Insertion of Urinary Catheter

8/4/2019 Insertion of Urinary Catheter

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y Monitor urinary function, prevent or relieve bladderdistention.

y Provide continuous bladder drainage.

y Obtain sterile urine specimeny Measure residual urine.

y Provide means for irrigating the bladder with fluids ormedications.

y Instill medications into the bladder.


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y It is an introduction of a rubber or plastic catheterthrough the urethra into the bladder.

y It provides continuous flow of urine in patients unable

to control micturation or in those with obstruction tourine flow.


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y All catheterization should be performed under thephysicians order.

y Catheterization is done underAseptic Technique

throughout the procedure.y If possible, Male nurse will do the catheterization to

MALE patients.

y The urine bag should be hanged at all times

y It should be changed every 2 weeks.


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y Assessment of patient.

y During catheterization, if any resistance is felt!

DO NOT USE FORCE AGAINST THE REISITANCE

REMOVE THE CATHETER IMMEDIATELY AND

NOTIFY THE PHYSICIAN.


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y EQUIPMENTS:

y Catheterization set:

-sterile gloves

-foley catheter

-lubricant

-cotton balls-forcep

-antiseptic solutions (betadine)

-sterile container/cup

-drapes pads, bath blanket/sheet for draping.-syringe with 5 ccwater

-standing lamp/ light source


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PROCEDURE

(MALE)

y Assess patient for the following:y Time of urination

y Level ofAwareness and knowledge of purpose ofcatheterization.

y Mobility and physical limitationy Patients age

y Pathological condition that may impair passage ofcatheter


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y Verify physicians order & identify patient.

y Explain the procedures to the patient

y Provide the patient with opportunity to performpersonal hygiene (penile)

y Wash hands.

y Position patient in supine position with only thegenitalia exposed.

y Drape the patient.

y Open catheterization tray.

y

Put on all sterile gloves, and sterile materials.


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y With non dominant hand, hold the penis at a 90 o

angle to the body.

y If the patient is not circumcised, pull backthe foreskin to visualize the meatus.

y Clean the urinary meatus with one downward stroke or

use circular motion from meatus to base of penis. Drythe meatus.

y Lubricate the catheter and gently insert into theurethra (approximately 8 inches) until urine begins to

drain.y Insert an additional inch (2.5) and inflate the balloon.


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y Check the placement by gently pulling on catheter.

y Connect the drainage bag and tape catheter to the

abdomen. (taped to the thigh to straighten theangulation of penoscrotal junction)

y Wash hands.

y Record the time of completion of the procedure andamount and color of urine and time.

y Notify physician for any abnormalities.


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PROCEDURE

(FEMALE)

y Assess the patient for the following:y Time of urination

y Level of awareness and knowledge of purpose ofcatheterization.

y Mobility and physical limitation.y Patients age

y Pathological condition that may impair passage ofcatheter.


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y Verify physicians order & identify patient.

y Explain the procedures to the patient

y Provide the patient with opportunity to performpersonal hygiene.

y Wash hands.

y Position the patient in a supine position with knees

bent, hips flexed, feet resting on bed.y Direct visualization of genital area.

y Position moisture proof pad under the patientsbuttocks

y Separate Labia minora so urethral meatus is visualizedone hand to maintain separation of the labia untilcatheterization is finished.


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y Cleanse around the urethral meatus with a povidoneiodine solution.

y Introduce a well lubricated catheter 5-7 cm (2-3inches) into urethral meatus using strict aseptictechnique.

y Secure the catheter, inflate the balloon according to

manufacturers direction.y Allow urine to flow through the catheter before

collecting a specimen

y Place the patient in a comfortable position.

y Record the time of completion of the procedure andamount & color of urine and time.

y Notify physician for any abnormalities.


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Insertion of Urinary Catheter