Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clin med A 2 > Urinary catheterization > Flashcards

Urinary catheterization Flashcards

1
Q

what are the 2 major purposes of urinary catheterization

A
  • draining urinary bladder
  • collecting urine for measurement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the perks to using catheters

A
  • Allows a route of direct access to the bladder
  • Uncontaminated urinary samples
  • Reliable assessment of all urine output
  • Bypassing urinary obstructions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are indications for urinary catheters

A
  • impediment to flow
  • diagnostic evaluation
  • treatment of GU conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are things that could cause impediment to urinary flow

A
  • Acute urinary retention
  • Bladder outlet obstruction
  • Severe hematuria with clots
  • During and after surgery of the GU tract or adjacent structures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are diagnostic evaluation indications for catheters

A
  • Urine output measurement
  • Acquiring sterile urine sample in pts who cannot provide one
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the indications for catheterization involving treatment of GU conditions

A
  • Management of immobilized patients
  • Neurogenic bladder
  • Severe, refractory urinary incontinence
  • Improved patient comfort in hospice care
  • Intravesical pharmacologic therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are ABSOLUTE contraindications to catheters

A

urethral injury such as:
- pelvic trauma
- blood at uretheral meatus or gross hematuria in context of trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are RELATIVE contraindications for urinary catheters

A
  • urethral stricture
  • recent GU surgery
  • artificial urinary sphincter
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are possib le complications for urinary catheterizations

A
  • infections (UTI, epididymitis)
  • mechanical (retained balloon fragments)
  • bladder damage (fistula, perf, stones)
  • urethral damage (trauma)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the 4 points of responsible catheter use

A
  • use only when absolutly necessary
  • use sterile placement technique
  • use non-indwelling if possible
  • use for as short a time as possible
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are types of external urinary catheters

A
  • condom catheters (male only)
  • urinary pound (primarily for ostomies)
  • pureWick (female only)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when are external urinary catheters NOT reccommended

A

for accurate urine measurement, or obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are CI for external catheters

A
  • skin ulcerations
  • perineal dermatitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are advantages to external urinary catheters

A
  • more comfortable
  • minimal/no urethral trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are disadvantages to external urinary catheters

A
  • Skin irritation and scarring
  • Dislodgement and leakage
  • Penile ulceration and tissue loss
  • Inaccurate for most clinical diagnostic purposes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are suprapubic urinary catheters

A

the most invasive form of catheter, placed through the abdominal wall!

17
Q

what are the advantages of suprapubic urinary catheters

A
  • Prevents urethral trauma/stricture
  • Less bacteriuria
  • Increased satisfaction vs. indwelling urethral catheters
  • Allows attempts at normal voiding
  • Less interference with sexual activity
18
Q

what are disadvantages of suprapubic urinary catheters

A
  • Requires surgical placement
  • May see long-term skin erosion, urinary leakage
19
Q

what are the intermittent urethral catheters

A

urethral catheter that is placed and immediatly removed after bladder is drained

AKA “straight cath”

20
Q

what are the indications for intermittent urethral catheters

A
  • short or long term management of urinary retention
  • neurogenic bladder
21
Q

what are the indwelling urethral catheters also known as

A

foley catheters

22
Q

what are the common uses for indwelling urethral catheters

A
  • In-pt hospital setting for short-term bladder drainage (< 3 wks)
  • Chronic urinary retention in pts who can’t undergo other interventions
  • Chronic urinary incontinence refractory to all other tx methods
23
Q

what are the disadvantages of an indwelling urethral catheter

A

assocaited with:
- UTIs
- increased pt discomfort and dissatisfaction

24
Q

what are the preliminary steps to placing an indwelling catheter

A
  • Introduce self, identify patient
  • Explain procedure
  • Ensure patient consent for procedure
  • Wash hands and don non-sterile gloves
  • Assist patient into supine position, with legs spread
  • Ensure area (e.g., bed) is clear and treatment area is clean and exposed
25
Q

what are the steps for preparation for insertion when placing an indwelling urinary catheter

A
  • Apply sterile gloves
  • Recommended not to inflate balloon prior to insertion
  • Coat distal portion of catheter in lubricant
  • Apply sterile drape on patient
  • Use non-dominant hand to separate labia or hold the penis
  • Cleanse the periurethral tissue with swabs using the dominant hand
26
Q

whar are the steps to actually placing the indwelling catheter

A
27
Q

what is included in post-procedure care for indwelling catheters

A
  • Secure catheter to patient’s abdomen or thigh
  • Be sure catheter is connected to drainage system
  • Place drainage bag below level of bladder
  • Ensure no kinking or potential obstruction of tubing exists
28
Q

Wow! that one was short!!

A

Clin med A 2 (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions