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Catheterizations

Catheterizations. Chapter 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

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Catheterizations

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  1. Catheterizations Chapter 27, volumes one and two

  2. Catheterization • Definition-the act of inserting or applying a hollow tube, usually for access to an internal structure. Used for drainage or instillation

  3. Types of Catheterizations • Bladder • Intravenous • Cardiac • Central line, Picc line catheterization

  4. Types of Urinary Catheters • External (Texas catheter) • Indwelling or retention (Foley catheter) • Straight catheter

  5. Types of urinary catheters

  6. 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)

  7. Instilling medications, irrigating (example for a post-op or patient with cystitis) • Resting the bladder after surgery • Keeping the bladder empty during a procedure

  8. Patient Concerns • Pain • Privacy • Embarrassment • Will it fall out? • Ability to wear clothes (leg bag) • Washing/showering

  9. Undesirable Side Effects • Infection • Irritation/trauma • Calculi formation • Loss of muscle tone

  10. 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

  11. How to Insert a Urinary Catheter into a Male Patient • Skill: - DVD 4 shows straight catheter insertion

  12. Irrigating a urinary catheter • Verify the medical order • Use correct solution • Skill DVD 4

  13. 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

  14. 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

  15. 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

  16. Patient Teaching Signs and symptoms of infection Increase fluids (also recommend acidic fluids) Clean intermittent self-catheterizations at home: clean technique some 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

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

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