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