CatheterizationsChapter 27, volumes one and two

Catheterization• Definition-the act of inserting or

applying a hollow tube, usually for access to an internal structure. Used for drainage or instillation

Types of Catheterizations• Bladder

• Intravenous

• Cardiac

• Central line, Picc line catheterization

Types of Urinary Catheters• External (Texas catheter)

• Indwelling or retention (Foley catheter)

• Straight catheter

Types of urinary catheters

Urinary Catheterization• Done for the following reasons:• Incontinence (only if patient at risk

for further breakdown or contamination)

• Distension, retention (bladder scan done first)

• Assessing fluid balance accurately• Measuring residual urine• Obtaining sterile specimens (mini

catheterization)•

• Instilling medications, irrigating (example for a post-op or patient with cystitis)

• Resting the bladder after surgery

• Keeping the bladder empty during a procedure

Patient Concerns• Pain

• Privacy

• Embarrassment

• Will it fall out?

• Ability to wear clothes (leg bag)

• Washing/showering

Undesirable Side Effects• Infection

• Irritation/trauma

• Calculi formation

• Loss of muscle tone

How to Insert a Urinary Catheter into a Female

• Skill: See DVD 4

• Refer to chapter 27, pages 643-645

• And chapter 27, volume two

How to Insert a Urinary Catheter into a Male Patient

• Skill: - DVD 4 shows straight catheter insertion

Irrigating a urinary catheter• Verify the medical order

• Use correct solution

• Skill DVD 4

A continuous irrigation: ongoing instillation of solution

-instills irrigating solution into a catheter by gravity over a period of days

-used to keep a catheter patent after prostate or other urologic surgery in which blood clots and tissue debris collect within the bladder

-the three way catheter is necessary to provide a continuous irrigation

-the catheter has three lumens or channels within the catheter, each leading to a separate port

Review of How to Give Catheter Care

• Follow agency protocal• Wash with soap and water or follow

agency protocol• Wash from front to back in female

and at center of urethra in male in circular motion going from center outward

• Wash catheter AWAY from the bottom, starting at urethra

• Secure/anchor catheter to leg following agency protocol

Discontinuing a Urinary Catheter Safely

• Know how much water was added to balloon

• Gather supplies-appropriate needle capacity, chux

• Explain procedure to patient

• Provide for privacy

• Aspirate water into syringe

• Gently glide catheter out of bladder once all water was removed from balloon

Patient TeachingSigns and symptoms of infectionIncrease fluids (also recommend acidic

fluids)Clean intermittent self-catheterizations at

home:clean techniquesome catheters can be reused (some disposable)clean catheter with soap and water following use, rinse and dry and store in dry place; soak catheter in white vinegar solution once weekly

• http://animoto.com/play/B804B30vxC5i93ITFYsOng