Percutaneous Nephrostomy Infusion

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Nursing considerations for treatment of upper urinary tract urothelial carcinomaAn intrarenal approach using a percutaneous nephrostomy tube is a novel method to deliver chemotherapy and biotherapy to patients with upper urinary tract urothelial carcinoma. A paucity of evidence exists regarding basic nursing implications for this unique treatment option. This column will provide suggested guidelines to administer intrarenal treatment via a percutanous nephrostomy tube.AT A GLANCEUpper urinary tract urothelial carcinoma may be treated using a topical approach, including instillation of chemotherapy/biotherapy agents through a percutaneous nephrostomy tube.Nursing implications of instillation directly into the renal pelvis and ureter are discussed, including care and safe handling.References and resources are provided to guide nurses who seek additional information on this practice.

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