NEPHROSTOMY TUBE

 

 

You are receiving this information on Nephrostomy Tube as part of your discharge instructions. A percutaneous nephrostomy is a procedure to put a plastic tube through the skin into the kidney to drain out your urine. A percutaneous nephrostomy can relieve pressure in the kidney if there is a blockage. It can also give the kidney a chance to heal after injury or infection. Another reason it may be used is to allow the doctor to put medications directly into your kidney.

 

 

WHAT IS A PERCUTANEOUS NEPHROSTOMY?

 

A percutaneous nephrostomy is a procedure to put a plastic tube through the skin into the kidney to drain out your urine. It is done in the x-ray department by a doctor called a radiologist. A percutaneous nephrostomy tube can relieve pressure in the kidney if there is a blockage, give the kidney a chance to heal after injury or infection or allow the doctor to put medications directly into your kidney.

 

 

HOW IS THE PROCEDURE DONE?

 

You will not be allowed to eat or drink for 4-8 hours before your procedure. You will need to sign a consent form. You will put on a hospital gown. Your back or side may be washed and hair clipped. An IV will be started in your arm or hand. You will need to tell your doctor about any medications you are taking. You will need to tell your doctor about any allergies you have, including x-ray dye. You may receive antibiotic medications before the procedure. You may receive pain medication or medication to make you drowsy before the procedure. You will be positioned face down on an x-ray table. You will have your blood pressure and pulse checked often. The doctor will numb the skin on your back or side. Then he will place the tube through your skin into your kidney. A sterile dressing will be applied and the ends of the catheter will be either capped or attached to a drainage bag. You will be returned to Same Day Medical for recovery or admitted to the hospital as an inpatient as indicated.

 

 

WHAT CAN I EXPECT BEFORE MY PERCUTANEOUS NEPHROSTOMY?

 

• To put on a hospital gown.
• Your back or side may be washed and shaved.
• An IV will be started in your arm or hand.
• You will need to tell your doctor about any medications you are taking.
• You will need to tell your doctor about any allergies you have, including x-ray dye.
• You may receive antibiotic medications before the procedure.
• You may receive pain medication or medication to make you drowsy before the procedure.

 

 

WHAT CAN I EXPECT DURING MY PERCUTANEOUS NEPHROSTOMY?

 

• To lie face down on an x-ray table.
• To have your blood pressure and pulse checked often.
• To have the doctor numb the skin on your back or side.
• To be relaxed and sleepy.
• To hear the doctors, nurses, and technicians talking.

 

 

WHAT CAN I EXPECT AFTER MY PERCUTANEOUS NEPHROSTOMY?

 

• To have a small plastic tube in your back or side, draining urine from your kidney. This tube will be attached to a bag that collects urine.
• To have your urine look bloody at first.
• To have an IV until you are drinking fluids without nausea or vomiting.
• To rest in bed for several hours before getting up.
• To have a dressing over the place where the tube enters your skin.

 

 

POST PROCEDURAL DISCHARGE INSTRUCTIONS

 

 

DIET

 

•  Resume your normal diet as tolerated.

 

 

ACTIVITY

 

•  Sedation - If you received sedation for your procedure, the medication is still in your system.

• Therefore, we would like for you to take it easy for the rest of the day (do not drive, operate

  machinery ,make legal decisions, and avoid drinking alcohol).

• Gradually return to your usual daily activities.

• Avoid strenuous activities and exercise until tube(s) are removed

• Do not go swimming until tubes are removed and completely healed

• Do not take a tub bath. You may shower but first cover the dressing with plastic wrap and tape

  securely around the edges.

 

WOUND/INCISIONAL DEVICE CARE

 

• Keep the skin around your nephrostomy tube clean and dry. You may wash with antiseptic soap.
• Always wash your hands with soap and water before and after touching the tube or dressing.
• Change the dressing and clean around the tube as instructed by your nurse or doctor.
• Don't pull on the tube. Be careful that it doesn't get caught on anything that could pull it out.
• Empty the urine bag before it is full.

 

 

PAIN MANAGEMENT

 

• You may use over the counter medications such as Acetaminophen (Tylenol) for pain unless otherwise contraindicated. Discuss any other over the counter use of aspirin and Ibuprofen products with your doctor before using them.

 

 

MEDICATION CHANGES

 

• Take all of your medications as ordered by your doctor, unless otherwise instructed.
• Patients on blood thinners may restart them after 24 hours unless otherwise indicated.
  

