URINARY

CATHETERIZATION
MALE COLLEGE OF NURSING LYARI
FUNDAMENTAL OF NURSING (II)
FACULTY: MADAM REHANA MURAD

GROUP #09
MEMBERS:
1) YOUNAS (2) MD BILAL (3) ANWAR AFRIDI (4) SARFARAZ
(5) RIZWAN AHMED (6) MUNEER KHAN (7) HAFIZ WAQAS
 OBJECTIVE :
• Terminology use in catheterization
• Type of Catheter
• List the indications for urinary catheterization
• Indicate the appropriate catheter Type / Size
• Discuss the risks associated with catherizations
• Describe the equipment for female/ male / pediatric
• Explain safe method of performing urinary catheterization While maintaining
strict aseptic technique.
TERMINOLOGY USE IN
CATHETERIZATION
• Catheter: A thin tube inserted into the body to allow the passage of fluids.
• Urethral Catheterization: Inserting a catheter through the urethra into the bladder to
drain urine.
• Foley Catheter: A type of indwelling catheter with an inflatable balloon at the tip to
secure it in place within the bladder.
• Aseptic Technique: Procedures and practices to prevent contamination during catheter
insertion and maintenance.
CONT..

• Cystitis: Inflammation of the bladder, which can be a potential complication

of catheterization.
• Balloon: Inflatable part of the catheter that helps secure it inside the bladder
• Urethra: The tube that carries urine from the bladder to the outside of the
body.
INDICATIONS OF URINE
CATHETERIZATION :
Urinary Retention: When a person is unable to empty their bladder naturally.

Surgery or Medical Procedures: Some surgeries may require catheterization for monitoring or
postoperative care.

Incontinence Management: For individuals with severe urinary incontinence or those unable to
control bladder function.

Bladder Emptying Issues: In cases of neurological disorders, spinal cord injuries, or other conditions
affecting bladder function.
• Critical Illness or Trauma: In intensive care settings, catheters may be used to monitor urine
output and manage critically ill patient
 URINE CATHETER SIZES :
• The French scale (Fr.) is used to denote the size of catheters. Each unit is roughly
equivalent to 0.33 mm in diameter (that is, 18 Fr. Indicates a diameter of 6 mm). The
smaller the number, the smaller the catheter. A larger sized catheter is used for a male
because it is stiffer, thus easier to push the distance of the male urethra. Catheters come
in several sizes:

a. Number 8 Fr. And 10 Fr. Are used for children.

B. Number 14 Fr. And 16 Fr. Are used for female adults.

C. Number 20 Fr. And 22 Fr. Are usually used for male adults.
 DIAMETER:

5Fr, 6fr (pink), 8fr (blue) 10fr (black), 12fr (white), 14fr (green), 16fr, 18fr,
20fr, 22fr, 24fr, 26fr.
• The higher the number the larger the diameter of the catheter. 3Fr. 1mm (i.e.
a 24fr. Catheter is 8mm in diameter
 RISK ASSOCIATED WITH
CATHETERIZATION :
1.Infection:Catheter insertion can introduce bacteria into the urinary tract, leading to
urinary tract infections (UTIs).

2.Trauma and Injury: Improper insertion or manipulation of the catheter can cause
damage to the urethra, bladder, or surrounding tissues.

3.Blockage: Catheters can become blocked, preventing the proper drainage of urine. This
may result in discomfort or complications.
4.Allergic Reactions: Some individuals may be allergic to materials used in catheters,
leading to skin irritation or more severe allergic reaction
CNT..

5.Blood in Urine: Occasionally, catheterization can cause minor bleeding,

leading to blood in the urine.

6.Bladder Spasms:The presence of a catheter can sometimes trigger bladder

spasms or discomfort.
• 7.Reflex Issues: Long-term catheter use may affect the normal reflexes that
control urination.
 EQUIPMENT :
Catheterization tray consists of: disposable sterile gloves, drapes, one fenestrated,
lubricant, cotton balls with container, forceps (2), prefilled 10cc syringe with sterile
water to inflated the balloon, sterile specimen container for urine sample collection

sterile catheter, latex (rubber) or silicone: 2 way or 3 way (where possible, select
the non-latex catheter)

chlorhexidine 2% aqueous solution

Sterile water

catheter-secure device or adhesive tape

urinary drainage bag

• medicated lubricant (Urojet
STRICT ASEPTIC TECHNIQUE WHILE
CATHETERIZATION :
Hand Hygiene: Wash hands thoroughly with soap and water, or use an alcohol-based hand sanitizer.

Gather Supplies: Ensure all necessary supplies, including a sterile catheterization kit, gloves, sterile
drape, lubricant, antiseptic solution, and a catheter, are ready.

Patient Positioning: Position the patient comfortably, expose the genital area, and drape the patient with
a sterile sheet.

Glove Up: Put on sterile gloves to maintain asepsis.

Clean the Meatus: Clean the meatus and surrounding area with an antiseptic solution using a circular
motion from the center outward.
CNT..
Lubricate the Catheter: Apply a water-soluble lubricant to the catheter tip for ease of insertion.

Properly: Use a non-dominant hand to hold the catheter without touching the tip, maintaining
sterility.

Insert the Catheter: Insert the catheter gently, following the natural curve of the urethra. Avoid
forceful insertion.

Secure the Catheter: Once the catheter is in place, secure it to the patient’s leg to prevent accidental
displacement.
• Post-Procedure Care: Ensure the patient’s comfort, provide appropriate hygiene, and document the
procedure.
REFERENCE;

Kozier & Erb’s Fundamentals of Nursing: Concepts,

Process,
And practice 8th Edition
https://www.slideshare.net/tozki/urinary-catheterization-
2248691