week 10 - urinary catherters Flashcards
what are the 4 types of urinary catheters?
intermittent
continuous
suprapubic
condom
what is an intermittent catheter?
drains urin reamaining in the bladder after voiding in thoese with bladder emptying problems
what is a continuous catherter?
involves placment of semi-perminant indwelling cathertey for urin output monitoring
what is a suprapubic catherter?
used for long term urinary discharge and draining and is inserted through the abdomen through a surgical incision
what is a condom catherter?
drainage is the application of a latex condom into penis with a draiange tube attached to it
what are the indications for an intermitten catheter?
drain urine remaining in the bladder after voiding
used to prevent incontence
postopertivly when paitents are unable to void
used in the community to avoid constant cathertisation
specimine collected in elderly/confused
enlarged prostate and hogh post void residuals
what are the indications for a continuous catheter?
used to accurtley measure output hourly
allows urine drainge if the uretheral meatus is swallon
used for pts who have an epidural/spinal block
may be used for paitents with nerogenic bladder problems
pt with stage 3/4 sacral wounds
autonomic dysrelfxia
what is the indications for a supra-pubic cateter?
failed urethral catheter insertions
long term-permanat urinary catehrisation required
pt wants to maintn sexual relationship
pt has ureathral trauma
when would a condom catherter be used?
non-invasice procedure- less infection
easiy applied
pt wishes to have sexual repaltionship
palliatve care pts
pt with sacral pressure wounds or perineal injuries
what are the contraindications to urinary catherisation?
recent urological trauma
recent ureological sugry
has previous difficult catherisation
pt known urethral sticture or narrowing
urethral meatus bleeding/risk frank heamaturia
male pt with phimosis that prevents meatal visulisation
who needs prophylactic antibiotics prior to cateterisation?
pts with hip or knee prstesis, prosetic heart valve or pst hx rhumatic fever
what are some complications of cathertirisation?
UTIs
local trauma
parahimosis from a non retracted foreskin
incontence following removal
urinary retention following removal
loss of bladder tone following removal
what is paraphimosis?
foreskin is retracted is not replace- becomes engorged and can restrict glands penis which can become iscemic and necrotic
how do you assess an indwelling cateter?
determin if pt tried to self resolve
persform abdo assesment
assess cateter for output - colour, dsediments, blood,
confusion, agitation, lack of awearness cateter are red flags
