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Urinary Catheterization Procdure

Urinary catheterization involves inserting a flexible tube into the bladder through the urethra to drain urine. It is used to relieve urinary retention, obtain sterile urine samples, and measure urine output before, during, and after surgery. The procedure requires sterile technique to prevent infection. A lubricated catheter is gently inserted into the female urethra and advanced into the bladder. The balloon is inflated then secured and connected to a drainage bag below bladder level.

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Akshata Bansode
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1K views9 pages

Urinary Catheterization Procdure

Urinary catheterization involves inserting a flexible tube into the bladder through the urethra to drain urine. It is used to relieve urinary retention, obtain sterile urine samples, and measure urine output before, during, and after surgery. The procedure requires sterile technique to prevent infection. A lubricated catheter is gently inserted into the female urethra and advanced into the bladder. The balloon is inflated then secured and connected to a drainage bag below bladder level.

Uploaded by

Akshata Bansode
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Urinary Catheterization( Female)

INTRODUCTION
In urinary catheterization a latex, polyurethane, or
silicone tube known as a urinary catheter is inserted into
the bladder through the urethra. Catheterization allows
urine to drain from the bladder for collection. It may
also be used to inject liquids used for treatment or
diagnosis of bladder conditions

DEFINITION
Catheterization of the urinary bladder is the insertion of
a hollow tube through the urethra into the bladder for
removing urine. It is an aseptic procedure for which
sterile equipment is required.
PURPOSES OF URINARY CATHETERIZATION

a. Relieve Urinary Retention.


b. Obtain a Sterile Urine Specimen from a Female
Patient.
c. Measure Residual Urine.
d. Empty the Bladder Before, During, or After
Surgery.
e. Allows accurate measurement of urine output.

URINARY 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.

TYPES OF URINARY CATHETERS

a. Intermittent Catheter.

An intermittent catheter is used to drain the bladder


for short periods (5-10 minutes). It may be inserted
by the patient.

b. Retention/Indwelling Catheter.
This type of catheter is placed into the bladder and
secured there for a period of time.

c. Supra Pubic Catheter


This type of catheter is inserted into the bladder
through a small incision above the pubic area. It is
used for continuous drainage.

PREPARING FOR CATHETERIZATION

A catheter should be used only when absolutely


necessary and the catheterization procedure itself
should be done only by trained personnel under sterile
conditions. Infection is a major risk of urinary
catheterization.

A) Gather All Equipment.


a. Catheter
b. 10cc syringe
c. Sterile water
d. Cotton balls with betadine
e. Lubricant
f. Sterile gloves.
g. Flashlight or lamp.
h. Urine collection bag.
i. Velcro leg strap or anchoring tape.
j. Disposal bag.

B). Explain the Procedure to the Patient.

C). Provide for Privacy and Adequate Lighting.

D) Positioning

Position the female patient in a dorsal recumbent


position with the knees flexed and the feet about two
feet apart. Cover the upper body and each leg. Place the
catheter set between the female patient legs.
INSERTING THE FOLEY CATHETER IN A
FEMALE PATIENT

a. Cleanse the genital and perineal areas with warm


soap and water. Rinse and dry.
b. Wash your hands carefully.
c. Open the sterile catheterization kit, using sterile
technique.
d. Put on the sterile gloves.
e. Open the sterile drape and place on the patient
thighs.
f. Apply sterile lubricant liberally to the catheter tip.
Lubricate at least six inches of the catheter. Leave the
lubricated catheter on the sterile field.
g. Pour the antiseptic solution over the cotton balls.
h. Place the urine specimen collection container within
easy reach.
i. Place the thumb and forefinger of your nondominant
hand between the labia minora, spread and separate
upward. The gloved hand that has touched the patient
is now contaminated.
j. Using the forceps, pick up a cotton ball saturated with
antiseptic solution. Use one cotton ball for each
stroke. Swab from above the meatus downward
toward the rectum.
k. Keeping the labia separated, cleanse each side of the
meatus in the same downward manner Do not go
back over any previously cleansed area.
l. Deposit each cotton ball into the disposal bag. After
the last cotton ball is used, deposit the forceps into
the bag as well
m. Continue to hold the labium apart after cleansing.
Insert the lubricated catheter into the female patient
urinary meatus
n. Angle the catheter upward as it is advanced. If the
catheter will not advance, instruct the patient to
inhale and exhale slowly. This may relax the
sphincter muscle. Do not force the catheter.
o. When urine starts to flow, insert the catheter
approximately one inch further. Place the cup under
the stream of flowing urine to obtain a sterile
specimen if required.
p. Inflate balloon, using correct amount of sterile liquid
(usually 10 cc but check actual balloon size)
q. Gently pull catheter until inflation balloon is snug
against bladder neck
r. Connect catheter to drainage system
s. Connect the drainage bag to the catheter. Secure the
catheter to the inner aspect of the female patient
thigh
t. Place drainage bag below level of bladder
u. Evaluate catheter function and amount, colour,
ordure, and quality of urine
v. Remove gloves, dispose of equipment appropriately,
wash hands
w. Document size of catheter inserted, amount of
water in balloon, patient response to procedure, and
assessment of urine 

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