Cath exam 3 Flashcards
What is the purpose of asepsis in catheter insertion?
To maintain sterility throughout the procedure.
What is a double-lumen catheter used for?
One lumen for urine drainage and the second for balloon inflation.
What is the purpose of a triple-lumen catheter?
Used for intermittent or continuous bladder irrigation.
What sizes of balloons are typically used for Foley catheters?
- 5-mL for most patients
- 3-mL for children
- 30-mL for post-prostatectomy hemostasis
How are catheters sized?
By the diameter of the lumen; larger numbers indicate larger lumens.
What sizes of catheters are typically used for children?
- 8-Fr
- 10-Fr
What size catheter do male patients typically need?
Larger lumen, e.g., 18 Fr.
What is the protocol if there is resistance during catheter insertion?
DO NOT FORCE CATHETER IN; consider using a coude catheter and call practitioner if resistance continues.
What is the priority when caring for a client with an indwelling catheter?
Prevent infection.
What are common methods to prevent urinary tract infections (UTIs) in catheterized patients?
- Wash hands
- Wear gloves
- Keep catheter below the bladder
- Regularly check connections
What should be done after each bowel movement for patients with indwelling catheters?
Cleanse the catheter with mild soap and water.
What is the purpose of bladder irrigation?
To maintain patency of urinary catheters and wash out the bladder.
What type of irrigation is most commonly used for medication instillation?
Intermittent irrigation.
What type of irrigation is used after prostate procedures?
Continuous irrigation.
What should be monitored to promote urine production?
- Encourage fluids
- Monitor I and O
- Administer IVF or medications
- Encourage trips to the bathroom
What should be done to maintain skin integrity for patients with catheters?
- Secure tubing to patient’s thigh
- Avoid powders, lotions, creams, and ointments
What is the correct procedure for removing a urinary catheter?
- Deflate the balloon
- Remove the catheter slowly and steadily
- Document date, time, and amount of urine
What should be taught regarding the assessment of a stoma?
A healthy stoma is deep pink to brick red, shiny, and moist.
What indicates inadequate blood supply in a stoma?
A pale, dusky, or black stoma.
What can happen if urine remains in contact with the skin?
It can become alkaline, leading to skin breakdown and infection.
How often should ostomy appliances be emptied?
When 1/3 full.
What is crucial for patients performing self-catheterization?
Use sterile technique for catheterization.
True or False: Intermittent catheterization has a higher risk of infection than indwelling catheters.
False.
Clean catch
30-45ml in sample
catch midstream
Male cath
insert into the Y
normal adult size
16f
Straight cath
one time use
urine sample
urine
straight cath 2x
the foley
Problems with cath
After inserting a catheter in a female patient, the nurse doesn’t get any urine return. What’s next?
wrong hole, leave in
What if the nurse has trouble visualizing the external urethra sphincter?
pillow, flash light, friend
What if the output is extremely cloudy or blood tinged?
send for a UA, and culture
DR. antibotic
DO NOT FORCE CATHETER IN.
Try coude catheter ifpermitted and available at the facility.
Insert to the Y in males before inflating the balloon..
Call practitioner if continue to meet resistance.
Self cath
patient does it themselves
Foley cath
Priority #1 – Prevent infection
Always keep the catheter below the bladder
Empty the collection bag at least every 8 hours
Do not touch the spout to any surfaces when emptying the collection bag
check for kinks
Pericare is done who often?
Every 12 H
A pale, dusky, or black stoma often indicates inadequate blood supply. Immediately report such findings to the healthcare provider.
Skin care is critical
emptying ostomy appliances when 1/3 full is recommended.
Ostomy concern
Skin breakdown
