Activity:

Prepare for return demonstration/graded recitation of Indwelling foley

catheter insertion.

Case Scenario:
Mrs. Baket, a 35-year-old para 1 gravida 2 woman at 18 weeks of gestation,
was referred to the emergency room by her family practitioner, with acute
urinary retention (AUR). She presented at 1000 hours having last voided
at 2030 hours the previous night. Mrs. Baket states he has noticed
urinary frequency during the day for the past 2 weeks, and that he
doesn’t feel he has emptied his bladder after urinating. He also has to
get up two or three times during the night to urinate. During the past
few days, he has had difficulty starting urination. It was the first
time that she had ever experienced this problem. Examination revealed a
distended supra-pubic cystic mass, which reduced after emptying of the
bladder with an indwelling urinary catheter. A total of 1,000 ml of urine
was drained. The height of uterine fundus was in keeping with the
calculated gestational age; soft on-tender and anteverted. Her previous
vaginal delivery at term 18 months ago followed spontaneous labor,
however, she had to be taken to theatre for manual removal of the
placenta. There was no other significant history. A renal and obstetric
ultrasound revealed an 18-week singleton, cephalic fetus and no renal
tract abnormalities. She was placed on Ceftriaxone 1g IV q day. After
an 8-day stay in the ward, during which she had an indwelling catheter,
she was able to void completely and was discharged home with a follow-
up appointment.
Physical Examination Diagnostic Data
Height: 5′5″
Weight: 75.7 kg
Temperature: 38.1°C (100.6°F)
Pulse: 88 beats/min
Respirations: 20/min
Blood pressure: 146/86 mmHg
Catheterization for urinary retention yielded 1000 mL amber urine

Kindly make an NCP, FDAR and a Drug Study.

Please send on my Gmail account ________________. Thank you.