010dnega vzroka)<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>disurija<\/strong> \u2013 bole\u010de ote\u017eeno po kapljicah (obolenja mehurja ali po op. zaradi kr\u010da sfinktra uretre)<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>polaksiurija<\/strong> \u2013 pogosto, bole\u010de, v manj\u0161i koli\u010dini, 24 h koli\u010dina je lahko normalna (vnetja mehurja, bolez. prostate (tumor),prvi meseci nose\u010dnosti\u00a0 ali \u010de nas zebe)<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>nikturia<\/strong> \u2013 ve\u010dje koli\u010dine urina pono\u010di (sladkorna\/diabetes, sr\u010dno popu\u0161\u010danje, vnetje ledvic)<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>enuresis nokturna<\/strong> \u2013 no\u010dno mo\u010denje postelje \u2013psihi\u010dni vzroki<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>poliurija<\/strong> \u2013 zve\u010dana koli\u010dina urina<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>oligurija<\/strong> \u2013 zmanj\u0161ana koli\u010dina urina<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>anurija<\/strong> \u2013 ni produkcije urina (motnje v delovanju ledvic; to vodi\u00a0 v uremijo \u2013 zastrupitev s produkti presnove)<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>retencija &#8211; retenca urina<\/strong> \u2013 zastoj urina v mehurju<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>rezidualni urin ( se\u010d )<\/strong> \u2013 ostanek urina v mehurju po spontanem izlo\u010danju (do 20 ml normalno)<br \/>\n&#8211;\u00a0\u00a0\u00a0 <strong>inkontinenca<\/strong> \u2013 nehotno uhajanje urina<\/p>\n<p><strong>NA\u010cRT ZDRAVSTVENE NEGE<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 samostojno in redno umivanje<br \/>\n&#8211;\u00a0\u00a0\u00a0 dobro psihofizi\u010dno po\u010dutje<br \/>\n&#8211;\u00a0\u00a0\u00a0 prepre\u010diti vnetje<\/p>\n<p><strong>UGOTAVLJANJE POTREB<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 navade v zvezi z izlo\u010danjem urina<br \/>\n&#8211;\u00a0\u00a0\u00a0 problemi pri izlo\u010danju (bole\u010dina&#8230;)<br \/>\n&#8211;\u00a0\u00a0\u00a0 znanje in odnos pacienta do higienskih navad<br \/>\n&#8211;\u00a0\u00a0\u00a0 zmo\u017enost samooskrbe<br \/>\n&#8211;\u00a0\u00a0\u00a0 samostojnost pri uporabi pripomo\u010dkov za uriniranje<\/p>\n<p><strong>INTERVENCIJE ZDRAVSTVENE NEGE<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 pomo\u010d pri izlo\u010danju<br \/>\n&#8211;\u00a0\u00a0\u00a0 zdravstvena nega pacienta z urinsko inkontinenco<br \/>\n&#8211;\u00a0\u00a0\u00a0 zdravstvena nega pacienta s stalnim urinskim katetrom<br \/>\n&#8211;\u00a0\u00a0\u00a0 zdravstvena nega urinske stome<br \/>\n&#8211;\u00a0\u00a0\u00a0 odvzem urina za preiskave<\/p>\n<p><strong>POMO\u010c PACIENTU PRI IZLO\u010cANJU<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 spremstvo pacienta do strani\u0161\u010da in nazaj<br \/>\n&#8211;\u00a0\u00a0\u00a0 pomo\u010d pri uporabi sobnega strani\u0161\u010da<br \/>\n&#8211;\u00a0\u00a0\u00a0 pomo\u010d pri uporabi posteljne posode in urinske steklenice<\/p>\n<p><strong>ZDRAVSTVENA NEGA