pod 2 Flashcards
1
Q
indications for indwelling urinary catheters
A
- acute/chronic retention
- short term monitoring
- pre/intra op
- facilitate healing in advanced pressure ulcers in incontinent
- requires prolonged immobilization
- improve comfort for end of life
2
Q
types of catheters
A
- in & out, single lumen foley
- double lumen, two way foley
- triple lumen, 3 way
- coude catheter (bend)
3
Q
male and female size for catheters
A
M = 14-16 french
F = 12-14 french
4
Q
triple lumen catheter for bladder irrigation
A
- balloon inflation
- drainage of urine
- irrigation solution
5
Q
female & male position
A
F = dorsal recumbent
M = supine & legs extended
6
Q
aim to insert catheter…
A
5-7.5 cm F & 17-22cm M
advance extra 2.5-5 once urine flows before you inflate ballooon
7
Q
documentation of catheter insertion
A
size, balloon size inflated, amount of urine drained & characteristics, specimen collection, pt tolerance
8
Q
catheter associated urinary tract infection (CAUTI) prevention
A
- sterile technique at insertion
- cleansing perineum well routinely
- promoting one-way flow of urine
9
Q
closed vs open irrigation
A
closed = continuous flow
open = manual
10
Q
instructions to pt after foley removal
A
- increase fluid intake
- tell nurse first time need to void (nurse needs to assess first void within 6-8 hr post removal)
- measure first void
- some irritation upon first void
- try to empty bladder fully
