POINT OF CARE ULTRASOUND PRAXIS AT THE BEDROOM BY RESIDENT NURSES IN THE BLADDER RESIDUAL ASSESSMENT: CASE REPORT

Authors

  • Lucas Benedito Fogaça Rabito State University of Londrina
  • Bruna Daniella de Sousa de Lima State University of Londrina
  • Thamyris Lucimar Pastorini Gonçalves State University of Londrina
  • Gabriel Guembarski Flávio State University of Londrina
  • Márcia Eiko Karino State University of Londrina

DOI:

https://doi.org/10.54143/jbmede.v3i1.76

Keywords:

emergency nursing, Case report, Urinary retention, Interventional ultrasound

Abstract

Objective: to explain the practice of point-of-care ultrasound at the bedside by resident nurses in bladder residual assessment. Case report: male patient, 72 years old, complaining of voiding difficulty associated with dysuria, after becoming aware of the complaint, the Relief Vesical Catheter (CVA) was placed at night with a considerable amount of urine output. On the following day, on physical examination, he presented pain on palpation in the Lower Belly region (BV) and presence of a vesical globe. After the physical examination and knowledge of the patient's complaints, the nurses chose to perform the point-of-care ultrasound at the bedside to assess the bladder residue. Comorbidities: Systemic Arterial Hypertension (SAH). Bladder POCUS that revealed: quantitative of 540cc by the ELIPSE formula (L X AP X T X 0.52). Conclusions: thus, the present case report supports the relevance of the use of bedside US as a complementary resource to the physical examination, by the professional nurse and the importance of this tool in the differential diagnosis of urinary residual volume retention.

Author Biographies

Lucas Benedito Fogaça Rabito, State University of Londrina

Nurse. Resident in Urgency and Emergency Nursing at the State University of Londrina – UEL.

Bruna Daniella de Sousa de Lima, State University of Londrina

Nurse. Resident in Urgency and Emergency Nursing at the State University of Londrina – UEL.

Thamyris Lucimar Pastorini Gonçalves, State University of Londrina

Nurse. Specialist in Urgency and Emergency at the State University of Londrina – UEL. Master's student in Nursing at the Postgraduate Program in Nursing at the State University of Londrina – UEL.

Gabriel Guembarski Flávio, State University of Londrina

Nurse. Specialist in Urgency and Emergency at the State University of Londrina – UEL.

Márcia Eiko Karino, State University of Londrina

Nurse. PhD in Health Sciences from the School of Nursing of the University of São Paulo – EEUSP. Professor and Coordinator of the Graduate Nursing Program in the Uniprofessional Residency in Urgency and Emergency at the State University of Londrina – UEL.

References

Nardozza Júnior A, Zerati Filho M, Reis RB. Urologia fundamental.

São Paulo: Planmark; 2010 [citado 2023 Abr 4]. Disponível

em: https://sbu-sp.org.br/admin/upload/os1688-completourologiafundamental-

-09-10.pdf

Meska MH, Mazzo A, Jorge BM, Souza-Júnior VD, Negri EC,

Chayamiti EM. Retenção urinária: implicações do treino simulado

de baixa fidelidade na autoconfiança do enfermeiro. Rev Esc

Enferm USP. 2016;50(5):831-7.

Ferreira CI, Simões IM. Validação de protocolo de enfermagem

para avaliação e diagnóstico de retenção urinária no adulto. Rev

Enf Ref. 2019;serIV(23):153-64.

North American Nursing Diagnosis Association International.

Diagnósticos de enfermagem da NANDA: definições e

classificação 2018-2020. Porto Alegre: Artmed; 2018 [citado

Abr 4]. Disponível em: https://www.podiatria.com.br/

uploads/trabalho/149.pdf

Lopes KR, Nicolussi AC. Vantagens da ultrassonografia de bexiga

na mensuração do volume urinário em pacientes críticos: revisão

integrativa. Rev Enf Uerj. 2021;29:e61972.

Carnaval BM, Teixeira AM, Carvalho R. Uso do ultrassom

portátil para detecção de retenção urinária por enfermeiros na

recuperação anestésica. Rev SOBECC. 2019;24(2):91-8.

Velasco IT, Alencar JC, Petrini CA. Procedimentos com ultrassom

no pronto-socorro. São Paulo: Manole; 2021.

Conselho Federal de Enfermagem (Cofen). Resolução COFEN Nº

/2021 de 30 de agosto de 2021. Aprova a normatização da

realização de ultrassonografia à beira do leito e no ambiente préhospitalar

por enfermeiro. Brasília, DF: Cofen; 2021 [citado 2023

Abr 4]. Disponível em: http://www.cofen.gov.br/resolucao-cofenno-

-2021_90338.html

Conselho Regional de Enfermagem de Santa Catarina (Coren/SC).

Parecer COREN/SC Nº 002/CT/2020. Santa Catarina: Coren/SC;

[citado 2023 Abr 4]. Disponível em: http://www.corensc.gov.

br/wp-content/uploads/2020/09/Parecer-T%C3%A9cnico-002-

-Reten%C3%A7%C3%A3o-Urin%C3%A1ria-e-Ultrasson.pdf

Jorge BM, Mazzo A, Napoleão AA, Bianchini A. Evidências

científicas das práticas de diagnóstico da retenção urinária:

scoping review. Rev Enf Uerj. 2018;26:e25840.

Silva JO, Santos LC, Menezes AN, Lopes Neto A, Melo LS, Silva FJ.

Utilização da prática baseada em evidências por enfermeiros no

serviço hospitalar. Cogitare Enferm. 2020;26:e67898.

Lopes KR, Nicolussi AC. Vantagens da ultrassonografia de bexiga

na mensuração do volume urinário em pacientes críticos: revisão

integrativa. Rev Enf Uerj. 2021;29:e61972.

Ceratti RN, Beghetto MG. Incidência de retenção urinária e

relações entre queixa do paciente, exame físico e ultrassonografia

vesical. Rev Gaúcha Enferm. 2021;42:e20200014.

Downloads

Published

2023-05-12

How to Cite

Rabito, L. B. F., de Lima, B. D. de S. ., Gonçalves, T. L. P. ., Flávio, G. G. ., & Karino, M. E. (2023). POINT OF CARE ULTRASOUND PRAXIS AT THE BEDROOM BY RESIDENT NURSES IN THE BLADDER RESIDUAL ASSESSMENT: CASE REPORT. Brazilian Journal of Emergency Medicine, 3(1), e23004. https://doi.org/10.54143/jbmede.v3i1.76

Issue

Section

Relatos de Caso

Categories

Similar Articles

1 2 3 4 5 6 7 > >> 

You may also start an advanced similarity search for this article.