Indwelling Catheter

Question 1

What are the indications for inserting a catheter?

Answer 1

- Accurate fluid balance
Urinary retention
- Collect sterile urine specimen
- Empty bladder
- instil medication
- determine volume
- irrigate the bladder
- Keep perinal area dry
- urodynamic testing
comfort for terminally ill

Question 2

What is the normal catheter size for a male and female

Answer 2

Female 12-14

Male 16-18

Question 3

Balloon size in IDC

Answer 3

• Use smallest balloon size possible as keeps residual urine to minimum
  
  • The balloon should be fully inflated to recommended size
  • Choose smaller size = less residual urine, less likely of bladder spasm and damage to bladder neck from the weight of balloon
  • Underinflated balloons may occlude drainage holes, distort catheter tip and irritate bladder wall
    Use sterile water- sodium chloride can crystalise

Question 4

What are the risks of administering IV Bolus

Answer 4

• cannot get the medication out once it has been administered