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TERM 4 N2260 SKILLS 4 > WEEK 10 FOLEY INSERTION > Flashcards

WEEK 10 FOLEY INSERTION Flashcards

1
Q

What are 3 materials urinary catheters can be made from?

A
  1. Latex rubber
  2. Silastic (silicone plastic)
  3. Plastic
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2
Q

Which materials are longer lasting?

A

Silicone/silastic

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3
Q

What are 5 kinds of urinary catheters?

A
  1. Straight/intermittent
  2. Foley/indwelling
  3. 3-way/CBI
  4. Caude
  5. Suprapubic
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4
Q

What are 3 indications for use of an intermittent catheter?

A
  1. Urine specimen collection
  2. Checking PVRs if no bladder scanner available
  3. Bladder dysfunction/urinary retention
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5
Q

About how much fluid is used to inflate the balloon in a Foley catheter?

A

5-10cc

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6
Q

What are 2 indications for indwelling catheter?

A
  1. Post-op until no longer sedated
  2. Urinary retention unresolving
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7
Q

What is unique about the 3-way catheter?

A
  1. 10-30cc fluid used for balloon inflation
  2. Triple lumen
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8
Q

What is unique about the caude catheter?

A
  1. Curved, stiff tip
  2. Inserted by trained RNs or physicians only
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9
Q

What is commonly the indication for use of a caude tip catheter?

A

Difficult with catheter insertion due to prostate enlargement

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10
Q

What is unique about the suprapubic catheter?

A

Inserted through the abdomen into the bladder above the symphysis pubis

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11
Q

What are 4 indications for use of a suprapubic catheter?

A
  1. Extended/indefinite use
  2. Neurogenic bladder
  3. Bladder blockage prevents urethral catheterization
  4. Surgical/anatomical complications
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12
Q

What is the rationale behind choosing a catheter size?

A

Smaller than the meatus

Small enough to be comfortable, but large enough that urine does not bypass

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13
Q

What is the usual catheter size for external genitalia?

A

14-16 Fr

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14
Q

What is the usual catheter size for internal genitalia?

A

12-14 Fr

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15
Q

What is the usual catheter size for irrigation?

A

20-24 Fr

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16
Q

What is the usual catheter size for peds?

17
Q

What are 2 indications for catheterization intraoperatively?

A
  1. Prevent abdominal injury during abdominal surgery
  2. Drain bladder during long surgeries
18
Q

What are not reasons to catheterize a patient?

A
  1. Incontinence
  2. Obtain a specimen when the patient can voluntarily void
19
Q

What are 2 contraindications to catheterization?

A
  1. Urethral trauma/recent GU surgery
  2. Anatomical abnormalities (e.g. pelvic mass)
20
Q

What are 3 things to do before opening the catheterization tray?

A
  1. Ensure adequate lighting
  2. Perform peri-care
  3. Place a blue pad under the client

TERM 4 N2260 SKILLS 4 (10 decks)

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