Catheters Flashcards
What size catheter do men use?
16-18F
What size catheter do you use after prostatic surgery now presenting with macroscopic haematuria?
22-24F
What type of catheters are there?
Latex and Silicone
Silicone catheter can stay inside for _____
3 months
What are the complications of Latex catheters?
- encrustations
- Latex allergy
- urethral irritability
How long do you give antibiotics when a patient develops rigors due to symptomatic UTI
10-14 days
What are the indications for Transurethral catheterisation?
Post-prostatectomy
Relief of urinary retention
Long term treatment of any incontinence
In males, where is there some resistance when inserting a catheter?
At the External Urethral Sphincter
How much saline should you insert in the bladder if no urine comes out at first?
50 ml
What are 5 complications of transurethral catheters?
Urethral strictures Urethritis UTI Squamous cell carcinoma of the bladder Bladder calculi
What drug causes relaxation of the bladder?
Ditropan-anti cholinergic
Indications for suprapubic catheter
Urinary Retention
Necrotizing Fasciitis of the perineum
Urethral trauma
Neuropathic bladder and patient cannot Self catheterise
What does CISC stand for?
Clean Intermittent Self Catheterisation
What are the contra-indications for a suprapubic catheter?
- Empty bladder
- Obese patients
- undiagnosed macroscopic haematuria
- previous lower abdominal surgery
Complications of suprapubic catheter are:
- Haematuria
- migration of the catheter
- bowel puncture
- rectal injury and injury to the iliac vessels (RARE)
