Urinary Catheters Flashcards
Diagnostic reasons to place cath
Bacterial culture
Routine U/A
Measure urinary output
Therapeutic reasons to place cath
Relieve obstruction
After sx repair of bladder/urethra
5-8 fr
Small dog
8-12 fr
Medium dog
10-12 fr
Large dog
3.5-5 fr
Cats
Stainless steel
“Bitch cath”
Short term
Female dogs
Foley
Long term
Flexible
Male/female
Dogs
Polypropylene
Short term
Semi-rigid
Male/female
Dogs/cats
Tom cat
Polypropylene material
Male cats
Red rubber
Long term Flexible Male/female Dogs/cats Many uses
3 places where you might meet resistance
os penis
Ischial arch
Level of the prostate
Placement in female dogs
Standing
Sternal recumbency with legs over table
2 methods of placing cath in females
Digital palpation
Visual
Placement in male dogs
Must tranquilize first
Two people
Urohydropropulsion
Mix a 1:1 ratio of sterile saline and aqueous lubricant in syringe to gently pulse the obstruction
Urinary Catheter management
Measure urine output q 2-4 hours Use closed collection system U/A daily Perform serum chemistry Palpate bladder q 4-6 hours
What instrument can be used as a speculum while placing a foley?
Otoscope
How often should the urinary catheter be replaced?
48 hrs
What should be done with the cuff when removing the foley?
deflate
What should be visualized before inserting foley
The urethral papilla
2 ports on foley catheter
White tipped part – inflates cuff
Other tip – administration
What type of urinary catheter is used in females?
foley
What 5 things do you look at once the urinary cath is in place?
Secure connections Swelling Urinary output Full collection bag UA for bacteria
