Catheters Flashcards
What to do before inserting a condom catheter
Grab a wash basin of warm water and clean penis with washcloth, skin cleanser and warm water. Wash glans penis first in circular motions and then wash shaft of penis with downward motions, and then dry
How does the condom catheter stay on the penis ?
It is self adhesive
When applying the condom catheter, how many inches of space should be left between the tip of the penis and the end of the condom sheath?
1-2 inches
When applying the condom catheter we want to make sure ………………..
that it is secure enough to prevent leakage but not so tight as to constrict blood vessels and cause irritation.
Is the risk for a UTI with a condom catheter higher or lower than that of an indwelling catheter ?
It is lower with a condom catheter
The drainage tubing should be secured to
the patients inner thigh with velcro leg strap or tape
The drainage bag should be secured below ………………
the level of the bladder
What are the steps for inserting an male indwelling urinary catheter
Set up sterile field
Put on sterile gloves
Clean glans penis with antiseptic solution using cotton swabs
Inject lubricant into penis
Insert catheter into glans and advance to the bifurcation or Y level of the ports
inflate the catheter balloon by injecting the entire volume of sterile water in the prefilled syringe
pull gently on catheter after balloon is inflated to feel resistance
attach catheter to drainage system
What does the nondominant hand do while catheterizing the male urinary bladder ?
It holds the penis. Once the nondominant hold touches the penis it is considered nonsterile and so remains in place for the remainder of the procedure for support.
What does the dominant hand do while catheterizing the male urinary bladder ?
It cleans glans penis, inserts the lubricant and the catheter and inflates the balloon
What to do if you meet resistance while inserting male urinary catheter
do not force it! ask patient to bear down as if urinating and to take deep breaths.
Also try rotating the catheter slightly
Most common type of HAI’s acquired
Catheter associated UTI
CAUTIS
What is the most important risk factor for the development of a urinary tract infection ?
The duration of time the catheter is left in
When documenting catheterization, make sure to note -
time you inserted catheter, the size of the catheter used, the amount of urine output if intermittent and the patients reaction to the procedure
When catheterizing a female bladder, what do you do when no urine comes out ?
Make sure catheter is actually within the urethra. A common mistake is to insert the catheter into the vagina. In this case, you would remove the catheter and with a new catheter, get help from team member to identify urethra and then insert it.
