catheterization

Question 1

what stages of pressure ulcer in perineal or sacral area to be catheterized?

Answer 1

ONLY stage III and IV

Question 2

if prostate problems, remember (2):

Answer 2

administer analgesic

use size 14 catheter or obtain an order for a smaller size if an order for larger catheter is given

Question 3

length of female urethra

Answer 3

1.2-2 inches

Question 4

length of male urethra

Answer 4

7-9 inches

Question 5

single lumen used for

Answer 5

in and out

Question 6

double/triple lumen used for

Answer 6

indwelling

Question 7

triple lumen used when

Answer 7

continuous bladder irrigation is needed or meds need to be admined through catheter

Question 8

double lumen purpose

Answer 8

one for inflating the balloon and one for urinary drainage

Question 9

size for infants

Answer 9

5-6 Fr

Question 10

size for children

Answer 10

8-10 Fr with 3 mL balloon

Question 11

adult female size

Answer 11

14-16 Fr with 5-10 mL balloon

Question 12

adult male size

Answer 12

16-18 Fr with 6-10 mL balloon

Question 13

advancing catheter in female

Answer 13

2-3 inches (5-7.5 cm) or until urine flows

once urine appears, advance another 1-2 inches (2.5-5cm)

Question 14

advancing catheter in male

Answer 14

7-9 inches (17-22.5 cm) or until urine flows

once urine flows, stop with a straight catheter, continue until bifurcation with an indwelling

Question 15

if pt unable to void 8 hrs after cath removal

Answer 15

do bladder scan then call MD

Question 16

pt only able to void small amt frequently after removal and states bladder does not empty?

Answer 16

bladder scan with a residual volume greater than 150mL twice, you should be concerned and call MD (indicative of a UTI)

Question 17

CBI how to measure actual urine output?

Answer 17

subtract total amount of irrigation fluid infused from the total volume drained into basin

Question 18

open method of catheter irrigation

Answer 18

(disconnect drainage tubing and irrigation fluid flows out into basin)
used for intermittent irrigation