insertion of urinary catheter
TRANSCRIPT
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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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