INKONTIENTNEGA PACIENTA<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 vlo\u017eki<br \/>\n&#8211;\u00a0\u00a0\u00a0 pleni\u010dne podloge<br \/>\n&#8211;\u00a0\u00a0\u00a0 mre\u017easte hla\u010dke<br \/>\n&#8211;\u00a0\u00a0\u00a0 pleni\u010dke<br \/>\n&#8211;\u00a0\u00a0\u00a0 urinski kondom pri mo\u0161kem<br \/>\n&#8211;\u00a0\u00a0\u00a0 sistem za odvajanje urina pri \u017eenski<br \/>\n&#8211;\u00a0\u00a0\u00a0 vaje za krepitev mi\u0161ic medeni\u010dnega dna (Keglove vaje)<br \/>\n&#8211;\u00a0\u00a0\u00a0 socializacija pacientov<\/p>\n<p><strong>ZDRAVSTVENA NEGA PACIENTA S STALNIM URINSKIM KATETROM<\/strong><br \/>\nKateter mora biti tak, da ga pacient dobro prena\u0161a \u2013 mehek, obdr\u017ei obliko, kemi\u010dno ne reagira in ne dela razjed.<br \/>\n&#8211;\u00a0\u00a0\u00a0 velikost<br \/>\no\u00a0\u00a0\u00a0 mo\u0161ki 12 \u2013 14 Ch<br \/>\no\u00a0\u00a0\u00a0 \u017eenski 16 \u2013 18 Ch<br \/>\n<strong>&#8211;\u00a0\u00a0\u00a0 vrste urinskih katetrov :<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/foleycatether.jpg\" alt=\"foleycatether.jpg\" class=\"imageframe imgalignleft\" height=\"360\" width=\"360\" \/><br \/>\no\u00a0\u00a0\u00a0 Folley \u2013 iz silikona ali lateksa, raven, ima balon\u010dek za fiksacijo(balon\u010dek napolnimo samo z destilirano vodo, FR povzro\u010da kristalizacijo v kanalu balon\u010dka<br \/>\no\u00a0\u00a0\u00a0 Tieman \u2013 za izpiranje mehurja, debel, ima tri cevke<br \/>\no\u00a0\u00a0\u00a0 Nelatonov \u2013 pvc, za enkratno kateterizacijo<br \/>\n<strong>&#8211;\u00a0\u00a0\u00a0 urinske vre\u010dke:<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/urinska-vrecka.jpg\" alt=\"urinska-vrecka.jpg\" class=\"imageframe imgalignleft\" height=\"360\" width=\"360\" \/><br \/>\no\u00a0\u00a0\u00a0 Sterilnost<br \/>\no\u00a0\u00a0\u00a0 Izpust za urin<br \/>\no\u00a0\u00a0\u00a0 Nepovratna valvula<br \/>\no\u00a0\u00a0\u00a0 Mesto za odvzem urina<br \/>\no\u00a0\u00a0\u00a0 Cevka za priklop na UK, sti\u0161\u010dek, obe\u0161alo, sterilen za\u0161\u010ditni pokrov\u010dek, graduirana, suha komora, zaobljeni robovi<\/p>\n<p><strong>No\u017ene \u2013 za fiksacijo na nogo<\/strong><br \/>\nZa merjenje urne diureze \u2013 30-40 ml\/h normalno delovanje ledvic<br \/>\n<strong><br \/>\nPRIPRAVA BOLNIKA NA KATETERIZACIJO<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 psihi\u010dna priprava<br \/>\n&#8211;\u00a0\u00a0\u00a0 namestitev v ugoden polo\u017eaj<br \/>\n&#8211;\u00a0\u00a0\u00a0 anogenitalna nega ob kateri smo pozorni na morebitne spremembe (anatomske ali pa bolezenske) anogenitalnega predela, ( \u010de bolnik zmore se umije sam)<\/p>\n<p><strong>Priprava materiala za kateterizacijo<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 pribor za anogenitelno nego<br \/>\n&#8211;\u00a0\u00a0\u00a0 podloga za pacienta, morabiti vpojna<br \/>\n&#8211;\u00a0\u00a0\u00a0 set za uvajanje urinkega katetra (2 sterilni kompresi ena je preklana, ve\u010d tamponov, ledvi\u010dka za 1x uporabo, pean)<br \/>\n&#8211;\u00a0\u00a0\u00a0 sterilne rokavice<br \/>\n&#8211;\u00a0\u00a0\u00a0 razku\u017eilo za sluznice<br \/>\n&#8211;\u00a0\u00a0\u00a0 anesteti\u010dni gel<br \/>\n&#8211;\u00a0\u00a0\u00a0 razku\u017eilo za roke<br \/>\n&#8211;\u00a0\u00a0\u00a0 brizgalko, sterilno aquo za ponjenje balon\u010dka katetra<br \/>\n&#8211;\u00a0\u00a0\u00a0 sterilne urinske katetre razli\u010dnih velikosti<\/p>\n<p><strong>Kateterizacija pri \u017eenski:<\/strong><\/p>\n<p>[youtube]http:\/\/www.youtube.com\/watch?v=O8mRCGN_hE8[\/youtube]<br \/>\nNajprej pripravimo ves material, nato pacienta pripravimo za poseg, po posegu ga uredimo.<\/p>\n<p>NE\u00a0 POZABIMO NA RAZKU\u017dEVANJE ROK!!<br \/>\n<!-- wp_ad_camp_1 --><br \/>\n<strong>SAMOKATETRIZACIJA<\/strong> \u2013 pri pacientih s po\u0161kodovanim \u017eiv\u010devjem (paraplegiki, tetraplegiki) ali po po\u0161kodbi pri operacijah.<\/p>\n<p><strong>ELEKTROLITSKO IN TEKO\u010cINSKO RAVNOVESJE<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 dehidracija \u2013 premajhen vnos teko\u010dine (zaradi drisk, bruhanja, povi\u0161ane telesne temperature in opeklin, krvavitve \u2013 intestinalni trakt, zloraba diuretikov, mo\u017eganski edem, \u017eelod\u010dna sunkcija pri pankreatitisu)<br \/>\no\u00a0\u00a0\u00a0 znaki \u2013 upadle, vdrte o\u010di, suha ko\u017ea, turgor ko\u017ee, suhe ustnice, oblo\u017een jezik, koncentriran temen smrde\u010d urin, koli\u010dinsko ga je malo, pulz je nitkast, slab, tipen samo na vratu<br \/>\n&#8211;\u00a0\u00a0\u00a0 obremenitev s teko\u010dino \u2013 preve\u010d teko\u010dine zaradi paranteralne prehrane \u2013 plju\u010dni edem, te\u017eko dihanje, sr\u010dno popu\u0161\u010danje, ledvi\u010dna insuficienca<br \/>\no\u00a0\u00a0\u00a0 znaki \u2013 edemi okon\u010din, pulz \u2013 hiter mo\u010den, te\u017eko dihanje, poliurija<br \/>\nMERIMO VITALNE FUNKCIJE, TEKO\u010cINSKO BILANCO!<\/p>\n<p><strong>\u010cREVESNI TRAKT<\/strong><br \/>\n<strong>Defekacija <\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 \u00a0je izlo\u010danje blata, 1x \u2013 2x \/ dan, (tudi bolj teko\u010de ali pa\u00a0 na tri dni ali pa 3x\/d je \u0161e normalno &#8211; individualno)<br \/>\n&#8211;\u00a0\u00a0\u00a0 dnevna koli\u010dina \u2013 odvisna od koli\u010dine in kakovosti zau\u017eite hrane \u2013pribl. 250 g\/d<br \/>\n&#8211;\u00a0\u00a0\u00a0 barva je temno rjava(bilirubin)<br \/>\n&#8211;\u00a0\u00a0\u00a0 konsistenca \u2013mehko, vendar naj na prostem obdr\u017ei cilindri\u010dno obliko<br \/>\n<strong>Odstopanja od normale<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 majhne koli\u010dine ki vsebujejo sluz in neprebavljeno hrano (blato je \u010drno rjavo zelene barve \u2013 dojen\u010dki)<br \/>\n&#8211;\u00a0\u00a0\u00a0 zelo velike koli\u010dine blata \u2013 malabsorbcija ( celakija)\u00a0 ali bolezni pankreasa motnja v presnovi ma\u0161\u010dob<br \/>\n&#8211;\u00a0\u00a0\u00a0 suho trdo bobkasto blato (zaprtje \u2013 obstipacija)<br \/>\n&#8211;\u00a0\u00a0\u00a0 tanko kot svin\u010dnik (spazem ali zo\u017eitev )<br \/>\n&#8211;\u00a0\u00a0\u00a0 ka\u0161asto, teko\u010de (driske)<br \/>\n&#8211;\u00a0\u00a0\u00a0 mastno blato je glinasto,mazavo, svetle\u010de in mo\u010dno zaudarja<br \/>\n&#8211;\u00a0\u00a0\u00a0 