 

POST PROCEDURE SIGNS/SYMPTOMS TO BE EXPECTED

 

 

• Tenderness at the site.
• Bruising at the site.

 

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE NOTIFICATION OF YOUR PHYSICIAN

 

• You have severe pain not relieved by pain medication.
• If you have any signs of infection: fever greater than 101 degrees, redness or pus drainage from procedure site.
• You have any questions or concerns..
• Your Tube falls out. Cover the tube insertion site with a clean dressing and apply pressure until you can obtain profession assistance.
• If fluid starts leaking out around your tube.
• If your tube becomes plugged and you are unable to flush it.
• The skin around your tube is red or swollen.
• No urine is draining through the tube.
• Your urine is bloody, cloudy or foul smelling.

 

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE IMMEDIATE ATTENTION. PROCEED TO YOUR NEAREST EMERGENCY DEPARTMENT/OR CALL 911 FOR THE FOLLOWING:

 

• Uncontrolled bleeding; if this should begin after you return home, you should lie down. Apply pressure to the site where the tube was and have someone call your doctor right away. If you are unable to get a hold of your doctor quickly or you cannot stop the bleeding with your pressure call 911.

 

 

DATE AND TIME TO SEE YOUR PHYSICIAN

 

• Call the physician who ordered your procedure for a follow up appointment, if you do not already have a scheduled appointment.

 

You are a very important part of your recovery. Please ask your doctor or nurse any questions you may have regarding your discharge instructions.

 

 

 

NEPHROSTOMY TUBE

 

 

You are receiving this information on Nephrostomy Tube as part of your discharge instructions. A percutaneous nephrostomy is a procedure to put a plastic tube through the skin into the kidney to drain out your urine. A percutaneous nephrostomy can relieve pressure in the kidney if there is a blockage. It can also give the kidney a chance to heal after injury or infection. Another reason it may be used is to allow the doctor to put medications directly into your kidney.

 

 

WHAT IS A PERCUTANEOUS NEPHROSTOMY?

 

A percutaneous nephrostomy is a procedure to put a plastic tube through the skin into the kidney to drain out your urine. It is done in the x-ray department by a doctor called a radiologist. A percutaneous nephrostomy tube can relieve pressure in the kidney if there is a blockage, give the kidney a chance to heal after injury or infection or allow the doctor to put medications directly into your kidney.

 

 

HOW IS THE PROCEDURE DONE?

 

You will not be allowed to eat or drink for 4-8 hours before your procedure. You will need to sign a consent form. You will put on a hospital gown. Your back or side may be washed and hair clipped. An IV will be started in your arm or hand. You will need to tell your doctor about any medications you are taking. You will need to tell your doctor about any allergies you have, including x-ray dye. You may receive antibiotic medications before the procedure. You may receive pain medication or medication to make you drowsy before the procedure. You will be positioned face down on an x-ray table. You will have your blood pressure and pulse checked often. The doctor will numb the skin on your back or side. Then he will place the tube through your skin into your kidney. A sterile dressing will be applied and the ends of the catheter will be either capped or attached to a drainage bag. You will be returned to Same Day Medical for recovery or admitted to the hospital as an inpatient as indicated.

 

 

WHAT CAN I EXPECT BEFORE MY PERCUTANEOUS NEPHROSTOMY?

 

• To put on a hospital gown.
• Your back or side may be washed and shaved.
• An IV will be started in your arm or hand.
• You will need to tell your doctor about any medications you are taking.
• You will need to tell your doctor about any allergies you have, including x-ray dye.
• You may receive antibiotic medications before the procedure.
• You may receive pain medication or medication to make you drowsy before the procedure.

 

 

WHAT CAN I EXPECT DURING MY PERCUTANEOUS NEPHROSTOMY?

 

• To lie face down on an x-ray table.
• To have your blood pressure and pulse checked often.
• To have the doctor numb the skin on your back or side.
• To be relaxed and sleepy.
• To hear the doctors, nurses, and technicians talking.

 

 

WHAT CAN I EXPECT AFTER MY PERCUTANEOUS NEPHROSTOMY?

 

• To have a small plastic tube in your back or side, draining urine from your kidney. This tube will be attached to a bag that collects urine.
• To have your urine look bloody at first.
• To have an IV until you are drinking fluids without nausea or vomiting.
• To rest in bed for several hours before getting up.
• To have a dressing over the place where the tube enters your skin.

