Obstrução de cateter vesical de demora em pacientes com COVID-19

Abstract

The aim was to describe the nursing interventions that should be implemented to minimize the time to change the Indwelling Bladder Catheter (CVD). Observational, descriptive study with a qualitative approach, of the experience report type, in which it was observed, in the Intensive Care Center for patients diagnosed with COVID-19, that critically ill patients presented CVD obstruction very often. The nurses' actions were related to CVD clearance due to hematuria, often without success, with the need to change the catheter more often than usual. Evidence shows that most acute kidney injuries (AKI) in individuals affected by SARS-CoV-2 are due to the acute tubular injury that they present in 80% of patients. This may be due to prolonged fluid volume reduction and hemodynamic states that decrease renal perfusion. The main nursing interventions aim to reduce the frequency of CVD exchanges and minimize the risk of infection. In care practice, it was possible to present the interventions to be implemented through the development of the nursing process in order to contribute to the reduction of risks of Health Care-Related Infections (HAI).