Cather care, GI, GU and PPE Flashcards
1
Q
minimal hourly urine output
A
30 mL/ hr
2
Q
In older males, alterations to urinary habits (frequency, urgency, nocturia) may suggest
A
prostate disease
3
Q
Assessment of an Indwelling Catheter
A
- access size; common size 14 FR
- access latency: is catheter draining
- assess quantity and quality of urine
- assess if catheter is securely attached
- assess for abnormal drainage around catheter and surrounding skin
4
Q
short-term catheter (fewer than 14 days)
A
- Select surgical procedures/postoperative care (e.g., urological surgery, prolonged surgery)
*Accurate monitoring of urine output every 1–2 hours in critically ill patients
*Prolonged immobilization due to trauma
*Acute urinary retention or bladder outlet obstruction
*Instillation of medications into the bladder
*End-of-life careonly ifrequired for comfort
5
Q
Long-term catheter (more than 14 days)
A
*Bladder outlet obstruction pending surgery or if the patient is not suitable for surgical intervention
*Chronic retention related to neurological disease if intermittent catheterization is not feasible
*Stage 3 or 4 sacral pressure injury or perineal skin breakdown in incontinent patients
*Intractable urinary incontinence if alternate approaches have been tried but not successful
6
Q
patient position for indwelling catheter
A
- Female patient - dorsal recumbent position
- Male patient - supine or Fowler’s position