 

 

POST PROCEDURAL DISCHARGE INSTRUCTIONS

 

 

DIET

 

•  Resume your normal diet as tolerated.

 

 

ACTIVITY

 

•  Sedation - If you received sedation for your procedure, the medication is still in your system.

• Therefore, we would like for you to take it easy for the rest of the day (do not drive, operate

  machinery ,make legal decisions, and avoid drinking alcohol).

• Gradually return to your usual daily activities.

• Avoid strenuous activities and exercise until tube(s) are removed

• Do not go swimming until tubes are removed and completely healed

• Do not take a tub bath. You may shower but first cover the dressing with plastic wrap and tape

  securely around the edges.

 

WOUND/INCISIONAL DEVICE CARE

 

• Keep the skin around your nephrostomy tube clean and dry. You may wash with antiseptic soap.
• Always wash your hands with soap and water before and after touching the tube or dressing.
• Change the dressing and clean around the tube as instructed by your nurse or doctor.
• Don't pull on the tube. Be careful that it doesn't get caught on anything that could pull it out.
• Empty the urine bag before it is full.

 

 

PAIN MANAGEMENT

 

• You may use over the counter medications such as Acetaminophen (Tylenol) for pain unless otherwise contraindicated. Discuss any other over the counter use of aspirin and Ibuprofen products with your doctor before using them.

 

 

MEDICATION CHANGES

 

• Take all of your medications as ordered by your doctor, unless otherwise instructed.
• Patients on blood thinners may restart them after 24 hours unless otherwise indicated.
  

 

POST PROCEDURE SIGNS/SYMPTOMS TO BE EXPECTED

 

 

• Tenderness at the site.
• Bruising at the site.

 

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE NOTIFICATION OF YOUR PHYSICIAN

 

• You have severe pain not relieved by pain medication.
• If you have any signs of infection: fever greater than 101 degrees, redness or pus drainage from procedure site.
• You have any questions or concerns..
• Your Tube falls out. Cover the tube insertion site with a clean dressing and apply pressure until you can obtain profession assistance.
• If fluid starts leaking out around your tube.
• If your tube becomes plugged and you are unable to flush it.
• The skin around your tube is red or swollen.
• No urine is draining through the tube.
• Your urine is bloody, cloudy or foul smelling.

 

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE IMMEDIATE ATTENTION. PROCEED TO YOUR NEAREST EMERGENCY DEPARTMENT/OR CALL 911 FOR THE FOLLOWING:

 

• Uncontrolled bleeding; if this should begin after you return home, you should lie down. Apply pressure to the site where the tube was and have someone call your doctor right away. If you are unable to get a hold of your doctor quickly or you cannot stop the bleeding with your pressure call 911.

 

 

DATE AND TIME TO SEE YOUR PHYSICIAN

 

• Call the physician who ordered your procedure for a follow up appointment, if you do not already have a scheduled appointment.

 

You are a very important part of your recovery. Please ask your doctor or nurse any questions you may have regarding your discharge instructions.

 

 

 

NEPHROSTOMY TUBE

 

 

You are receiving this information on Nephrostomy Tube as part of your discharge instructions. A percutaneous nephrostomy is a procedure to put a plastic tube through the skin into the kidney to drain out your urine. A percutaneous nephrostomy can relieve pressure in the kidney if there is a blockage. It can also give the kidney a chance to heal after injury or infection. Another reason it may be used is to allow the doctor to put medications directly into your kidney.

 

 

WHAT IS A PERCUTANEOUS NEPHROSTOMY?

 

A percutaneous nephrostomy is a procedure to put a plastic tube through the skin into the kidney to drain out your urine. It is done in the x-ray department by a doctor called a radiologist. A percutaneous nephrostomy tube can relieve pressure in the kidney if there is a blockage, give the kidney a chance to heal after injury or infection or allow the doctor to put medications directly into your kidney.

 

 

HOW IS THE PROCEDURE DONE?

 

You will not be allowed to eat or drink for 4-8 hours before your procedure. You will need to sign a consent form. You will put on a hospital gown. Your back or side may be washed and hair clipped. An IV will be started in your arm or hand. You will need to tell your doctor about any medications you are taking. You will need to tell your doctor about any allergies you have, including x-ray dye. You may receive antibiotic medications before the procedure. You may receive pain medication or medication to make you drowsy before the procedure. You will be positioned face down on an x-ray table. You will have your blood pressure and pulse checked often. The doctor will numb the skin on your back or side. Then he will place the tube through your skin into your kidney. A sterile dressing will be applied and the ends of the catheter will be either capped or attached to a drainage bag. You will be returned to Same Day Medical for recovery or admitted to the hospital as an inpatient as indicated.

