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    Presentation On Urinary Catheter

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    sushma shrestha
    Urinary catheterization involves inserting a catheter into the urethra or bladder to drain urine. There are three main types: external, urethral, and suprapubic. Catheters are used to drain urine for incontinence, during surgery, or when the bladder cannot empty. Nurses must properly insert, secure, and care for catheters to prevent infections and other complications like obstruction or trauma.

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    Presentation On Urinary Catheter

    Uploaded by

    sushma shrestha
    76 views28 pages
    Urinary catheterization involves inserting a catheter into the urethra or bladder to drain urine. There are three main types: external, urethral, and suprapubic. Catheters are used to drain urine for incontinence, during surgery, or when the bladder cannot empty. Nurses must properly insert, secure, and care for catheters to prevent infections and other complications like obstruction or trauma.

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    Presentation on Urinary Catheter

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    Urinary catheterization involves inserting a catheter into the urethra or bladder to drain urine. There are three main types: external, urethral, and suprapubic. Catheters are used to drain urine for incontinence, during surgery, or when the bladder cannot empty. Nurses must properly insert, secure, and care for catheters to prevent infections and other complications like obstruction or trauma.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    76 views28 pages

    Presentation On Urinary Catheter

    Uploaded by

    sushma shrestha
    Urinary catheterization involves inserting a catheter into the urethra or bladder to drain urine. There are three main types: external, urethral, and suprapubic. Catheters are used to drain urine for incontinence, during surgery, or when the bladder cannot empty. Nurses must properly insert, secure, and care for catheters to prevent infections and other complications like obstruction or trauma.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 28

    Urinary Catheterization

    Prepared by
    Nilam Gurung
    Roll no 23
    PBBN 3rd year
    Urinary Catheterization
    Definition
    Catheterization is a process of drawing urine from the
    urinary bladder by means of catheter by using aseptic
    technique for the purpose of empting the bladder.
    Types
    1.External Cathetererization
    Condom Catheterization
    2.Urethreal Catheterization
    Intermittent Catheterization
    Indwelling Catheterization
    3.Suprapubic Catheterization
    1.External Catheterization
    External catheterization is a
    rare type of catheterization
    in which device called
    condom catheter remains
    outside of the body in the
    form of a urinary pouch or a
    penile sheath catheter.
    External catheters are an
    effective way to collect urine
    but are not indicated for
    management of urinary
    obstruction. It is used in
    incontinence male
    Purposes
    • To drain urine incase of an incontinent patient
    • To permit patient’s normal physical activity without
    fear of embarrassment caused by incontinence
    2.Urethral Catheterization
    Urethral catheter are more invasive
    because the device is inserted
    transurethrally. It includes;
    • Intermittent catheterization
    It is a safe and effective method to
    empty the bladder in patients with
    voiding disorders where patient need
    either short term catheter or as a daily
    habit for life. IC involves the use of a
    short, flexible catheter that is inserted
    through the urethra into the bladder
    to drain urine.
    Purposes
     To relieve bladder distension
     To assess for residual urine after voiding
     To obtain a sterile specimen
     To empty bladder prior to delivery or abdominal
    surgery
    • Indwelling Catheterization

    A urinary catheter is inserted


    into the urethra and
    advanced into the bladder
    allowing for the continuous,
    passive drainage of urine
    from the bladder. A balloon
    at the proximal end of the
    catheter is inflated with
    sterile water to hold the
    catheter in place .
    Cont..
     Short-Term Versus Long-Term Catheterization
    Short-term catheterization has been described
    differently by varying sources as a catheter that is
    expected to be removed after the bladder is emptied
    or within 1 to 14 days of use or the catheter is used
    less than 30 days
    Long-term catheterization is referred to as catheter use
    for more than 30 days. It is used to manage urinary
    retention and incontinence when other methods are
    not effective
    Purposes
     To facilitate urinary elimination in incontinent patient
     To relieve acute or chronic urinary retention
     To splint urethra to promote healing after urological
    surgery
     To prevent urine from contacting an incision after
    perineal surgery
     To facilitate continuous bladder drainage after injury/
    surgery on urinary tract or other major surgeries
    3.Suprapubic Catheterization

