Foley catheter placement

Question 1

Indications for a Foley Catheter

Answer 1

• retention
• obstruction
• urine output monitoring
• diagnostic purposes
• incontinence
• imaging study
• monitor urine output

Question 2

Contraindications for a catheter

Answer 2

• Use cautiously in pt with a history of pelvic or perineal trauma associated with perineal bruising and swelling and/or blood at the meatus
• Use cautiously in pt with a history of urethral strictures or anatomically false passages

Question 3

Risk for Catheters

Answer 3

• The balloon can break while the catheter is being inserted. In this case, remove all the balloon fragments
• The balloon does not inflate after it is in place. Check the balloon inflation before inserting the catheter into the urethra. If the balloon still does not inflate after its placement into the bladder, then insertt another Foley catheter
• Urine stops flowing into the bag. Check for correct positioning of the catheter and bag or for obstruction of urine flow within the catheter tube.
• Urine flow is blocked. Change the bag or the Foley catheter or both.
• If the patient’s urethra begins to bleed,monitor the bleeding.
• The Foley catheter may introduce an infection into the bladder. The risk of infection in the urine increases with the number of days the catheter is in place.
• If the balloon is opened before the Foley catheter is completely inserted into the bladder, bleeding, damage and even rupture of the urethra can occur. In some individuals, long-term permanent scarring and strictures of the urethra could occur

Question 4

Equipment of catheter

Answer 4

• Foley catheter
• water-soluble lubricant jelly
• a 10cc syringe w/ sterile water
• sterile drainage bag w/sample port and tubing
• sterile drapes
• sterile gloves
• iodine
• sterile gauze
• sterile specimen cup
  
  • forceps

Question 5

Preparing the patient for a catheter

Answer 5

• Explain the reason for the procedure to the patient and/or family
• Explain the steps of the procedure to the patient and/or family
• Answer any questions the patient and/or family may have regarding the procedure
• Check for allergies to latex and iodine
• Wash your hands

Question 6

Positioning of a female pt for catheter

Answer 6

• The female urethra is short compared to the male urethra. Insertion of the catheter is facilitated by having the patient on her back
• Adequate exposure of the urethra is obtained by flexing her knees, separating them and placing her feet flat on the bed about two feet about (frog-legged position)

Question 7

Positioning a male pt for a catheter

Answer 7

• The male urethra is long compared to the female urethra.
• A catheter is placed while lying down with legs extended and flat on the bed or in the frog-legged position.

Question 8

Procedure for placeing a catheter

Answer 8

• Open the prepackaged foley packet
• Place packet outer container in a convenient location and use as a trash receptacle
• Place drapes under patient’s hips-plastic side down
• Place the fenestrated drape over the patient exposing only the genitalia.
• Put on sterile gloves, if you haven’t already done so.
• Open the packet of cleansing solution. Saturate cotton balls (or soap solution if patient is allergic to iodine)
• Check patency of catheter balloon with saline filled syringe. Withdraw saline and leave syringe attached to the luer-lok for balloon inflation
• Open lubricant. Saturate distal end of catheter