 

 

WHAT CAN I EXPECT BEFORE MY PERCUTANEOUS NEPHROSTOMY?

 

• To put on a hospital gown.
• Your back or side may be washed and shaved.
• An IV will be started in your arm or hand.
• You will need to tell your doctor about any medications you are taking.
• You will need to tell your doctor about any allergies you have, including x-ray dye.
• You may receive antibiotic medications before the procedure.
• You may receive pain medication or medication to make you drowsy before the procedure.

 

 

WHAT CAN I EXPECT DURING MY PERCUTANEOUS NEPHROSTOMY?

 

• To lie face down on an x-ray table.
• To have your blood pressure and pulse checked often.
• To have the doctor numb the skin on your back or side.
• To be relaxed and sleepy.
• To hear the doctors, nurses, and technicians talking.

 

 

WHAT CAN I EXPECT AFTER MY PERCUTANEOUS NEPHROSTOMY?

 

• To have a small plastic tube in your back or side, draining urine from your kidney. This tube will be attached to a bag that collects urine.
• To have your urine look bloody at first.
• To have an IV until you are drinking fluids without nausea or vomiting.
• To rest in bed for several hours before getting up.
• To have a dressing over the place where the tube enters your skin.

 

 

POST PROCEDURAL DISCHARGE INSTRUCTIONS

 

 

DIET

 

•  Resume your normal diet as tolerated.

 

 

ACTIVITY

 

•  Sedation - If you received sedation for your procedure, the medication is still in your system.

• Therefore, we would like for you to take it easy for the rest of the day (do not drive, operate

  machinery ,make legal decisions, and avoid drinking alcohol).

• Gradually return to your usual daily activities.

• Avoid strenuous activities and exercise until tube(s) are removed

• Do not go swimming until tubes are removed and completely healed

• Do not take a tub bath. You may shower but first cover the dressing with plastic wrap and tape

  securely around the edges.

 

WOUND/INCISIONAL DEVICE CARE

 

• Keep the skin around your nephrostomy tube clean and dry. You may wash with antiseptic soap.
• Always wash your hands with soap and water before and after touching the tube or dressing.
• Change the dressing and clean around the tube as instructed by your nurse or doctor.
• Don't pull on the tube. Be careful that it doesn't get caught on anything that could pull it out.
• Empty the urine bag before it is full.

 

 

PAIN MANAGEMENT

 

• You may use over the counter medications such as Acetaminophen (Tylenol) for pain unless otherwise contraindicated. Discuss any other over the counter use of aspirin and Ibuprofen products with your doctor before using them.

 

 

MEDICATION CHANGES

 

• Take all of your medications as ordered by your doctor, unless otherwise instructed.
• Patients on blood thinners may restart them after 24 hours unless otherwise indicated.
  

 

POST PROCEDURE SIGNS/SYMPTOMS TO BE EXPECTED

 

 

• Tenderness at the site.
• Bruising at the site.

 

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE NOTIFICATION OF YOUR PHYSICIAN

 

• You have severe pain not relieved by pain medication.
• If you have any signs of infection: fever greater than 101 degrees, redness or pus drainage from procedure site.
• You have any questions or concerns..
• Your Tube falls out. Cover the tube insertion site with a clean dressing and apply pressure until you can obtain profession assistance.
• If fluid starts leaking out around your tube.
• If your tube becomes plugged and you are unable to flush it.
• The skin around your tube is red or swollen.
• No urine is draining through the tube.
• Your urine is bloody, cloudy or foul smelling.

 

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE IMMEDIATE ATTENTION. PROCEED TO YOUR NEAREST EMERGENCY DEPARTMENT/OR CALL 911 FOR THE FOLLOWING:

 

• Uncontrolled bleeding; if this should begin after you return home, you should lie down. Apply pressure to the site where the tube was and have someone call your doctor right away. If you are unable to get a hold of your doctor quickly or you cannot stop the bleeding with your pressure call 911.

 

 

DATE AND TIME TO SEE YOUR PHYSICIAN

 

• Call the physician who ordered your procedure for a follow up appointment, if you do not already have a scheduled appointment.

 

You are a very important part of your recovery. Please ask your doctor or nurse any questions you may have regarding your discharge instructions.