Catheterization Flashcards

Question

a rounded swelling above pubis

Answer 1

pt have absnce of urine. The best way to assess for a distended bladder. This swelling represents the distended bladder rising above the pubis into the abdominal cavity. The client might experience tenderness or pressure above the symphysis

Answer 2

Promote normal voiding: Privacy Comfort Run water Positioning Warm water Crede = pushing down on abdomen Massage spine (S2,3,4 level) Bladder scan

Answer 3

helps decompression of bladder/drain urinary to make it smaller when volume of urine is known to be excessive (>1L), notify provider for guidance r/t gradual bladder decompressio

Answer 4

(invasive) Purpose: Place catheter into the urinary bladder to allow drainage of urine (strict asepsis!!!!) Types of catheters: Straight Retention (double lumen foley) Triple supra *above* pubic / urthera is bypassed Coude

Answer 5

-Straight catheters are used to drain the Temporary Use: Straight catheters are designed for short-term use and are typically used on an as-needed basis. No Balloon: Unlike indwelling catheters, straight catheters do not have a balloon to hold them in place; they rely on manual insertion and removal.

Answer 6

To obtain a sterile urine specimen  Measure the amount of residual urine  Empty the bladder prior to surgery  Prevent post op bladder distention  Prevent urine from coming in contact with an incision or open wound/skin breakdown  To obtain accurate intake and output (I&O)  Provide continuous or intermittent bladder irrigation

Answer 7

(bladder/prostate sugery pts) - need to retention -clamp it Facilitate continuous bladder irrigation or for instillation of medication. This catheter is primarily used following urological surgery or in case of bleeding from a bladder or prostate tumor and the bladder may need continuous or intermittent irrigation to clear blood clots or debris.

Answer 8

suprapubic catheter is a type of urinary catheter that is surgically inserted into the bladder through the abdominal wall, just above the pubic bone. Suprapubic catheterization is often performed when long-term or permanent urinary drainage is required, or when other methods of catheterization (such as urethral catheterization) are not suitable or have failed. | by passes urethera

Answer 9

men with enlarge prostate

Answer 10

It is held in place by a balloon filled with sterile water, preventing it from slipping out. Foley catheters are commonly used in healthcare settings for patients who are unable to urinate naturally due to various medical conditions or surgeries. Here are the steps for inserting and managing a Foley catheter:

Answer 11

 French system: the internal diameter of catheter- the larger the number, the larger the lumen size  Infants and young children- 5-8 Fr  Children- 8-10 Fr  Adults 14-16 Fr ( normal 14)  Elderly, thin adults- 12-14 Fr  Large meatal opening -20-30 ( for weak bigger )

Answer 12

Child- 3ml balloon with 5ml sterile water Normal size adult- 5ml balloon with 10ml sterile water -30ml *Not recommended to pre-test the balloon prior to insertion

Answer 13

1. An indwelling catheter must be ordered by a physician and is inserted only by a licensed nurse. (nursing students can with rn ) 2. Prepare patient- explain 3. Wash hands, gather equipment Female- supine, knees flexed. Tips: need good lighting for visualization Variations in technique bearing down may ease catheter insertion Male- supine, legs straight Pt sims postion with issues.

Answer 14

Female- 1-2 (4inches) up the catheter. deep breath Male- up to the Y connector *hold penis at a 90 degree angle 5-7 inchess

Answer 15

1. Cleansing Labia- 2. Hold labia with non dominant hand- 3.Once hand is positioned, keep in place- DO NOT LET GO! 4.If catheter is placed in the vagina:  Leave it there  Begin with new catheter  NEVER use contaminated catheter

Answer 16

urinary stayed in bladder

Answer 17

cleanse urinary meatus in a circular motion from meatus outwards Hold penis at a 90 degree angle

Answer 18

Anchor tubing using tape or catheter leg band check tubing. causes infection if not tape to prevent movement.

