What has this to do with the subject heading? Well at 5am today, Pam asked me to see if I could “push wee”. Pam urinates via a suprapubic catheter into a leg-bag attached to her right thigh. From there, whenever she is in bed, it further drains from the leg-gag to an overnight-bag – resting in a bucket hanging from her bottom bed rail. Occasionally, the drainage to the overnight-bag doesn’t happen and Pam’s leg-bag fills giving uncomfortable back-pressure. This prompted Pam’s request. I was being asked to push urine from the leg-bag to the overnight-bag.
Here’s a picture of the hardware that Pam now wears. (Her head is to the left, feet to the right.) You can see the connected feed tube, the suprapubic catheter entry point and the two different-sized nozzles where it connects to the leg-bag. I use the folded tea-towel to keep all these connectors off Pam’s torso skin…
I used the 10ml syringe to see if the catheter holding-balloon was still inflated – it wasn’t. So had the catheter begun to dislodge? I wiggled it farther in (much to Pam’s chagrin) and re-inflated it. I then used the larger syringe to inject some water up the catheter into Pam’s bladder, to ensure it (the catheter) was not blocked. It wasn’t.
The small amount of urine collected in Pam’s panty-pad might have been because her catheter had just, very recently, dislodged – and I caught it in time. All these things, the colostomy bags, the suprapubic catheter and the PEG-feed tube have to work ALL the time, but sadly, they don’t. Anyway, it was tap-water that I injected into Pam's bladder - but the Keflex should look after THAT, as well.