Urinary Catheterization Flashcards
what is the joint commission in charge of?
infection prevention
what is always done right after catheter insertion?
UA sample sent to show if UTI was or was not present at time of catheter insertion
what are some reasons for urinary catheters?
urinary retention
post-op/ immobility
incontinence/ excoriation
spinal cord injusry
monitoring I/O
sterile specimen for UA or C&S
what is C&S?
culture and sensitivity
determines what antibiotics will be most effective in tx
name 4 types of catheters and what they are used for
straight in & out (drain bladder)
fem/pedi cath (urine sample)
foley (left in place)
suprapubic (surgically placed)
what is the most common catheter size nd what is the range of sizes?
Adult 16 F (french)
12F -20F
(sm-lg)
what is a sign that the pt. needs a larger catheter size?
leaking
what is on the source document for catheterization?
pt name, DOB, procedure name
what allergies are we concerned about with catheterization?
betadine and latex
where do we insert the catheter tip?
into the urethral meatus
what are some differences in male patients with catheterizations?
longer urethra, advance all the way to bladder
uncircumsized males retract foreskin
prostate in older males (relax to reduce tension in bladder)
inject lube into urethra to help passage
what are some older adult urinary function changes?
30% reduction in function
2/3 nephrons remain
↓blood to kidneys
↓muscle tone (ureters, bladder, urethra)
nocturia
F: more prone to UTI
M: prostate enlargement
secretive
where is catheter tubing attached?
to the leg
where is drainage bag attached?
to the FRAME of the bed
what do we assess for urine?
clarity, color
odor
blood
sediment
cloudiness
dark color
amount (since cath insertion)
foley cath care consists of what?
clean perineal area and catheter
start at urethra opening and move outward
what is a foley cath. irrigated with and why?
saline or sterile water
to fix blockage from sediment, kidney stones
what are leg bags?
urine bag worn on thigh so pt. can ambulate
why is continuous bladder irrigation done?
if anticipating blood clots
what do we monitor with continuous bladder irrigation?
how much in
rate
how much out
formula to figure out urine output vs irrigation
total - irrigation input = urine output
after catheter removal the pt. must urinate within what amt of time?
8 hours or we must put another catheter
what is the procedure for the removal of a catheter?
- source doc
- empty 10mL syringe and towel
- explain procedure
- place towel btw legs
- deflate balloon of foley
- have pt. focus on breathing
- discontinue catheter by pulling out gently and steadily unless resistance
- give pt. other means of urinating with cath out (urinal, commode)
- document
dysuria
difficulty or painful urination, may be associated with infection or partial obstruction
