SUPRAPUBIC BLADDER TAP

SUPRAPUBIC BLADDER TAP


Preparation :

• Dressing set
• Needle size 21, 23
• Syringe 5cc
• Urine culture bottle

Indication :

-Urine culture in young infant

Complications :

1. Microscopic hematuria
2. Infection
3. Viscus perforation

Procedure :

1. Make sure bladder is palpable. If needed, encourage patient to drink half to 1 hour before procedure.
2. Position the child in supine position.
3. Clean and drape the lower abdomen.
4. Insert the needle attached to a 5cc syringe perpendicular or slightly caudally to the skin, 0.5 cm above the suprapubic bone.
5. Aspirate while advancing the needle till urine is obtained.
6. Withdraw the needle and syringe.
7. Pressure dressing over the puncture site.
8. Send urine for culture.