Urinary Catheterization Female

URINARY CATHETERIZATION (female)

URINARY CATHETERIZATION - Is the introduction of a catheter through the urethra into the urinary bladder

Two kinds of urinary catheter: Straight catheter  Foley or retention catheter 

Purposes:

To relieve discomfort due to bladder distention or to provide gradual decompression of a distended bladder  To assess the amount of residual urine if the bladder empties incompletely  To obtain a urine specimen  To empty the bladder completely prior to surgery  To facilitate accurate measurement of urinary output for critically ill clients whose output needs to be monitored hourly  To provide for intermittent or continuous bladder drainage and irrigation  To prevent urine from contacting an incision after perineal surgery  To manage incontinence when other measures have failed 

Complications:

Urinary tract or kidney infections  Blood infections (sepsis)  Urethral injury  Skin breakdown  Bladder stones  Blood in the urine  Bladder cancer 

Performing urinary catheterization I. Assess II. Equipments

III. Procedure 1. Explain the procedure to the patient and why it is necessary 2. Wash hands 3. Provide for client privacy 4. Place the client in the appropriate position and drape all areas except the perineum 5. Establish adequate lightning

6. Open the drainage package and place the end of the tubing within reach 7. Open the catheterization kit 8. Place a waterproof drape under the buttocks (female) 9. Apply sterile gloves 10. Organize the remaining supplies 11. Attach the prefilled syringe to the indwelling catheter inflation hub and test the balloon 12. Lubricate the catheter and place it with the drainage end inside the collection container 13. Cleanse the meatus 14. Insert the catheter 15. Hold the catheter with the nondominant hand

16. For an indwelling catheter, inflate the retention balloon with the designated volume 17. Collect a urine specimen if needed 18. Attach the catheter to drainage bag using sterile technique 19. Examine and measure the urine 20. Secure the collecting tubing to the inner thigh for females 21. Wipe the perineal area of any remaining antiseptic or lubricant 22. Return the patient to a comfortable position 23. Discard all used supplies in appropriate receptacles 24. Wash hands 25. Document the catheterization procedure, including the catheter size and results

Nursing Interventions for Clients with Retention Catheters

Encourage large amounts of fluid intake  Accurate recording of fluid intake and output  Changing the retention catheter and tubing  Maintaining the patency of the drainage system  Preventing contamination of the drainage system  Perineal care  Dietary measures 

Removing Retention Catheters:

1. Ask the client to assume a supine position as for a catheterization 2. Remove the tape attaching the catheter to the client, don gloves, and then place the towel between the legs of the female client 3. Insert the syringe into the injection port of the catheter, and withdraw the fluid from the balloon 4. Do not pull the catheter while the balloon is inflated 5. After all the fluid is withdrawn from the balloon, gently withdraw the catheter and place it in the waste receptacle

6. Dry the perineal area with a towel 7. Remove gloves 8. Measure the urine in the drainage bag, and record the removal of the catheter 9. Following removal of the catheter determine the time of the first voiding and the amount voided during the first 8 hours. Compare this output to the client's intake.

_The End_ Tandaan, Mae Ellenore M. 4BSN5/Group13