Cather care, GI, GU and PPE Flashcards

1
Q

minimal hourly urine output

A

30 mL/ hr

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2
Q

In older males, alterations to urinary habits (frequency, urgency, nocturia) may suggest

A

prostate disease

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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
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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
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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

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6
Q

patient position for indwelling catheter

A
  • Female patient - dorsal recumbent position
  • Male patient - supine or Fowler’s position
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