Change the appliance bag
Notify the physician
Obtain a urine specimen for culture
Encourage a high fluid intake
Rupture of the ileal conduit
Interruption of urine production
Development of odor
Separation of the appliance from the skin
“If I limit my fluid intake I will not have to empty my ostomy pouch as often.”
“I can place an aspirin tablet in my pouch to decrease odor.”
“I can usually keep my ostomy pouch on for 3 to 7 days before changing it.”
“I must use a skin barrier to protect my skin from urine.”
“I should empty my ostomy pouch of urine when it is full.”
Anxiety related to the presence of urinary diversion.
Deficient Knowledge about how to care for the urinary diversion.
Low Self-Esteem related to feelings of worthlessness
Disturbed Body Image related to creation of a urinary diversion.
Urine reflux into the stoma
The need to restrict fluids
Avoid people with respiratory tract infections
Maintain a daily fluid intake of 2.000 to 3.000 ml
Use sterile technique to change the appliance
Irrigate the stoma daily.
Report hematuria to the physician
Strain the urine carefully
Administer meperidine (Demerol) every 3 hours
Apply warm compresses to the flank area
Irrigate the catheter with 30 ml of normal saline every 8 hours
Ensure that the catheter is draining freely
Clamp the catheter every 2 hours for 30 minutes.
Ensure that the catheter drains at least 30 ml an hour
Encourage the client to ambulate every 2 to 4 hours
Offer 3 to 4 ounces of a carbonated beverage periodically.
Encourage use of a stool softener
Continue intravenous fluid therapy