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> What's your experience with UiTM grad?, My story from UiTM doctor

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sjr
post Apr 22 2017, 03:28 PM

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QUOTE(slimey @ Apr 22 2017, 01:36 PM)
both bodo.

need to check background why need catherisation  in the first place.

perhaps a call to the uro MO first (depending on the reason of catherisation) whether can remove the catheter.
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I kind of agree with the UM grad.
You can always remove the catheter and observe whether there is any evidence of urinary retention.
But whether or not to give antibiotic, I'm not so convinced.
sjr
post Apr 22 2017, 07:00 PM

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QUOTE(Ibrahimovic @ Apr 22 2017, 06:41 PM)
How about the removal of catheter? Pakcik is outpatient after stay very long inpatient in hospital. I don't know about this but I check Internet on CAUTI that need to replace.
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The catheter should be removed as soon as the catheter is not needed anymore.
But in case long term catheterization is unavoidable (such as chronic urinary retention of any cause), then the catheter must be exchanged every 2 weeks (6 weeks if it is a silicone catheter)
sjr
post Apr 22 2017, 09:01 PM

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QUOTE(slimey @ Apr 22 2017, 07:03 PM)
there are some instances where removing catheter could cause a lot of problem.

like recent surgery on the bladder etc.......
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If there was a recent surgery, there will be a surgeon's note. Patient or family will tell they have undergone some surgery.
Surgery on bladder will usually have a scar. In surgery using cystoscope, e.g. TURP, catheter can be removed. If the patient developed AUR, then just reinsert the catheter.

Some urology centers have day care service, and the patient will be advised to go there directly if they encountered problem. The surgeon or the uro mo will also tell patient what to do...
Unless the patient/family is so dumb until they can't even say a word or produce the surgeon's note, don't even think the pain is related to the surgery, then that's too bad lah...
sjr
post Apr 23 2017, 09:29 AM

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Wah...
Less than 24 hours, the posts are already 10 pages. I wonder how many pages this topic will end up...

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