    Suprapubic catheterization,
    a urinary catheter is passed
    percutaneously through the
    anterior abdominal wall
    into the bladder, and is
    usually sited
    approximately 2 cm above
    the pubic bone
    Purposes
     To manage acute urinary retention when other types
    of catheterization is not possible for example urethral
    closure.
     To allow instruments to pass into the bladder for
    some urological procedures eg cystoscopy
     Temporary diversion of urine for some
    gynecological, abdominal, or urological surgeries
     To prevent persistent problems due to urethral
    catheters for examples, irritation, blocking, or leakage
    around a urethral catheter
     Chronic bladder drainage when no other alternative
    therapy is possible.
    Nursing Management of Patient
    Undergoing Urinary Catheterization
    In caring for a patient with catheter, the main goal
    includes;
    • To prevent urinary tract infection
    • To prevent ascending infection
    • To make free flow of urine
    • To make comfort to the patient
    Cont..
    • Pre procedure care
     Explain the procedure, purposes and importance of
    procedure to the patient
     Take informed consent
     Take vital signs
     Maintain privacy
     Provide psychological support
     Positioning the patient
     Keep ready specimen collection container if needed
    Cont..
     Ask the patient regarding any allergy to anesthesia,
    latex, Urinary tract infection and clotting disorders
    Cont..
    • During procedure
     Assess the patient’s condition continuously
     Encourage the patient to be patience and take deep breath
     Collect the urine specimen properly if ordered
     Assess color, odour, consistency and amount of urine
     Ensure that the patient feel comfort or not
     Circulate the articles as needed
     Do not force the catheter during insertion that may cause
    lower urinary tract injury
     Perform procedure by following principles and aseptic
    techniques
    Cont..
    • Post procedure care
     Replace the all articles properly
     Keep the patient in comfortable position
     Fix the urinary catheter properly
     Assess the any bleeding on incision site
     Documentation should be done about date and time of
    procedure, types of catheter used, amount,
    color,ordour and consistency of urine,any
    abnormalities and condition of patient after procedure
     Recheck the catheter for proper draining of urine
    General Care
    • Encourage the patient to take plenty of fluids atleast
    2.5 to 3litre per day or according to patient conditon
    • Maintain closed drainage system and do not open the
    drainage system at connection points to obtain
    specimen or to measure urine
    • If the drainage tube becomes disconnected do not
    touch the ends of the catheter. Wipe the ends with
    antiseptic solution before reconnecting it
    • Avoid prolonged clamping or kinking of tubing
    • Remind the patient never to lie on the tubing and to
    check it tomake sure there are no bends in the tube
    Cont..
    • Never leave the urinary bag lying on the floor
    • Empty the drainage bag at 3 to 4 hours
    • Give perineal care twice a day and after defecation if
    possible
    • Prevent pooling and reflux of urine into the bladder by
    following measures;
    o Avoid raising the drainage bag above the level of
    patient’s bladder. It is needed clamp the catheter
    o Not allow to full up drainage bag
    o Drain all urine from the tubing to the bag before the
    client exercises or ambulates
    Cont..
    o While changing position or in bed making drainage bag
    should be clamped
    • If sedement gathers in the tubing or drainage bag or if there
    is a leak, need to change the tube and bag
    • Remove the condom once a day to clean the area and assess
    the skin for any signs of infection, impaired skin integrity
    • Do not reattach the condom catheter if it falls off. It will not
    stick any better in second try. Apply a new catheter and strip
    • Client may have latex allergy and may require latex free
    condoms
    Cont..
    • Patients at risk for UTI may be treated with an
    antibiotic prior to the catheter exchange
    • During a catheter exchange, insert the catheter within
    10 minutes of removing the existing catheter because
    the catheter tract will close quickly
    • Determine the proper length/depth to insert the new
    catheter. Mark the length of the existing catheter at
    the skin level where it exits; mark the corresponding
    length on the new replacement catheter to ensure it is
    placed at the correct depth; lubricate the tip of the
    catheter with water soluble gel and reinsert the
    catheter to the same length; and inflate the balloon
    Cont..
    • When removing a Supra Pubic catheter, Do not
    withdraw water out of the balloon, but attach a syringe
    and allow the water to flow out by gravity
    • Consider clamping the catheter, prior to removal, to
    ensure there is a sufficient volume of urine in the
    bladder to drain with the insertion of the new catheter,
    and avoid a prolonged wait to confirm the placement
    • Have the patient take deep breaths and relax the
    abdominal muscles during removal and reinsertion of
    the catheter.
    Cont..
    • Monitor the stoma daily for irritation, erosion, urine
    leakage, and assess the skin integrity under the
    securement device
    • Observe for urine output from the catheter to make
    sure it is patent.
    • Perform catheter irrigations only with a physician’s
    order. Routine bladder irrigations are not beneficial,
    but may be recommended in special circumstances,
    such as for management of blood clots or calculi
    blocking the catheter
    Cont..
    • Keep dressings in place for the first month until the
    stoma site is healed and then dressings can be
    discontinued. Application of anti-microbial agents at
    the stoma site is not recommended.
    • Secure the catheter to the lower abdomen to prevent
    traction and trauma to the anterior bladder wall or
    skin at the insertion site, and prevent dislodgement
    • The new suprapubic tract matures in approximately 2
    weeks, but the catheter should not be changed for 6 to
    12 weeks
    Complications
    • Catheter associated urinary tract infection (CAUTI)
    • Urethral injury
    • Bladder cancer (usually only with long term use of
    indwelling catheter
    • Urinary bladder perforation
    • Kidney damage
    • Haemorrhage
    Cont..
    • Urinary catheter obstruction due to bladder stone
    • Bypass leakage
    • Catheter related bladder discomfort
    • Skin breakdown
    • Allergy or sensitivity to latex

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