Urinary Catheterization Flashcards
What are the therapeutic indications of urinary catheterization?
-Bladder irritation
-Urinary retention
-Urinary incontinence
What are the diagnostic indications of urinary catheterization?
-Imaging studies
-Measuring the residue volume of Urine in the bladder
What are the contraindications of urinary catheterization?
Relative contraindications
-Coagulopathy
-Recent bladder surgery
-Recent urethral surgery
-History of urethral obstruction
What are the absolute contraindications of urinary catheterization?
-Penile or urethral cancer
-Urethral meatal stenosis
-Urethral trauma or injury
-Active urinary tract infection
What are the complications of urinary tract Infections?
Early complications
-Urinary tract infections
-Urethral obstruction or injury
-Allergic reactions
-Hematuria
Intermediate complications
-Bladder obstruction
-Catheter blockage
-Ballon migration
Late complications
-Bladder stones
-Urinary incontinence
-Urethral stricture
Differences between a one way, two-way, and three-way catheter?
-One-way catheter only has one channel or lumen
-Used to drain urine from the adder
-Used to measure the residue volume of Urine in the bladder
-Two-way catheter has two channels or lumens
-One channel is for urine drainage
-The other is for inflation of the balloon tip
-It is used for short term drainage od urine
-Three-way catheter has 3 channels or lumens
-Two are used for urine drainage
-One channel is used for inflating the Ballon tip
-Used for long term urine drainage
Sizes of urinary catheters
-Men : 14-16FR
-Women : 10-12FR
-Children: 6-10FR
What are the advantages and Disadvantages of silicon catheter?
Advantages
-Long lasting
-Resistant to biofilm build up
Disadvantages
-Expensive
-Less flexible compared to latex catheter
-Allergic reactions
What are the advantages and Disadvantages of latex catcher?
-More flexible, making it easy to insert
-Less expensive compared to silicon catheter
Disadvantages
-Allergic reactions
-Inflammation or irritation of the urethra
What are the advantages and Disadvantages of Polyvinylil chloride catheter?
Advantages
-Less expensive
-Smooth surface, thereby reducing friction during insertion and removal
Disadvantages
-Allergic reactions in individuals sensitive to PVC
-Less flexible, making it difficult to insert