. A reference hand-book of gynecology for nurses . d the pelvis of the kidney,the wire is completely withdrawn. After the catheter has been passed, the cystoscopeis withdrawn; the patient is turned upon her sideand the conic glass graduate is held under the openend of the catheter. Irrigation of the Pelvis of the Kidney.—Inthe treatment of pyelitis the pelvis of the kidneymay be washed out through the ureteral catheter. In addition to the outfit required for cystoscopyand passing the ureteral catheter the followingapparatus is required: A glass-barreled piston syringe with a .two-waystop-cock


. A reference hand-book of gynecology for nurses . d the pelvis of the kidney,the wire is completely withdrawn. After the catheter has been passed, the cystoscopeis withdrawn; the patient is turned upon her sideand the conic glass graduate is held under the openend of the catheter. Irrigation of the Pelvis of the Kidney.—Inthe treatment of pyelitis the pelvis of the kidneymay be washed out through the ureteral catheter. In addition to the outfit required for cystoscopyand passing the ureteral catheter the followingapparatus is required: A glass-barreled piston syringe with a .two-waystop-cock and a conic tip which fits into the ure-teral catheter. THE URINARY ORGANS OF WOMEN 131 A one-pint glass graduate filled with sterilenormal salt solution colored with methylene-blue. Thin rubber tubing, ten inches long, to use withthe syringe (Fig. 61). Technic.—After the ureteral catheter has beenpassed and a sufficient quantity of urine collectedfrom the kidney, the syringe is attached to theureteral catheter; salt solution is drawn up into. Fig. 61.—Articles required for irrigation of the pelvis ofthe kidney: 1, Two-way stop-cock syringe with rubber tubing;2, one-pint graduate; 3, glass catheter and rubber tubing; 4,ureteral catheter. the barrel through the rubber tubing; the stop-cock is turned and the salt solution injected intothe kidney. A glass catheter with rubber tubing attached isinserted into the bladder alongside the ureteralcatheter and the solution, after flushing the pelvisof the kidney, escapes through this into a bowl. After a pint of salt solution has been used, asolution of bichlorid 1 : 50,000 is drawn up intothe syringe, injected into the kidney, and allowedto remain in the bladder. Silver nitrate solutionin varying strengths is often used. Patients under treatment for cystitis or pye-litis must not lie flat on their backs when theyreturn to bed. They should be encouraged to 132 GYNECOLOGY FOR NURSES sit up in bed with the bed-rest, or, if too weak f


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