URINARY

CATHETERIZATION
GENERAL OBJECTIVE:
After the discussion and demonstration, the BSN 2 students will able to
develop positive attitude, acquire basic knowledge and skills in
catheterization.
Specifically, the BSN 2
Students will be able to:

1. Recognize the importance

of Catheterization in
facilitating urinary
drainage when medically
necessary.
2.Define related terms
correctly.
3.Practice the procedure
following the steps written in
RLE Manual.
Specifically, the BSN 2
Students will be able to:

4.Prepare needed materials

for catheterization before the
procedure.
5.Return Demonstrate
catheter insertion/removal and
care utilizing the correct
steps written in RLE Manual.
 URINARY
CATHETERIZATION
Definition of terms:
• INCONTINENCE
- THE INABILITY TO CONTROL URINE OR FECES

• VOID
- TO URINATE/excrete (waste matter)

• MICTURATE
- TO URINATE

• DYSURIA
- PAINFUL URINATION
• DYSURIA – PAINFUL OR DIFFICULT URINATION

• HEMATURIA – BLOOD IN THE URINE

• NOCTURIA – FREQUENT URINATION AT NIGHT

• POLYURIA –is a condition • URINARY
where the body urinates more FREQUENCY –
than usual and passes VOIDING AT
excessive or abnormally large FREQUENT
amounts of urine each time INTERVALS
you urinate. Polyuria is
defined as the frequent passage • URINARY URGENCY
of large volumes of urine – – THE NEED TO
more than 3 litres a day VOID AT ONCE
compared to the normal daily
urine output in adults of about
1 to 2 litres.
ANATOMY OF URINARY SYSTEM
URINARY CATHETERS
• CATHETER –
A TUBE USED TO IT CAN BE
DRAIN OR INJECT TEMPORARY OR LEFT
FLUID THROUGH A IN PLACE. A BALLON
BODY OPENING . IS INFLATED TO HOLD
THE CATHETER IN
INSERTED THROUGH PLACE. THE END OF
THE URETHRA, INTO THE CATHETER IS
THE BLADDER TO ATTACHED TO A
DRAIN THE URINE. DRAINAGE BAG.
DRAINAGE BAG
Urinary drainage bags are used as a urine
collection bag for catheters and designed
to be hygienic and user- friendly. They
provide improved care for the patient and
comfort handling for the caregiver.

Urinary drainage bags come in

basically two types:
Bedside drainage bags that hang from the
bedside or a wheelchair and Urine leg bags
that can be strapped to the thigh of the user.

1.Urinary drainage bags are for use by

bed-ridden patients, hospitalized patients or
for night-time usage by those who suffer
from incontinence.

2.Leg Bags are appropriate for more

active users who suffer from urinary
incontinence.
Types of Urinary Catheter
Indwelling Catheter
An indwelling urinary catheter (IUC),
generally referred to as a “Foley” catheter,
is a closed sterile system with a catheter
and retention balloon that is inserted either
through the urethra or suprapubically to
allow for bladder drainage. External
collecting devices (e.g. drainage tubing
and bag) are connected to the catheter for
urine collection.
Indwelling urinary catheters are
recommended only for short-term use,
defined as less than 30 days or no longer
than 14 days. The catheter is inserted for
continuous drainage of the bladder for
two common bladder dysfunction:
urinary incontinence (UI) and urinary
retention.
Two Types of Indwelling
Catheters Indwelling urinary
catheters are either inserted:

 Transurethrally
 Suprapubically
Transurethral indwelling
catheterization or urinary
catheterization is defined as
passage of a catheter into the
urinary bladder via the urethra
(urethral catheter).
Suprapubic catheterization is the insertion of
a catheter into the bladder via the anterior
abdominal wall.
The catheter is inserted through an incision
made above the pubic bone and below the
umbilicus. The insertion of this type of
catheterization is done by a urologic specialist.
Long term catheterization can be associated
with many serious problems including urinary
tract infections, urethritis, bladder spasms
with pain and urinary leakage, and other
bladder complications.
Condom catheters