Answer 19

 Infection- Catheter associated urinary tract infections (CAUTI) account for 80% of hospital acquired infections  Trauma  Reflux

Answer 20

 Wear clean gloves  Check balloon size  Completely deflate balloon (10ml syringe)  Measure urine output (U/O)  Observe for urinary retention post removal  Assess for signs of UTI (dysuria/frequency/fever/confusion * delrious/dementia )

Answer 21

Single use catheter to drain the bladder Reasons:  Neurogenic bladder  Spinal cord injury

Answer 22

Goal- empty bladder, prevent UTI  Good vision  Manual dexterity  Cognitive ability ( no dementia)  Motivation

Answer 23

Irrigation solution and tubing Run in amount of fluid per physician order* Clamp during irrigation (retain bladder) Unclamp to drain irrigant* and urine Subtract irrigant from urine* ( if i have 260 / 60 was irrgaint = my total is 200)

Answer 24

 Decrease in UTI’s  Independence  Decrease in reflux  Normal sexual relations  Release from dribbling  Return to work

Answer 25

wash hands cleanse specimen [port with alcohol draw up sterile irrigation solution into 60 ml syringe, connect to specimen port( 10ml) clamp drainage tubing Unclamp drainage tubing and allow irrigant and urine to drain Subtract irrigant from urine total

Answer 26

Physician order/Not recommended

Answer 27

1. Clamp drainage bag tubing below the level of the specimen port for 15-30 min 2. Put on clean gloves 3. Cleanse specimen port with alcohol and insert needless access device with a 20-30 ml syringe into self sealing specimen port @ 90 degrees and withdraw urine. 4. Place into sterile specimen container 5. ***Must unclamp tubing 6. Send to lab promptly for analysis per facility policy ( ASAP or it'll get infected)

Answer 28

- abdominal assessment ( IPP- no A) - assess I&O - bladder scan - used to estimate volume of urine in bladder -palpating the bladder

Answer 29

Catheterization in Men: **1. Prepare the Patient: Explain the procedure to the patient, ensuring informed consent. Gather necessary supplies: sterile catheter, sterile lubricant, sterile gloves, antiseptic solution, drainage bag, and drapes. **2. Position the Patient: Have the patient lie on their back with knees bent and legs apart, or in a dorsal lithotomy position (similar to a gynecological exam position). **3. Prepare and Cleanse: Wash hands thoroughly and put on sterile gloves. Cleanse the urethral meatus and surrounding area with an antiseptic solution. **4. Insert the Catheter: hold peepee @ 90 degree Lubricate the catheter tip with sterile lubricant. Hold the penis upright, perpendicular to the body. Insert the catheter gently and slowly into the urethra until urine starts to flow. Continue inserting the catheter about 2-3 inches more after urine starts flowing to ensure it is in the bladder. **5. Secure the Catheter: Secure the catheter to the patient's thigh or abdomen using tape or a catheter stabilization device. Connect the catheter to a drainage bag. **6. Ensure Comfort and Safety: Ensure the catheter is draining properly and that the patient is comfortable. Wash hands and provide appropriate perineal care.

Answer 30

Insert the Catheter: Lubricate the catheter tip with sterile lubricant. With one hand, separate the labia. Insert the catheter gently and slowly into the urethra until urine starts to flow. Continue inserting the catheter about 2-3 inches more after urine starts flowing to ensure it is in the bladder. **5. Secure the Catheter: Secure the catheter to the patient's thigh using tape or a catheter stabilization device. Connect the catheter to a drainage bag. **6. Ensure Comfort and Safety: Ensure the catheter is draining properly and that the patient is comfortable. Wash hands and provide appropriate perineal care. In both cases, it's essential to use sterile techniques, maintain patient dignity, and ensure proper catheter placement and securement to prevent complications. Proper training and following institutional protocols are essential for performing urinary catheterization safely and effectively.

Answer 31

the balloon in a catheter is essential for ensuring proper placement, stability, and retention inside the bladder. It is a key component that allows the catheter to fulfill its purpose of draining urine effectively and safely. Healthcare professionals carefully inflate and deflate the balloon according to specific guidelines to ensure patient comfort and prevent complications.

Answer 32

NOT FROM BAG - need to clamp bag ( 15 minutes) -send to labs asap if not refrigerate it

Answer 33

With this condition, the urinary stream may be weak, or stop and start

Answer 34

3. The decision by the surgeon to insert a catheter after TURP or prostatectomy depends on the amount of bleeding that is expected after the procedure. During continuous bladder irrigation after a TURP or prostatectomy, the rate at which the solution enters the bladder should be increased when the drainage becomes brighter red. The color indicates the presence of blood. Increasing the fow of irrigating solution helps flush the catheter well so that clots do not plug it. There would be no reason to increase the flow rate when the return is continuous or when the return appears cloudy and dark yellow. Increasing the flow would be contraindi-cated when there is no return of urine and irrigating solution. The infusion rate should be increased if the drainage is cherry colored or if clots are seen.

Catheterization Flashcards

(59 cards)