aholi\u010dno blato brez \u017eol\u010dnih barvil (zapora odtoka \u017eol\u010da ali vnetja jeter )<br \/>\n&#8211;\u00a0\u00a0\u00a0 penasto svetlo blato (dispepsija \u2013 motena je prebava OH\u00a0 -vrenje)<br \/>\n&#8211;\u00a0\u00a0\u00a0 krvavo blato (hemeroidi, polipi v \u010drevesju lahko tudi karcinom)<br \/>\n&#8211;\u00a0\u00a0\u00a0 melena \u2013 \u010drno blato ( krvavitev iz zgornjih prebavil)<br \/>\n<strong>Makroskopsko vidne primesi<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 sluz (vnetje \u010drev. sluznice)<br \/>\n&#8211;\u00a0\u00a0\u00a0 sluz pome\u0161ana s krvjo (ulceroz. kolitis, gri\u017ea, tumor. \u010crevesa)<br \/>\n&#8211;\u00a0\u00a0\u00a0 sluz, kri, gnoj(te\u017eka okvara \u010drevesa, npr. ulceroz. Kolitis)<br \/>\n&#8211;\u00a0\u00a0\u00a0 sve\u017ea kri (fisure \u2013 razpoke anusa, hemeroidi)<br \/>\n&#8211;\u00a0\u00a0\u00a0 paraziti, gliste<\/p>\n<p><strong><br \/>\nMikroskopsko vidni so<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 okultna krvavitev (nevidna, skrita krvavitev<br \/>\n&#8211;\u00a0\u00a0\u00a0 mikrobi<br \/>\n&#8211;\u00a0\u00a0\u00a0 stopnja prebavljene hrane<\/p>\n<p><strong><br \/>\nVonj in reakcija<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 blato ima svoj zna\u010dilni vonj<br \/>\n&#8211;\u00a0\u00a0\u00a0 dispepsija vrenja \u2013 mo\u010dno smrde\u010de,\u00a0 pH je kisel, pod 6,5<br \/>\n&#8211;\u00a0\u00a0\u00a0 dispepsija gnitja \u2013 zaudarja po gnilih jajcih (motena prebava beljakovin), pH preko 8<\/p>\n<p><strong><br \/>\nNEGOVALNI NA\u010cRT<\/strong><br \/>\nCilji<br \/>\n&#8211;\u00a0\u00a0\u00a0 redno in samostojno odvajanje blata<br \/>\n&#8211;\u00a0\u00a0\u00a0 prepre\u010devanje inkontinence blata<br \/>\n&#8211;\u00a0\u00a0\u00a0 samostojnost pri oskrbi \u010drevesne stome<br \/>\n&#8211;\u00a0\u00a0\u00a0 samostojnost pri anogenitalni negi<br \/>\n<strong>Negovalne intervencije<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 individualna pomo\u010d pri izlo\u010danju<br \/>\n&#8211;\u00a0\u00a0\u00a0 \u010di\u0161\u010denje \u010drevesa (klistir ali drugi na\u010dini odvajanja)<br \/>\n&#8211;\u00a0\u00a0\u00a0 odvzem blata za preiskave<\/p>\n<p><strong>Individualna pomo\u010d pri izlo\u010danju<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 obstipacija (neredno in pomanjkljivo izlo\u010danje blata spremljajo ga glavobol, slabo po\u010dutje,in bole\u010dine pri odvajanju)<br \/>\n&#8211;\u00a0\u00a0\u00a0 diareja (odvajanje teko\u010dega blata ve\u010dkrat dnevno)<br \/>\n&#8211;\u00a0\u00a0\u00a0 tenezem (trajajo\u010de bole\u010de siljenje na blato z miinimalnim odvajanjem blata ali celo brez defekacije)<br \/>\n&#8211;\u00a0\u00a0\u00a0 inkontinenca blata \u2013 nezmo\u017enost zadr\u017eevanja blata (odpoved mi\u0161ice zapiralke anusa \u2013 analnega sfinktra ).<br \/>\nInkontinenca predstavlja\u00a0 velik psihi\u010dni problem, saj je tudi za\u0161\u010dita te\u017eja.