Module 5: Urinary Flashcards
What is the normal urine out Per hour? Every four hours? Every 24 hours?
60 mL/hr, 500mL/4 hrs , 1500-1600mL/24 hrs
What are the three types of catheters, and what are used for?
Straight catheter (cross-section) - single use, washable Indwelling (foley) retention catheter (cross section) - Balloon inflated 5-10mL, long-term Triple lumen catheter (cross-section) - used for continuous bladder irrigation, can be used on a short term or long term basis (30mL inflated balloon)
What is an intermitten catheter?
Known as the in and out catheter – a single straight catheter with a single lumen is introduced for 5 to 10 minutes
- Sterile technique in hospital, clean in the community
- Takin out as soon as urination occurs
What is an indwelling catheter?
Known as a continuous or foley catheter - Remains in patient until they are able to urinate completely and involuntarily
- Either two or three lumen
What size of catheter would you use for child?
8 to 10 Fr
What size is of catheter is used for adult females? adult males?
10 to 12 - female, 12 to 16 - males
Describe the Coude catheter
Type of indwelling catheter
- Curves and Bridget tip, use for male patient with enlarged prostates
- less traumatic during insertion because it is stiffer and easier to control
Describe the suprapubic catheter
Empties bladder through an incision in the belly
What is the nephrostomy tube?
Small flexible tube placed through the lower back into the kidney to drain urine
What is the ileal conduit ?
System of urinary drainage which a surgeon creates using the small intestine after removing the bladder
What is the neobladder ?
Attached to your ureters so that urine can drain from your kidneys into the neobladder.
Other end is attached to your urethra, this allows you to maintain urinary control with a functional bladder capable of storing urine without the need for external bags or appliances
All patients with catheters should have daily fluid intake of…
2-2.5 L
When would be an indication that intermittent bladder irrigation is necessary?
Huh
What is a closed urinary drainage system? Open ?
Closed-No opening from the bladder to the drainage bag
Open- The intermittent, no port on the drainage bag
What are the three types of urine testing to be done?
Random specimen (routine urinanalysis) Clean – voided or midstream specimen (culture/sensitivity) Sterile (culture and sensitivity)
