Catheters Flashcards

1
Q

What is another word for intermittent cath?

A

straight cath

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2
Q

how long do we leave a straight cath in for?

A

5-10 min

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3
Q

where do we insert a catheter?

A

urethra

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4
Q

In hospital we use sterile technique to help reduce hospital infections. What do people in the community use?

A

Clean technique

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5
Q

How do people in the community clean their catheters?

A

soap and water
air dry

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6
Q

What is another name for a Foley?

A

Indwelling catheter

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7
Q

What is the Foley catheter held in place by?

A

a small balloon

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8
Q

What do we fill the foley balloon with? What do we NOT fill it with?

A

Sterile water (SW) - yes
normal saline (NS) - no b/c of crystalization over time and can’t deflate the balloon fully - damage to urethra on the way out

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9
Q

Is foley an open or closed system?

A

Closed- always attached to a bag

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10
Q

What are two lumen catheters for?

A
  1. urine
  2. sterile water to inflate or deflate the balloon
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11
Q

What are three lumen catheters for?

A
  1. Urine
  2. sterile water to inflate/deflate balloon
  3. irrigation
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12
Q

What type of irrigation is the three lumen used for?

A

continuous

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13
Q

What type of saline runs through the catheter during irrigation?

A

Normal saline (not sterile water - that’s for the balloon)

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14
Q

Where is the volume capacity of the balloon indicated?

A

on the balloon port

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15
Q

How long can triple lumens be used?

A

short term
long term

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16
Q

What is the coude tip catheter used for?

A

male patients that have an enlarged prostate that partly obstructs the urethra

17
Q

What are the French sizes used for children, adult females, adult males?

A

8-10 Fr - children
10-12 Fr- female adults
12-16 Fr - male adults
(always use smallest

18
Q

What material is best for long term and why?

A

Silicone
less encrustation at urethral meatus

19
Q

What material is good for intermittent only?

A

plastic - more stiff

20
Q

What are 4 reasons that urine might leak around a catheter?

A
  1. bladder spasms due to constipation or fecal impaction
  2. too large catheter ballon 30mL or >18 fr = irritation
  3. UTI
  4. catheter kink, bladder neck trauma from balloon traction
21
Q

What are 3 things we can do if there is leaking around the catheter?

A
  1. change lumen size
  2. anticholinergic meds
  3. urologist referral
22
Q

what is CAUTI?

A

catheter associated urinary tract infection

23
Q

What is one of the highest risks with urinary catheters?

A

infection

24
Q

How often should indwelling catheters be changed?

A

evidence informed practice says (not routinely) :
1. infection
2. obstruction
3. close system is compromised
4. 30 days as per manufacturer

25
Q

How many days is short term catheter ?

A

less than 14 days

26
Q

What are the 6 indications of short-term indwelling catheter?

A
  1. some surgical procedures/postoperative care
  2. need accurate I&O for critically ill
  3. long immobilization due to trauma
  4. meds into bladder
  5. acute urinary retention or bladder outlet obstruction
  6. end of life - comfort care if requested
27
Q

What are some indications of long-term indwelling catheter use?

A
  1. bladder outlet obstruction pre-surgery or can’t have surgery
  2. neurological issue (if intermittent is not possible)
  3. stage 3 or stage 4 sacral pressure injury or perineal skin breakdown in incontinent patients
  4. last resort for other unsuccessful methods
28
Q

three indications for intermittent catheter

A
  1. bladder not contractile well/sphincter issues
  2. spinal cord injury/spinal bifida
  3. collect sterile urine (if midstream can’t be retrieved)
29
Q

What reason for a catheter is NOT indicated and why?

A

incontinence alone
due to risk of infection and urethral damage

30
Q

which void do we assess carefully after catheter removal?

A

the first one and time and amount over 24-48 hours

31
Q

What symptoms must we assess after catheter removal?

A
  1. frequency
  2. bladder distension
  3. abdominal pain
  4. dribbling
  5. incontinence
  6. sensation of incomplete emptying
32
Q

how many hours elapse before we contact the provider if there is no voiding or if patient has discomfort?

A

8 hours (DTV - due to void)