<\/p>\n<p><strong>\u010cistilna klizma \u2013 klistir<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/klizma.jpg\" alt=\"klizma.jpg\" class=\"imageframe imgalignleft\" height=\"190\" width=\"166\" \/><br \/>\n<strong>Namen je izpraznitev \u010drevesne vsebine za<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 odstranitev fekalne mase iz debelega \u010drevesa zaradi obstipacije<br \/>\n&#8211;\u00a0\u00a0\u00a0 kot priprava na preiskave<br \/>\n&#8211;\u00a0\u00a0\u00a0 dra\u017eenje (stimulacija \u010drevesa zaradi atonije)<br \/>\n&#8211;\u00a0\u00a0\u00a0 odstranitev kontrastnega sredstva<br \/>\n<strong>Delovanje klistirja je usmerjeno na sluznico \u010drevesja in\/ali na delovanje \u010drevesja:<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 mehani\u010dno delovanje (koli\u010dina in pritisk uvedene teko\u010dine\u00a0 &#8211; peristaltika)<br \/>\n&#8211;\u00a0\u00a0\u00a0 kemi\u010dno (ozmotsko) delovanje (ozmotski tlak vle\u010de vodo in tako dra\u017ei \u010drevesno sluznico)<br \/>\n&#8211;\u00a0\u00a0\u00a0 toplotno delovanje (toplota in teko\u010dina imnata ve\u010djo mo\u010d dra\u017eenja, temp 37 \u2013 40 C, pod 37 se ne priporo\u010da ker izzove hiperperistaltiko in kr\u010de)<br \/>\n<strong>Kaj lahko uporabimo (pripravimo sami ali pa so \u017ee lekarni\u0161ko pripravljene)<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 navadno prekuhano vodo brez dodatkov (najmanj \u0161kodljiva)<br \/>\n&#8211;\u00a0\u00a0\u00a0 bla\u017eja dra\u017eila: kamili\u010dni \u010daj, 2% glicerin, izotoni\u010den NaCl (1\u010dajna \u017eli\u010dka v 1l vode)<br \/>\n&#8211;\u00a0\u00a0\u00a0 mo\u010dnej\u0161a dra\u017eila hipertoni\u010den NaCl (1 jedilna \u017el. v 1l vode)<br \/>\n&#8211;\u00a0\u00a0\u00a0 sredstva, ki delujejo na s\u010dluznico: oljni ekstrakti (ricinus, olivno olje 2 \u2013 4 \u017elice\/ 1l vode)<br \/>\n<strong>Posega ne izvajamo<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 bruhanje in bole\u010dine v trebuhu<br \/>\n&#8211;\u00a0\u00a0\u00a0 akutno abdominalno obolenje<br \/>\n&#8211;\u00a0\u00a0\u00a0 krvavitve v prebavnem traktu<br \/>\n&#8211;\u00a0\u00a0\u00a0 za\u010detna nose\u010dnost<br \/>\n&#8211;\u00a0\u00a0\u00a0 groze\u010d abortus ali nevarnosti zgodnjega poroda<br \/>\n<strong><br \/>\nPriprava\u00a0 materiala za klistir<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 irigator<br \/>\n&#8211;\u00a0\u00a0\u00a0 teko\u010dina za klistir<br \/>\n&#8211;\u00a0\u00a0\u00a0 \u010drevesna cevka<br \/>\n&#8211;\u00a0\u00a0\u00a0 vazelin in lopar\u010dek<br \/>\n&#8211;\u00a0\u00a0\u00a0 za\u0161\u010dita za posteljo<br \/>\n&#8211;\u00a0\u00a0\u00a0 rokavice, stani\u010devina<br \/>\n&#8211;\u00a0\u00a0\u00a0 stojalo<br \/>\n&#8211;\u00a0\u00a0\u00a0 ledvi\u010dka<br \/>\n&#8211;\u00a0\u00a0\u00a0 posteljna posoda ali sobno strani\u0161\u010de<br \/>\n&#8211;\u00a0\u00a0\u00a0 za\u0161\u010ditni predpasnik<br \/>\n&#8211;\u00a0\u00a0\u00a0 razku\u017eilo za roke<br \/>\n&#8211;\u00a0\u00a0\u00a0 pripomo\u010dki za anogenitalno nego<br \/>\n<strong>Priprava pacienta\u00a0 in izvedba posega<\/strong><br \/>\n&#8211;\u00a0\u00a0\u00a0 bolniku povemo kaj bomo delali in ga pou\u010dimo kako naj sodeluje<br \/>\n&#8211;\u00a0\u00a0\u00a0 \u010de delamo v sobi poskrbimo za