Condom catheters are Men often prefer

external urinary condom catheters
catheters that are worn over internal
like a condom. They urinary catheters
collect urine as it
drains out of
because they’re
your bladder and send easier to use, can
it to a collection bag be changed at
strapped to your leg. home, and are
They’re typically used noninvasive (that
by men who have
is, nothing is
urinary incontinence
(can’t control their inserted into their
bladder). body).
Straight catheters
Straight catheters
- are a type of intermittent catheter and
often called “in-and-out” catheters. Straight
catheters are small hollow, flexible tubes that
are used to empty urine from the bladder
intermittently.
Straight catheters can be inserted through the
urethra or through a surgical opening called a
stoma that connects the bladder to the outside
of the body.
According to the FDA, straight catheters are
disposable, and for single-use only.
There are two main parts of a straight catheter:

 Insertion end: contains oval-shaped holes

called eyelets that allow urine to pass in
through the bladder
 Non-insertion end: usually contains a plastic
funnel that allows urine to drain into a collection
device (toilet bowl, urine bag, etc.)
NURSING CARE
 LEAVE THE
SYSTEM CLOSED
AS MUCH AS
POSSIBLE
 DO NOT ALLOW
THE BAG OR
TUBING TO TOUCH
THE FLOOR
 ALWAYS KEEP THE
DRAINAGE BAG BELOW
THE LEVEL OF THE
BLADDER
 KEEP THE CATHETER
AND DRAINAGE TUBING
FREE OF KINKS
 NOTICE THE CATHETER
TAPED TO THE
INNER THIGH.
 NOTICE THE DRAINAGE BAG
HOOKED ON THE BEDFRAME.
IF A DRAINAGE
SYSTEM IS
ACCIDENTALLY
DISCONNECTED:

 Tell the
nurse at once.
 Do not touch
the ends of the
catheter or
tubing.
 Practice
hand hygiene
and put on
gloves.
 Wipe the end
of the tube  Discard the
with an wipes into a
antiseptic biohazard bag.
wipe.
 Wipe the end
of the catheter  Remove
with another the gloves
antiseptic wipe. and practice
 Connect the
hand
hygiene.
tubing to the
catheter.
 THE CATHETER SITE
WILL NEED REGULAR
CLEANING TO HELP
PREVENT INFECTION
 WEAR GLOVES AND
FOLLOW STANDARD
PRECAUTIONS
 WASH AWAY FROM
THE URINARY
MEATUS
 CLEAN FOUR INCHES
DOWN THE CATHETER
 USE A DIFFERENT
PART OF THE
WASHCLOTH OR A
 MOST FACILITIES CHANGE THE
EXTERNAL CATHETER ON A DAILY
BASIS.

 PERFORM PERINEAL CARE BEFORE

REAPPLYING THE EXTERNAL CATHETER.

 NOTE THAT THE CATHETER IS TAPED

TO
THE PERSON’S LEG TO KEEP IT FROM
 PULLING.
 DO NOT WITHHOLD
FLUIDS
 FOLLOW THE
PERSON’S
ROUTINES
 ASSIST THE PERSON TO
THE BATHROOM AS
NEEDED. PROVIDE THE
BEDPAN OR URINAL IF
NEEDED
 ASSIST THE PERSON TO
ASSUME A NORMAL
 PROVIDE FOR PRIVACY
 ALLOW TIME TO VOID
 RUN WATER TO HELP
START URINATION
 PROVIDE PERINEAL CARE
IF NEEDED
 ALLOW PERSON TO WASH
HANDS AFTER TOILITING
INSERTING A STRAIGHT OR INDWELLING CATHETER: MALE
EQUIPMENT:
 Indwelling or straight catheter
 10 cc syringe, prefilled with water
 Urinary bag with drainage tubing
 Sterile KY Jelly
 Adequate lighting source
 Plaster and bandage scissor
 Disposable sterile gloves
 Warm water, soap, betadine, cotton balls
 Towel, blanket
 Sterile forceps
 Eye sheet
 incopad
ROUTINE CATHETER CARE

EQUIPMENT:

 Antiseptic
Solution
 Sterile
swabs
 Clean
Gloves
 Washcloth,
soap and water
REMOVING AN INDWELLING CATHETER
EQUIPMENT:

10 cc syringe
Clean Gloves
 Paper towel
or gauze
 Waste
receptacle