Urethral Catheterization

Question 1

intermittent Catheterization

Answer 1

short period of time
only used to drain bladder
clean technique at home, sterile technique in hospital

Question 2

indwelling cath

Answer 2

long period
continuous draining of the bladder
sterile technique

Question 3

Micturition

Answer 3

urination

Question 4

nephron

Answer 4

is the functional unit of the kidney, where waste products are removed and urine is formed.

Question 5

renin

Answer 5

another hormone produced by the kidneys, plays a role in blood pressure control by regulating renal blood flow via the renin–angiotensin–aldosterone system (RAAS).

Question 6

patient ability to urinate

Answer 6

The patient’s ability to void depends on feeling the urge to urinate,
being able to control the urethral sphincter, and
being able to relax during voiding

woman urinate better when squatting,
men urinate better standing

Question 7

adequate fluid intake.

Answer 7

1 500 to 2 000 mL

Question 8

symptoms that may aggravate utis

Answer 8

Tobacco (smoker’s cough aggravates stress urinary incontinence)
• Alcohol (acts as a diuretic)
• Substances containing caffeine, such as coffee, tea, and chocolate (may worsen urgency and urgency incontinence, increases frequency)
• Carbonated beverages
• Artificial sweeteners (e.g., Aspartame)

Question 9

sequence for proper preinela care for indwelling

Answer 9

hold cathered

clean from genital area downwards away from gential

Question 10

two lumen cath

Answer 10

(the most common type; one lumen drains urine and the other carries sterile water to inflate or deflate the balloon)

Question 11

three lumen

Answer 11

three lumen (the third lumen allows for irrigation). The triple-lumen catheter is used for continuous bladder irrigation

Question 12

cath size

Answer 12

The catheter size should be determined according to the size of the patient’s urethral canal.

8 to 10 Fr gauge is required for children,
10 to 12 for adult females,
12 to 16 for adult males
The smallest effective catheter size is preferred in order to prevent trauma.

Question 13

alternatives for cath part 1

Answer 13

absorbent pads
subrapubic cath
condom cath

Question 14

maintenance of skin integrity

Answer 14

Washing with pH-balanced soap and warm water or no rinse cleanser

Body lotion

Patients who soil their clothing should receive partial baths and dry clothing and bed linens

If fungal growth develops, a steroid or antifungal ointment may be prescribed.

Question 15

alternatives for cath part 2

Answer 15

lifestyle mod
pelvic floor training/exercise
bladder training 
prompted voiding/timed toileting/habit retraining
intermittent self cath