intimnost<br \/>\n&#8211;\u00a0\u00a0\u00a0 teko\u010dino vlijemo v irigator, izpustimo zrak in ga zapremo s sti\u0161\u010dkom ali peanom<br \/>\n&#8211;\u00a0\u00a0\u00a0 irigator obesimo na stojalo 60cm nad pacientom<br \/>\n&#8211;\u00a0\u00a0\u00a0 naredimo stransko za\u0161\u010dito<br \/>\n&#8211;\u00a0\u00a0\u00a0 za\u0161\u010ditimo posteljo<br \/>\n&#8211;\u00a0\u00a0\u00a0 pacienta namestimo v polo\u017eaj za izvedbo posega (na levi bok pokr\u010di naj kolena)<br \/>\n&#8211;\u00a0\u00a0\u00a0 oble\u010demo predpasnik in si nadenemo rokavice<br \/>\n&#8211;\u00a0\u00a0\u00a0 nama\u017eemo \u010drevesno cevko (\u010cC)<br \/>\n&#8211;\u00a0\u00a0\u00a0 \u010cC uvedemo previdno in brez sile 7 \u2013 10 cm v \u010drevo<br \/>\n&#8211;\u00a0\u00a0\u00a0 \u010cC pove\u017eemo s sistemom ter odpremo sti\u0161\u010dek (izpustimo toliko teko\u010dine kot je naro\u010deno ali jo pacient prenese<br \/>\n&#8211;\u00a0\u00a0\u00a0 \u010cC nato izvle\u010demo, primemo jo s stani\u010devino, odvr\u017eemo v posodo za odpadke<br \/>\n&#8211;\u00a0\u00a0\u00a0 ostanemo v bli\u017eini pacienta da mu lahko podstavimo posteljno posodo ali mu pomagamo na sobno strani\u0161\u010de<br \/>\n&#8211;\u00a0\u00a0\u00a0 po defekaciji uredimo pacienta<br \/>\n&#8211;\u00a0\u00a0\u00a0 pospravimo material<br \/>\n&#8211;\u00a0\u00a0\u00a0 uredimo se tudi sami in dokumentiramo poseg<\/p>\n<p><strong>NE\u00a0 POZABIMO NA RAZKU\u017dEVANJE ROK!!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>FAKTORJI, KI VPLIVAJO NA IZLO\u010cANJE: &#8211;\u00a0\u00a0\u00a0 izlo\u010danje je intimno dogajanje &#8211;\u00a0\u00a0\u00a0 biofiziolo\u0161ki faktorji (premalo teko\u010dine, premalo urina, koncentriran temen urin) &#8211;\u00a0\u00a0\u00a0 psihi\u010dni faktorji (strah, stres) &#8211;\u00a0\u00a0\u00a0 socialno-kulturni faktorji (vzgoja &#8211;\u00a0 skrivanje izlo\u010dkov ) &#8211;\u00a0\u00a0\u00a0 faktorji okolja OPAZOVANJE URINA &#8211;\u00a0\u00a0\u00a0 MIKCIJA je hoteno izlo\u010danje se\u010da brez bole\u010din v normalnem curku &#8211;\u00a0\u00a0\u00a0 koli\u010dina \u2013 1000 \u2013 2000 &hellip; <a href=\"https:\/\/www.zdravstvena.info\/vsznj\/urinski-in-crevesni-trakt\/\" class=\"more-link\">Preberi ve\u010d o <span class=\"screen-reader-text\">Urinski in \u010drevesni trakt<\/span><\/a><\/p>\n","protected":false},"author":336,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[68],"tags":[100,3654],"class_list":["post-139","post","type-post","status-publish","format-standard","hentry","category-zdravstvena-nega-klinicne-vaje","tag-urinski-trakt","tag-zdravstvena-nega-klinicne-vaje"],"_links":{"self":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/users\/336"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/comments?post=139"}],"version-history":[{"count":0,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts\/139\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/media?parent=139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/categories?post=139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/tags?post=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}